Abstract
The glycosylphosphatidylinositol-anchored CD24 protein is a B cell differentiation Ag that is expressed on mature resting B cells but disappears upon Ag stimulation. We used Burkitt’s lymphoma (BL) cells, which are thought to be related to germinal center B cells, to examine the biological effect of Ab-mediated CD24 cross-linking on human B cells and observed 1) induction of apoptosis in BL cells mediated by cross-linking of CD24; and 2) synergism between the cross-linking of CD24 and that of the B cell receptor for Ag in the effect on apoptosis induction. We also observed activation of mitogen-activated protein kinases following CD24 cross-linking, suggesting that CD24 mediates the intracellular signaling that leads to apoptosis in BL cells. Although CD24 has no cytoplasmic portion to transduce signals intracellularly, analysis of biochemically separated glycolipid-enriched membrane (GEM) fractions indicated enhanced association of CD24 and Lyn protein tyrosine kinase in GEM as well as increased Lyn kinase activity after CD24 cross-linking, suggesting that CD24 mediates intracellular signaling via a GEM-dependent mechanism. Specific microscopic cocapping of CD24 and Lyn, but not of other kinases, following CD24 cross-linking supported this idea. We further observed that apoptosis induction by cross-linking is a common feature shared by GEM-associated molecules expressed on BL cells, including GPI-anchored proteins and glycosphingolipids. CD24-mediated apoptosis in BL cells may provide a model for the cell death mechanism initiated by GEM-associated molecules, which is closely related to B cell receptor for Ag-mediated apoptosis.
Glycosylphosphatidylinositol-anchored proteins, which areall linked to the outer leaflet of the cell membrane by a small lipid moiety, mediate signal transduction, including phosphorylation of intracellular proteins, intracellular calcium mobilization, and activation of transcription factors (1, 2). Evidence for specific interactions between GPI-anchored proteins and Src family protein tyrosine kinases (PTKs)3 such as Thy-1, CD48, CD55, and CD59 with Lck and Fyn (3, 4) and of CD24 with Fgr, Lyn, Lck, or Hck (5, 6) suggest that signaling through GPI-anchored proteins is mediated by these PTKs. However, the mechanism of GPI-anchored protein-mediated signaling remains intriguing because they do not have any cytoplasmic domain to transduce intracellular signals. The recently proposed concept of a glycolipid-enriched membrane (GEM) domains or rafts (7, 8, 9) is expected to provide an explanation for the signaling properties of GPI-anchored proteins (1, 2).
The GEM is a local variation of the plasma membrane rich in glycosphyngolipid (GSL), cholesterol, sphingomyelin, and GPI-anchored proteins that organizes the functional microdomains (7, 8, 9). Biochemical and immunohistological observations have revealed the enrichment of a wide variety of signal transducing molecules, including Src family PTKs, trimeric G proteins, Ras (7, 8, 9), and linker for activation of T cells (10), in the GEM domains, suggesting their roles as platforms of signal transduction. Presently, it is assumed that cross-linking of GPI-anchored proteins within the external part of the GEM leads to coalescence of the microdomains and can cause simultaneous redistribution (approximation) of the Src family PTKs at their cytoplasmic side (1, 2). Consequently, Src family PTKs are activated via clustering-mediated autophosphorylation followed by phosphorylation of their substrates and thus triggering of signaling cascades (1, 2).
CD24, also referred to as heat-stable Ag (HSA) or nectadorin, is a member of the GPI-anchored protein family (11, 12, 13) that is expressed on several cell types, including B cells (11, 12, 13, 14, 15, 16, 17, 18). CD24 exhibits a differentiation-dependent expression pattern in B cells. During B cell ontogeny, CD24 is already expressed in very early stage B cell progenitors (19) and remains expressed on mature resting B cells. Resting B cells, such as the majority of B cells in circulating peripheral blood and mantle zone B cells in lymphoid follicles, express high levels of CD24. However, CD24 begins to disappear when B cells are activated and induced to further maturation (15, 17, 20, 21). In fact, expression of CD24 is markedly diminished in germinal center (GC) B cells in the secondary lymphoid follicles (20, 21, 22, 23), the site where activated B cells undergo terminal differentiation into Ab-secreting B cells (24, 25, 26, 27).
Both CD24+ and CD24− B cell subsets are present in GCs, with the latter being thought to be more differentiated (15, 17, 20, 21). Because the vast majority of GC B cells lack CD24 (20, 21, 22, 23), it was postulated that loss of CD24 expression is an essential step in the commitment of activated B cells to differentiate into Ab-secreting cells (13). Alternatively, expression of CD24 may be disadvantageous for the proliferation and/or further differentiation of activated B cells. GC B cells are entering a dramatic process that determines whether they will survive or die, changing their phenotypes quickly in a short period of time (20, 21, 24, 25, 26, 27). During this process, positive and negative signals for cell survival are believed to be cooperatively regulated by the Ag receptor and a number of accessory molecules (24, 25, 26, 27). Therefore, CD24 expression and disappearance may represent unknown aspects of this dramatic process.
Several lines of evidence suggest the functional involvement of CD24 in B cell development (14, 28, 29, 30). For example, Chappel et al. examined mouse B cells and demonstrated that the cross-linking of CD24 induces apoptosis in B cell precursors, including pro-B and pre-B cells (28, 29). They also observed that the cross-linking of CD24 does not induce apoptosis in mature resting B cells, but instead inhibits their ability to proliferate in response to anti-CD40 mAb and IL-4 (29). These findings suggest that CD24 is a potent negative regulator of B cell development and activation, whereas CD24 cross-linking has differential effects at several stages of B cell development (29).
Considering all of the above evidence together, CD24 probably mediates a negative signal for GC B cell survival via a GEM-mediated signaling mechanism, although the details of the mechanism are largely unknown. However, it has been well documented that GC B cells express a number of apoptosis-related molecules (31). When freshly isolated and placed in primary culture, multiple death-signaling cascades are activated, and hence GC B cells undergo rapid and spontaneous apoptosis (31, 32). Thus, primary cultures of GC B cells are unsuitable for characterizing the effect of a negative signal for cell survival operating via a specific molecule, such as CD24.
Burkitt’s lymphoma (BL) is a tumor that retains the properties of GC B cells (33, 34, 35, 36). Because BL cells undergo apoptosis upon cross-linking of the B cell receptor for Ag (BCR), they are often used to investigate the molecular and cellular signals for the cell death of B cells at the clonal level (35, 36, 37, 38). We previously reported that BL cells freshly obtained from patients consist of CD24+ and CD24− subtypes, and that CD24+ BL cells appear to be related to the CD24+ B cells in the GC (23). In the present study we chose BL cell lines expressing CD24 to investigate the functional role of CD24 in B cell development and its relation to GEM-mediated signaling. The results showed that Ab-mediated cross-linking of CD24 induces apoptosis in BL cells. Further evidence suggested that CD24 mediates a negative signal for B cell survival through a GEM-dependent mechanism that is closely related to the BCR-mediated apoptotic signal. The potent biological role of CD24-mediated apoptosis in B cell development is discussed.
Materials and Methods
Cells and reagents
CD24+ BL-derived cell lines P32/SH and Namalwa were obtained from the Japanese Cancer Research Resources Bank (Tokyo, Japan) and Institute for Fermentation (Osaka, Japan), respectively. The CD24− BL line Daudi from the Japanese Cancer Research Resources Bank was also used. Cells were cultured in RPMI 1640 supplemented with 10% FCS at 37°C in a humidified 5% CO2 atmosphere.
The mouse mAbs used were anti-CD24 (ALB-9) and anti-CD48 (J4.57) from Coulter/Immunotech (Westbrook, MA), anti-CD48 (5-4.8) from Santa Cruz Biotechnology (Santa Cruz, CA), anti-CD55 (IA10) and anti-CD59 (p282H19) from PharMingen (San Diego, CA), anti-phosphotyrosine (4G10) from Upstate Biotechnology (Lake Placid, NY), anti-Lyn (clone 42) and anti-ERK1 (MK12) from Transduction Laboratories (Lexington, KY), anti-GM3 (M2590) from Wako Pure Chemical Industries (Osaka, Japan), and anti-β-actin from Seikagaku (Tokyo, Japan). Anti-CD3 (OKT-3), anti-CD45 (9.4), and anti-μ (DA4.4) from American Type Culture Collection (Manassas, VA) and anti-CD24 (L30) (22) were also used. The rabbit polyclonal Abs used were anti-Lyn from Serotec (Oxford, U.K.); anti-CD55, anti-Csk, and anti-Blk from Santa Cruz Biotechnology; anti-phospho-specific mitogen-activated protein (MAP) kinase, anti-phospho-specific stress-activated protein (SAP) kinase, anti-SAP kinase, anti-phospho-specific p38 MAP kinase, and anti-p38 MAP kinase from New England Biolabs (Beverly, MA); anti-Giα from Calbiochem-Novabiochem (San Diego, CA); and anti-μ from Jackson ImmunoResearch (West Grove, PA). The goat anti-cholera toxin B subunit (CT-B) polyclonal Ab from Calbiochem was also used. Secondary Abs, including fluorescein-conjugated and enzyme-conjugated Abs, and fluorescein-conjugated avidin were purchased from either Jackson ImmunoResearch or Molecular Probes (Eugene, OR). Biotinylation of mAb was performed as described previously (23). Conjugation of Abs to polystyrene beads was performed as described previously (39). To cross-link CD24, cells were cultured in the presence of Abs as indicated. In these cases, Abs were dialyzed in PBS before addition to culture to remove additives. The recombinant CT-B was obtained from Calbiochem. All chemical reagents were obtained from Sigma-Aldrich (St. Louis, MO) unless otherwise indicated.
Immunofluorescence study
The cells were stained with FITC-labeled mAbs and analyzed by flow cytometry (EPICS-XL, Coulter) as described previously (23). In some experiments cells were stained with a combination of Alexa Fluor 488-labeled anti-CD24 mAb and Alexa Fluor 543-labeled either anti-Lyn, anti-Blk, or anti-Csk polyclonal Ab, then examined by confocal microscopy (GB-200, Olympus, Tokyo, Japan). Briefly, after a 30-min incubation with anti-CD24 mAb (L30) on ice, cells were washed intensively with ice-cold PBS and incubated with Alexa Fluor 488-conjugated goat anti-mouse polyclonal Ab for 30 min on ice. After intensive washing with ice-cold PBS, cells were either left on ice as an unpatched control or incubated for 30 min at 37°C to induce patching as described previously (10, 40). After intensive washing and fixation with 3% paraformaldehyde in PBS, cells were further stained with a combination of rabbit anti-Lyn, anti-Blk, or anti-Csk polyclonal Ab followed by Alexa Fluor 543-conjugated goat anti-rabbit polyclonal Ab and examined using the appropriate filter set. Because Alexa Fluor 488-conjugated goat anti mouse Ab absorbed any cross-reactivity, no cross-reaction against rabbit Ab was detected (data not shown). Similarly, Alexa Fluor 543-conjugated goat anti-rabbit Ab showed no cross-reactivity against mouse Ab (data not shown). No cross-talk was detected between Alexa Fluor 488 and Alexa Fluor 543 channels (data not shown).
Immunoblotting, immunoprecipitation, and immunocomplex kinase assay
Immunoblotting was performed as described previously (41). Briefly, cell lysates were prepared by solubilizing the cells in lysis buffer (containing 20 mM Na2PO4 (pH 7.4), 150 mM NaCl, 1% Triton X-100, 10 trypsin inhibitory units/ml aprotinin, 5 mM PMSF, 100 mM NaF, and 2 mM Na3VO4). After centrifugation, supernatants were obtained, and the protein concentration of each cell lysate was determined with a Bio-Rad protein assay kit (Bio-Rad, Hercules, CA). Fifty micrograms of each cell lysate was electrophoretically separated on an SDS-polyacrylamide gel and transferred to a nitrocellulose membrane using a semidry Transblot system (Bio-Rad). After blocking, the membranes were incubated with the appropriate combination of primary and secondary Abs as indicated, washed intensively, then examined using the enhanced chemiluminescence reagent system (ECL, Amersham, Aylesbury, U.K.). The results obtained from a 1-min exposure of the ECL-treated membrane to film are presented.
For immunoprecipitation, 500 μg of the cell lysates were incubated with 1 μg of the indicated Ab and 30 μl of 50% protein G-agarose (Roche, Mannheim, Germany) for 1 h. After intensive washing, the immunoprecipitates were separated by electrophoresis and analyzed as described above. Immunocomplex kinase assay was also performed using enolase, as exogenous substrate, as described previously (41).
Detection of apoptosis
To detect apoptosis, cells were assayed for DNA ladder formation by gel electrophoresis. After treatment of cells as indicated, DNA was extracted from the cells, separated by 1% agarose gel electrophoresis, and examined under UV light as described previously (37). To quantitate the incidence of apoptotic cells, cells were stained with FITC-labeled annexin V using the MEBCYTO Apoptosis Kit (Medical & Biological Laboratories, Nagoya, Japan) and then analyzed by flow cytometry according to the manufacturer’s protocol.
Sedimentation of the GEM fraction and lipid analysis
The GEM fractions were prepared by linear sucrose gradient centrifugation as described previously (40, 42). Briefly, 1 × 108 cells were lysed and homogenized in Tris-buffered saline (25 mM Tris (pH 7.5) and 150 mM NaCl) containing 1% Triton X-100, 1 mM PMSF, 1 mM Na3Vo4, and aprotinin (10 trypsin inhibitory units/ml). Cell extracts were adjusted to 40% sucrose in Tris-buffered saline. A linear gradient (5–30% sucrose in Tris-buffered saline) was formed above the lysate and centrifuged at 39,000 rpm for 18 h at 4°C in a Beckman SW40Ti rotor (Palo Alto, CA). In some experiments cells were biotinylated before homogenization as described previously (42). The lipids extracted from the gradient fractions as described previously (40, 42) were separated on a high performance TLC plate (Merck, Darmstadt, Germany), followed by blotting to polyvinylidene difluoride membrane (Millipore, Bedford, MA) and immunostained with anti-GM3 mAb as described previously (40, 42).
Results
CD24 expression in BL-derived cell lines
We first examined whether BL cell lines express CD24. Among eight BL lines tested, including P32/SH, Namalwa, Ramos, Daudi, CA-46, Jiyoyie, EB-3, and SCC-3, only the first two lines expressed CD24. As shown in Fig. 1⇓, both P32/SH and Namalwa lines expressed high levels of CD24 by flow cytometry. In addition, other GPI-anchored proteins, including CD48, CD55, and CD59 (Fig. 1⇓), but not CD90 (data not shown), were expressed on both lines. Flow cytometric analysis also revealed that both lines showed a similar pattern of expression of B cell differentiation Ags, including surface IgM (sIgM; Fig. 1⇓), CD19, CD20, CD72, CD80, CD81, and HLA-DR (data not shown). A GC B cell-specific marker, CD10 (20, 21, 23, 36), and a protein tyrosine phosphatase, CD45, were also expressed on both lines (Fig. 1⇓). We used these two CD24+ BL lines in the following experiments.
Flow cytometric analysis of surface Ags expressed on BL cell lines. P32/SH and Namalwa cells were stained with specific mAbs against GPI-anchored proteins and other molecules, as indicated in the figure, and analyzed by flow cytometry. The histograms obtained were displayed. x-axis, Fluorescence intensity; y-axis, relative cell number; CNT, isotype-matched mouse Ig.
Cross-linking of CD24 by specific Abs induces apoptosis in BL-derived cell lines
Next we tested whether cross-linking of CD24 mediated by specific Abs induces any physiological responses in BL cells. When P32/SH cells treated with a combination of anti-CD24 mAb, L30, and rabbit secondary polyclonal anti-mouse Ig Ab for 24 h were examined morphologically by light microscopy, a portion of cells exhibited cleaved nuclei, a finding typical of apoptosis (Fig. 2⇓A). No such figures were observed in untreated cells (data not shown). The following results clearly show that cross-linking of CD24 indeed induced apoptosis in BL cells. First, DNA prepared from P32/SH cells on which CD24 is cross-linked showed oligonucleosomal ladder fragmentation on agarose gel electrophoresis (Fig. 2⇓B). Second, cleavage of the nuclear DNA was also confirmed by detection of subploid cells with propidium iodide staining (data not shown). Third, there was a significant increase in cells binding to annexin V after CD24 cross-linking by immobilized anti-CD24 mAb on polystyrene beads (Fig. 2⇓C).
Cross-linking of CD24 induces apoptosis in P32/SH BL cells. A, P32/SH cells were cultured in the presence of anti-CD24 mAb L30 (5 μg/ml) and rabbit anti-mouse Ig (5 μg/ml) for 24 h, then cytocentrifuged and Giemsa-stained, and morphological appearance was examined by light microscopy. Typical apoptotic cells showing characteristic cleaved nuclei are indicated by arrowheads. Magnification, ×400. B, DNA ladder formation after cross-linking of CD24 was examined. P32/SH cells were treated with (+; lane 2) and without (−; lane 1) anti-CD24 mAb (α CD24) as in A. The extracted DNA (1.5 μg/lane) from each sample was separated by 1% agarose gel electrophoresis. C, Detection of annexin V-binding cells. After 24-h culture in the presence of 5 μg/ml of either anti-CD24 mAb (α CD24, L30) or isotype-matched mouse Ig (CNT) immobilized on the polystyrene beads, P32/SH cells were incubated with FITC-conjugated annexin V, then analyzed by flow cytometry. A typical histogram obtained from each experiment was displayed. Experiments were performed in triplicate, and the mean ± SD percentages of annexin V-bound cells are indicated. x-axis, Fluorescence intensity; y-axis, relative cell number.
As presented in Fig. 3⇓A, when P32/SH cells were treated with the anti-CD24 mAb L30 alone for 24 h, <10% of the cells underwent apoptosis as assessed by annexin V binding. However, in the presence of the secondary rabbit polyclonal anti-mouse Ig Ab L30 induced the appearance of a significant number of annexin V-bound cells (Fig. 3⇓A), suggesting that strong cross-linkage of CD24 is required to induce apoptosis in these cells. The fact that either a combination of biotinylated L30 and streptavidin (Fig. 4⇓B) or L30 immobilized on polystyrene beads (Fig. 2⇑C) also induced a comparable level of apoptosis further supports the above idea. We also examined the effect of ALB-9, another anti-CD24 mAb, and observed identical results (Fig. 3⇓A). These phenomena were specific to CD24, because anti-CD45, which binds to BL cells, did not induce apoptosis (Fig. 3⇓A). Isotype-matched control mouse Ig (Fig. 2⇑C) or anti-CD3 did not induce apoptosis (Fig. 3⇓A). We similarly examined Namalwa cells and observed mostly identical results (Fig. 3⇓B). By contrast, when CD24− Daudi BL cells, in which signaling for apoptosis can occur by BCR cross-linking, were similarly examined, treatment with a combination of L30 and rabbit anti-mouse Ig Ab failed to induce apoptosis (Fig. 3⇓C). Thus, these data suggest that sufficient CD24 cross-linking specifically induces apoptosis in CD24+ BL cells, and that this is not due to the nonspecific binding of either mouse Ig or secondary rabbit polyclonal anti-mouse Ig Ab.
Induction of apoptosis in BL cells by cross-linking of CD24. A, CD24+ P32/SH cells (2.5 × 105 cells in 500 μl of medium) were treated or not treated (columns 1 and 2) for 24 h with 5 μg/ml of specific mAb against either CD3 (α CD3, OKT-3, does not bind to P32/SH cells, columns 3 and 4), CD45 (α CD45, 9.4, binds to P32/SH cells, columns 5 and 6), or CD24 (L30, columns 7 and 8; ALB-9, columns 9 and 10) in the presence (columns 2, 4, 6, 8, and 10) and absence (columns 1, 3, 5, 7, and 9) of 5 μg/ml of secondary rabbit anti-mouse Ig Ab (α MsIg). After staining with FITC-conjugated annexin V, the incidence of apoptotic cells was examined on flow cytometry. Experiments were performed in triplicate, and the mean ± SD numbers of cells that bound annexin V, i.e., those undergoing apoptosis, are presented. Identical results were obtained from at least three independent experiments. B, CD24+ Namalwa cells were also examined in the same manner as in A. C, As a negative control, CD24− Daudi cells were examined as described in A (columns 1–4). To confirm that signaling for apoptosis can occur in the cells through another pathway, Daudi cells were treated with anti-μ heavy chain mAb (α μ, DA4.4, 5 μg/ml) in the presence (column 6) and the absence (column 5) of α MsIg (5 μg/ml).
A synergism between the cross-linking of CD24 and that of BCR on apoptosis-inducing effect in BL cells. A, P32/SH cells treated (columns 2–4 and 6–8) and not treated (columns 1 and 5) with suboptimal doses of anti-CD24 mAb (α CD24, L30, 0.5 μg/ml) and anti-μ heavy chain mAb (α μ, DA4.4, 0.1 μg/ml) as indicated in the presence (columns 5–8) or the absence (columns 1–4) of 5 μg/ml of secondary rabbit anti-mouse Ig Ab (α MsIg) for 24 h were examined as described in Fig. 3⇑. To confirm that the cross-linking of BCR with a full dose (F) of anti-μ heavy chain mAb can induce apoptosis, P32/SH cells were treated with 5 μg/ml of DA4.4 (columns 9 and 10) in the presence (column 10) or the absence (column 9) of α MsIg. B, P32/SH cells were treated (columns 3, 4, and 6) or not treated (columns 1, 2, and 5) with a suboptimal dose of biotin-conjugated anti-CD24 mAb L30 (5.0 μg/ml) in the presence (columns 2, 4, and 6) or the absence (columns 1, 3, and 5) of 1 μg/ml of avidin. To test the effect of a suboptimal dose of anti-μ heavy chain mAb, DA4.4 (0.1 μg/ml) was also added (columns 5 and 6). After 24-h incubation, cells were examined as described in Fig. 3⇑. To confirm that a full dose of biotinylated L30 can sufficiently cross-link CD24 to induce apoptosis, P32/SH cells were also treated with 20 μg/ml of biotinylated L30 in the presence (column 8) or the absence (column 7) of avidin.
Effect of cross-linking of another GPI-anchored protein on BL cells
Next we examined whether the induction of apoptosis is specific for CD24 or is a common feature of GPI-anchored proteins expressed on these BL cells. As shown in Fig. 5⇓, when P32/SH cells were treated with a combination of anti-CD48 mAb and secondary rabbit anti-mouse Ig, a number of annexin V-binding cells comparable to that obtained with anti-CD24 mAb was induced. In contrast, the mAbs against either CD55 or CD59 could only induce a low number of annexin V-binding cells, even in the presence of secondary rabbit anti-mouse Ig Ab (Fig. 5⇓). These data suggest that induction of apoptosis upon cross-linking is a common feature of GPI-anchored proteins expressed on these BL cells, while the magnitude of cell death is variable in each case.
Induction of apoptosis in BL cells by cross-linking of other GPI-anchored proteins. P32/SH cells treated or not treated (columns 1 and 2) with 5 μg/ml of specific mAbs against GPI-anchored proteins (CD48, columns 3 and 4; CD55, columns 5 and 6; CD59, columns 7 and 8) in the presence (columns 2, 4, 6, and 8) or the absence (columns 1, 3, 5, and 7) of 5 μg/ml of secondary rabbit anti-mouse Ig Ab (α MsIg) for 24 h were examined as described in Fig. 3⇑.
Synergism between cross-linking of CD24 and that of BCR on the effect of apoptosis induction in BL cells
It was reported that sufficiently strong cross-linking of BCR also induces apoptosis in BL cells (37, 38). Therefore, we tested the synergism between cross-linking of BCR and that of CD24 on the induction of apoptosis. Although the DA4.4 mAb against human μ heavy chain was able to induce marked apoptosis in P32/SH cells at full dose (5 μg/ml), it did not induce apoptosis at a suboptimal dose (0.1 μg/ml) even in the presence of secondary rabbit anti-mouse Ig Ab (Fig. 4⇑A, compare columns 3, 7, 9, and 10). Similarly, a suboptimal dose (0.5 μg/ml) of anti-CD24 mAb, L30, also failed to induce significant apoptosis in P32/SH cells (Fig. 4⇑A, columns 2 and 6). However, when suboptimal doses of both DA4.4 and L30 were mixed, a significant level of apoptosis was induced in P32/SH cells with the help of secondary rabbit anti-mouse Ig Ab (Fig. 4⇑A, columns 6–8). The data indicate a synergism between cross-linking of CD24 and that of BCR on the effect of apoptosis induction in BL cells.
To further examine whether cross-linking between CD24 and BCR is necessary for the synergistic effect on apoptosis induction, we used the biotin-avidin system. As presented in Fig. 4⇑B, a combination of a full dose of biotinylated L30 (20 μg/ml) and avidin (1 μg/ml) is sufficient to induce apoptosis in P32/SH cells (columns 7 and 8). Although a suboptimal dose of biotinylated L30 (5 μg/ml) induced a low level of apoptosis in the presence of avidin (Fig. 4⇑B, columns 3 and 4), simultaneous addition of a suboptimal dose (0.1 μg/ml) of DA4.4 remarkably enhanced the induction of apoptosis (Fig. 4⇑B, columns 5 and 6). Based on these results, we concluded that independent cross-linking of each molecule is sufficient to induce synergistic induction of apoptosis and that cross-linking between CD24 and BCR is unnecessary.
Distribution of CD24 and other molecules in linear sucrose gradient centrifugation
GPI-anchored proteins are thought to be localized in the GEM domain. To investigate the participation of GEM in CD24-mediated apoptosis, we examined the distribution of CD24 in linear sucrose gradient centrifugation. When cell lysates prepared from biotinylated P32/SH cells were fractionated, most of the biotinylated proteins were liberated with 1% Triton X-100 from the plasma membrane and thus recovered in fractions 11–13 as high density detergent-soluble fractions (DS) (Fig. 6⇓A). Some were not solubilized from plasma membrane and thus were recovered in buoyant, low density fractions 5–9, which include the GEM (Fig. 6⇓A). By immunoprecipitation, most CD24 molecules were recovered in buoyant, low density fractions 6 and 7 (Fig. 6⇓B). Consistent with previous reports, immunoprecipitated CD24 molecules appeared as a broad band on SDS-PAGE gels (5, 16, 43), because of their extensive glycosylation (13, 18). By contrast, when CD24− Daudi BL cells were similarly examined, anti-CD24 mAb L30 failed to precipitate any biotinylated proteins from either the GEM or DS (data not shown), suggesting the specificity of this mAb. In contrast, CD45 molecules, which have been reported to be found predominantly in the DS (10, 44), were immunoprecipitated only from the DS in both P32/SH cells (Fig. 6⇓B) and Daudi cells (data not shown). These findings indicate that the failure to immunoprecipitate CD24 from the DS is not due to disruption of immunoprecipitation in the presence of high sucrose concentrations and that CD24 molecules are indeed distributed only in the GEM fractions.
Sucrose density gradient analysis of CD24 and other proteins from Triton X-100 lysates. A, Triton X-100 lysates obtained from biotinylated P32/SH cells were centrifuged on linear sucrose density gradients. After centrifugation, 1-ml gradient fractions were collected from the top to the bottom to yield a total of 13 fractions (lanes 1–13 are compatible to fractions 1–13). Gradient fractions were separated on 10% SDS-polyacrylamide gels, transferred to nitrocellulose membranes, and stained with HRP-conjugated avidin. B, P32/SH cells were treated (Cross-link, α CD24, middle panel) and not treated (−, top and bottom panels) with anti-CD24 mAb (L30) immobilized on polystyrene beads for 5 min. After biotinylation, Triton X-100 lysates were obtained and fractionated as described in A. The proteins from each fraction were immunoprecipitated with anti-CD24 mAb (IP, α CD24, L30, top and middle panels). After separation by 10% SDS-PAGE gel electrophoresis, the proteins were detected as described in A. As a control for the protein predominantly found in the dense fraction, immunoprecipitation of each fraction with anti-CD45 mAb (IP, α CD45, bottom panel) was performed in the same manner. C, Gradient fractions obtained from the P32/SH cell lysates in B were separated on 10% SDS-PAGE gels, and Lyn, Blk, and Csk proteins were detected by immunoblotting with rabbit polyclonal Ab for each kinase, as indicated. D, In the first and second panels from the top, lipids extracted from gradient fractions obtained in B were separated on a TLC plate and were then blotted onto a polyvinylidene difluoride membrane. Immunostaining with anti-GM3 mAb (GM3) was performed. In the other panels, gradient fractions obtained from the P32/SH cell lysates in B were separated on 10% SDS-PAGE gels, and Giα (α-Gαi), CD48, and CD55 proteins were detected by immunoblotting as indicated.
We also examined the distribution of cellular proteins after sucrose density gradient centrifugation by immunoblotting; the majority of cellular proteins, including Blk, Csk (Fig. 6⇑C), and Syk (data not shown), were only recovered in DS. In contrast, approximately half of all Lyn protein, an Src family PTK, was recovered in the GEM (Fig. 6⇑C). Furthermore, immunoprecipitation revealed that a portion of Lyn was detected in anti-CD24 immunoprecipitates from the GEM fractions (Fig. 7⇓). Because no Lyn was detected in control mouse Ig immunoprecipitates from the same fractions (data not shown), the results indicate that CD24 and Lyn are specifically associated in the GEM.
Coimmunoprecipitation of Lyn with CD24 from the GEM fractions. The immunoprecipitates with anti-CD24 mAb (α CD24, L30) were prepared from five to nine fractions separated from P32/SH cell lysates as described in Fig. 6⇑B. The Lyn (A) and CD24 (B) proteins in each immunoprecipitate were detected as described in Fig. 6⇑, C and B, respectively. Immunoprecipitation was also performed with anti-Lyn mAb in duplicate (C and D). Detection of Lyn proteins in immunoprecipitates and assessment of the enolase transphosphorylation activity of Lyn were performed by immunoblotting (C, Blot, α Lyn) and immunocomplex kinase assay (D, ICK), respectively.
Next we examined whether the distribution of various proteins in linear sucrose gradient centrifugation may change after CD24 cross-linking. As shown in Fig. 6⇑B, when cell lysates prepared from P32/SH cells treated with the anti-CD24 mAb L30 immobilized on polystyrene beads were fractionated, the distribution of CD24 shifted to a higher density site, and it was recovered mainly in fractions 7 and 8. It is noteworthy that the distribution of Lyn in sucrose gradient centrifugation also shifted similarly (Fig. 6⇑C). In contrast, cross-linking of CD24 did not affect the other proteins, including Blk, Csk (Fig. 6⇑C), Syk, or CD45 (data not shown), all of which remained in the DS. No such shift was induced by anti-CD3 or anti-CD45 mAb immobilized on polystyrene beads (data not shown). From these results, mobility shift of CD24 and Lyn by CD24 cross-linking was regarded to be a phenomenon specific to CD24 and was not due to nonspecific binding of Ab.
To assess the biochemical basis of the difference between GEM from untreated and CD24 cross-linked cells, we examined the distribution of the other presumably GEM-associated molecules in sucrose gradient centrifugation before and after treatment with anti-CD24 mAb. GSL is a major constituent of the GEM domain. In P32/SH cells, GM3 was found to be the most abundantly expressed GSL as assessed by lipid analysis (data not shown). As shown in Fig. 6⇑D, TLC blotting analysis showed that the majority of GM3 was recovered in the low density GEM fractions. A dually acylated heterodimeric G protein α subunit, Giα, is known to reside in GEM (45, 46, 47), and indeed, immunoblotting analysis revealed that Giα was recovered only in low density fractions 5–7 after sucrose gradient centrifugation (Fig. 6⇑D). Other GPI-anchored proteins, CD48 and CD55, were also recovered only in GEM (Fig. 6⇑D). However, when the cells were CD24 cross-linked the distribution of all these molecules shifted to a higher density site, and after sucrose gradient centrifugation they were recovered in fractions 6–8 (Fig. 6⇑D), the same as CD24 (Fig. 6⇑B). The results indicate that all GEM-associated molecules show the same distribution shift after sucrose gradient centrifugation following CD24 cross-linking.
We further examined whether the association between CD24 and Lyn in the GEM fractions was affected by CD24 cross-linking. As shown in Fig. 7⇑C, the total amount of Lyn protein precipitated with anti-Lyn mAb did not change significantly after CD24 cross-linking. However, the recovery of Lyn in anti-CD24 immunoprecipitates was markedly increased after CD24 cross-linking (Fig. 7⇑A). Moreover, CD24 cross-linking resulted in the enhanced kinase activity of Lyn in GEM fractions as revealed by increased transphosphorylation of enolase, an exogenous substrate, by in vitro kinase assay (Fig. 7⇑D).
Colocalization of CD24 and Lyn, but not Blk, in cell membrane after cross-linking of CD24
Because biochemical data have indicated that CD24 is closely correlated with Lyn, but not with Blk or Csk, in the GEM domain, we next examined the correlation between CD24 and those PTKs in the cell membrane by using immunostaining and confocal microscopy. In cells left on ice throughout the staining process, CD24 and those PTKs were evenly distributed (Fig. 8⇓, B, D, and F). However, when the cells were incubated at 37°C, CD24 became concentrated to distinct patches within the membrane (Fig. 8⇓, A, C, and E). Significantly, Lyn was found to clearly colocalize with the CD24-patches as presented in a overlay picture in Fig. 8⇓A. In contrast, Blk and Csk did not colocalize with the CD24 patches (Fig. 8⇓, C and E). These results are consistent with the biochemical data and indicate that Lyn, but not Blk and Csk, is preferentially colocalized with CD24 patches after Ab-mediated CD24 cross-linking.
Cocapping of Lyn, but not Blk and Csk, with CD24 on P32/SH cells after treatment with anti-CD24 mAb. P32/SH cells stained with Alexa 488-labeled anti-CD24 mAb L30 were either left on ice as an unpatched control (Unpatched; B, D, and F) or incubated for 30 min at 37°C to induce patching as described in Materials and Methods (CD24-patched; A, C, and E). After fixation, cells were incubated with rabbit anti-PTK polyclonal Abs as indicated and further labeled with Alexa 543-conjugated goat anti-rabbit Ab. Each fluorescence was visualized by confocal microscopy using an appropriate filter set. Typical results from each treatment were presented. For each experiment, the pictures obtained by staining with either Alexa 488 or Alexa 543 were superimposed (Overlay).
Translocation of BCR in the GEM fraction after CD24 cross-linking
Upon cross-linking the BCR has been shown to move into GEM in mouse and human B cells (44, 47, 48, 49). Therefore, we examined whether the same was true in the P32/SH cells used in the present study. As shown in Fig. 9⇓, when cell lysates prepared from P32/SH cells were fractionated, μ heavy chain was recovered only in DS after sucrose gradient centrifugation. However, after BCR cross-linking by treating cells with the anti-μ heavy chain mAb immobilized on polystyrene beads, a small portion of μ heavy chain was translocated in low density fractions 5 and 6 (Fig. 9⇓). Giα, a marker protein for GEM, was also recovered in fractions 5–7 regardless of BCR cross-linking (Figs. 6⇑D and 9). The results suggest that BCR cross-linking induces recruitment of a fraction of BCR itself in the GEM fraction, but that it does not affect the distribution of GEM on sucrose gradient centrifugation.
Sucrose density gradient analysis of μ heavy chain from Triton X-100 lysates. Triton X-100 lysates obtained from P32/SH cells treated and not treated (Cross-link, −, top panel) with anti-CD24 mAb (α CD24, L30, second panel from the top) or anti-μ heavy chain mAb (α μ, DA4.4, third and fourth panels from the top) immobilized on polystyrene beads for 5 min were fractionated as described in Fig. 6⇑A. Gradient fractions were separated on 10% SDS-polyacrylamide gels, and μ heavy chain (Blot, α μ) and Giα (Blot, α Gαi) proteins were detected by immunoblotting.
Because we observed synergism between cross-linking of CD24 and BCR on the effect of apoptosis induction, next we examined whether CD24 cross-linking also affects the distribution of the μ heavy chain by sucrose gradient centrifugation. As shown in Fig. 9⇑, CD24 cross-linking also resulted in translocation of a small portion of the μ heavy chain in the low density fractions. However, in contrast to BCR cross-linking the translocated μ heavy chain was recovered in fractions 6 and 7, where the other GEM-associated molecules were located after CD24 cross-linking (Fig. 6⇑, B and D).
Treatment with CT-B induces apoptosis in BL cells
As demonstrated in this study, cross-linking of GPI-anchored proteins that reside in GEM induces apoptosis in BL cells. We also investigated whether the induction of apoptosis is specific to GPI-anchored proteins or is a common feature of GEM-resident molecules. To test this, we selected CT-B. CT-B has been well characterized as a specific ligand for GSL GM1 that resides in the GEM domain (10, 39). Cross-linking of GEM with CT-B has been reported to induce intracellular signaling events in T cells via a GEM-mediated mechanism (10, 39). Flow cytometric analysis revealed binding of CT-B to P32/SH cells (Fig. 10⇓A), indicating that this cell line expresses GM1. As shown in Fig. 10⇓B, when P32/SH cells were treated with CT-B alone for 24 h, the percent increase in apoptotic cells, assessed by annexin V binding, was not significant. However, in the presence of the goat anti-CT-B Ab, CT-B induced a significant increase in number of annexin V-bound cells (Fig. 10⇓B), indicating that sufficient cross-linking of GM1 also can induce apoptosis in BL cells. We also attempted to determine whether GM3 cross-linking with specific Ab also induces apoptosis of BL cells, but flow cytometric analysis revealed that the anti-GM3 mAb we used for TLC blotting in this study does not recognize the extracellular portion of GM3 and thus is not useful for cross-linking (data not shown).
Induction of apoptosis in BL cells by treatment with CT-B. A, P32/SH cells were reacted with biotinylated CT-B, incubated with FITC-conjugated avidin, and analyzed by flow cytometry. The histograms obtained (CT-B, dark line) were superimposed on that of the negative control (CNT, cells stained with FITC-avidin alone, light line) and displayed. x-axis, fluorescence intensity; y-axis, relative cell number. B, P32/SH cells (2.5 × 105 cells in 500 μl of medium) were treated (columns 3 and 4) or not treated (columns 1 and 2) with 5 μg/ml of CT-B in the presence (columns 2 and 4) and the absence (columns 1 and 3) of 5 μg/ml of polyclonal goat anti-CT-B Ab (α CT-B) for 24 h. After staining with FITC-conjugated annexin V, the proportion of apoptotic cells was determined by flow cytometry. Experiments were performed in triplicate, and the mean ± SD of the cells that bound annexin V, i.e., those undergoing apoptosis, are shown. Identical results were obtained from at least three independent experiments.
Intracellular signaling mediated by cross-linking of CD24
In the cases of other cell types, it has been reported that cross-linking of CD24 as well as other GPI-anchored proteins results in intracellular signaling events such as an activation of protein kinases accompanied by an increased level of tyrosine phosphorylation of intracellular proteins (1, 2, 4, 6, 12). Thus, we attempted to observe similar changes in BL cells expressing CD24. Inconsistent with the previous reports, no significant change in tyrosine phosphorylation level of total cellular proteins by CD24 cross-linking detected in immunoblotting analysis using anti-phosphorylated tyrosine Ab (data not shown). However, when individual molecules were examined by immunoblotting using phospho-specific Abs, clear elevations of phosphorylations of ERK1, SAP kinase, and p38 MAP kinase were detected (Fig. 11⇓), suggesting that CD24 cross-linking results in the activation of these kinases.
Early phosphorylation of MAP kinases in P32/SH cells mediated by CD24 cross-linking. Protein lysates were prepared from P32/SH cells treated (lanes 2–5) or not treated (lane 1) with anti-CD24 mAb (α CD24, immobilized L30 on polystyrene beads, 5 μg/ml). A 50-μg sample of each cell lysate was electrophoretically separated on 10% SDS-PAGE gels and immunoblotted with specific Abs against MAP kinases as indicated (A–C). As a quantitative control for amounts of protein in samples loaded, anti-β-actin (α β-actin) mAb was also examined (D). P-MAPK, phospho-MAP kinase; P-SAPK, phospho-SAP kinase; P-p38, Phospho-p38 MAP kinase.
Discussion
Our findings in this study clearly indicate that cross-linking of CD24 induces apoptosis in CD24+ BL cells. Based on phenotypic similarities, they are thought to be related to CD24+ GC B cells (23, 33, 34, 36), a B cell subset in the early activation stage (17, 20, 21, 23). The GC is the site where Ag-stimulated B cells undergo the affinity maturation process that enables them to generate clones that produce Ig with higher affinity for exogenous Ags (24, 25, 26, 27). However, inevitably this process involves the emergence of undesirable clones, and thus GC B cells are extensively eliminated by the mechanism of clonal deletion if they express low affinity or autoreactive Igs (24, 25, 26, 27). Obviously, the binding affinity of BCR to its Ag primarily determines whether GC B cells survive, but other stimuli mediated by a number of costimulatory molecules cooperate in regulating this process (24, 25, 26, 27, 31, 32, 50). As we have shown in this study, CD24-mediated stimuli augment BCR-mediated apoptosis induction in BL cells, and thus it can be argued that CD24 is one of the cooperative molecules that facilitates the initiation of apoptosis in activated B cells in GC. If it is, the disappearance of CD24 provides an advantage in terms of the acquisition of proliferation activity by the clones having high affinity for exogenous Ags. The evidence that the response of mature splenic B cells to LPS stimulation is impaired in transgenic mice overexpressing CD24 (28) supports this idea.
However, inconsistent with our observation, it has been reported that no impairment of immune function could be detected in CD24-deficient mice in a variety of immunization and infection models, indicating that the peripheral immune system is not grossly affected by the absence of CD24 (30). Although the exact reason remains unclear, it has been speculated that compensatory changes and/or functionally overlapping systems might be responsible for the mild changes in phenotype of CD24-deficient mice, as is the case in regard to numerous other genes examined by targeted mutations in mice (30). Because we have observed that cross-linking of other GPI-anchored proteins, including CD48, CD55, and CD59, also leads apoptosis in BL cells, it is possible that other molecules compensate for the function of CD24 in CD24-deficient mice.
In addition to the GPI-anchored proteins, GSL GM1 also induces apoptosis in BL cells upon cross-linking with its specific ligand, CT-B. We and others recently reported that cross-linking of Gb3, another GSL expressed on a portion of GC B cells and BL cells, also induces apoptosis upon cross-linking (40, 51, 52). Considering the fact that all these molecules reside in the GEM domain, a close correlation has been suggested between apoptosis induction and cross-linking of GEM-associated molecules. However, Chappel et al. demonstrated that the effect of CD24 cross-linking differs according to the stage of B cell development (29). They observed that CD24 cross-linking induces apoptosis in B cell precursors in the mouse system, but not in mature resting B cells. In view of their report, it is possible that cross-linking of GEM may have different effects at different stages of B cell development.
We also demonstrated in the present study that GEM-mediated signaling is involved in the CD24-mediated apoptotic process. Increased coisolation of Lyn in CD24 immunoprecipitates from a biochemically separated GEM fraction after CD24 cross-linking suggests a close correlation between these molecules in the GEM domain. A microscopic cocapping of CD24 and Lyn in the cell membrane after CD24 cross-linking further supports this idea. Together with the evidence of elevated Lyn kinase activity in the GEM fraction mediated by CD24 cross-linking, it is likely that CD24 cross-linking mediates intracellular signals that lead to apoptosis of BL cells through activation of Lyn kinase in a GEM-dependent manner. It is noteworthy that Blk, another member of the Src family of PTK, was not recovered in the GEM fraction after sucrose gradient centrifugation. Microscopic observation also revealed that Blk did not colocalize with CD24 after cross-linking of CD24. Consistently, Sammar et al. reported that CD24 is associated with Lck, Hck, and Lyn, but not Fyn, in mouse monocytic cells (6). The data indicate the distinct detergent solubility as well as the distinct role in GEM-mediated signaling of each Src family member despite their structural and functional similarity.
Interestingly, we observed that the cross-linking of CD24 leads to altered distribution of the GEM fraction in sucrose gradient centrifugation, and the recovery of GEM-associated molecules shifted to a higher density site, suggesting an increase in detergent solubility of the molecular complex of the GEM domain. The precise explanation for this phenomenon is not known at this moment. However, because the buoyancy and the detergent insolubility of the GEM fraction on sucrose density gradients are mainly due to the properties of the lipids that organize GEM domains (53), we speculate that the cross-linking of CD24 induces aggregation of the GEM domains involving a large number of proteins, which leads to higher detergent solubility. Recently, Harder et al. reported that cross-linking of GPI-anchored CD59 protein induces tyrosine phosphorylation-dependent accumulation of filamentous actin into GEM patches in Jurkat T cells, suggesting the interaction of the actin cytoskeleton with GEM domains in the course of GEM-mediated cell signaling (54). Additional experiments are clearly necessary, but their observations may support our hypothesis.
Further studies are required to elucidate whether the in vitro events mediated by Ab-based cross-linking of GPI-anchored proteins, including CD24-mediated apoptosis in BL cells, mimic any physiological phenomena. Recently, however, data have accumulated on the physiological roles of GPI-anchored proteins in various aspects of cell biology. One possible role of GPI-anchored proteins is as machinery for immunoreceptor signaling. T cell clones deficient in GPI anchor biosynthesis showed impaired TCR signaling (55) and reduced CD3 ζ-chain phosphorylation (56). In agreement with these observations, it was reported that GEM domains are essential for TCR, BCR, and Fcε receptor signaling (44, 47, 48, 49, 57, 58, 59, 60). Thus, it was postulated that immediately after ligation the aggregated immunoreceptors become associated with the GPI-anchored proteins and thus become approximated to Src family PTKs that can phosphorylate the immunoreceptor family tyrosine-based activation motif on the receptors, leading to intracellular signaling (1, 2, 60). The evidence showing that a portion of BCR is translocated into the GEM domain following cross-linking, as presented in previous studies (44, 47, 48, 49) and in this report, seems to support this idea. Translocation of some BCR into the GEM domain following CD24 cross-linking, as demonstrated in this study, also suggests a close correlation between the GEM domain and the BCR-mediated signaling system.
Alternatively, GPI-anchored proteins themselves can act as a receptor for natural ligands. For example, CD14 expressed on monocytes is a receptor for the bacterial cell wall component LPS and mediates cytokines secretion. CD16b expressed on neutrophils is a low affinity receptor for IgG. CD62P, also called P-selectin, has been identified as a CD24 ligand (61), and it was reported that CD24 mediates rolling of breast cancer cells on immobilized CD62P (62). These data suggest that CD24 mediates the apoptotic signal in B cells upon ligand stimulation. However, our preliminary study revealed that the soluble form of CD62P could not bind effectively to CD24+ BL cells (data not shown). Additional experiments, including evaluation of the effect of immobilized CD62P and the discovery of an alternate ligand, are now underway.
Although the downstream cascade of CD24-mediated apoptotic signaling remains to be elucidated, our data suggest the involvement of MAP kinases in this process. We showed that cross-linking of CD24 induces the activation of MAP kinase family members, including ERK1, SAP kinase, and p38 MAP kinase. Because Src family PTKs are located upstream of MAP kinase cascades in several receptor signaling systems (63, 64, 65, 66), these activation events are likely to be mediated by Lyn kinase that is activated in GEM domain after cross-linking of CD24. Recently, it was shown that the activation of SAP kinase and/or p38 MAP kinase mediates apoptotic signaling in a variety of cell types (38, 67, 68). For example, Sugawara et al. showed that the p38 MAP kinase signaling pathway is critically involved in inducing negative selection of developing T cells using mouse thymocytes (68). In the case of B cells, Graves et al. reported that delayed and sustained activation of both SAP kinase and p38 MAP kinase is an essential requirement for BCR-induced apoptosis using the human B lymphoma B104 cell line (38). Based on these results, it is possible that both SAP kinase and p38 MAP kinase are involved in the CD24-mediated apoptotic process in BL cells. Further study of how both kinases participate in this apoptotic process is now underway.
In conclusion, the findings described here indicate that CD24 induces apoptosis in BL cells via a GEM-mediated signaling system. Additional studies are clearly necessary, but our finding provides a model for the study of death of human B cells, particularly focusing on the roles of GEM and its constituents.
Acknowledgments
We thank M. Sone and S. Yamauchi for their excellent secretarial work. We also thank Drs. M. Saito and K. Mimori for their technical assistance.
Footnotes
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↵1 This work was supported in part by a Grant for Pediatric Research (12C-01) from the Ministry of Health and Welfare of Japan; the Program for Promotion of Fundamental Studies in Health Sciences of the Organization for Drug ADR Relief, Research and Development Promotion and Product Review of Japan; and a grant from the Japan Health Sciences Foundation for Research on Health Sciences Focusing on Drug Innovation. Additional support was provided by the Program of the Research and Development Promotion Division, Science and Technology Promotion Bureau, STA for Organized Research Combination System.
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↵2 Address correspondence and reprint requests to Dr. Junichiro Fujimoto, Department of Pathology, National Children’s Medical Research Center, 3-35-31 Taishido, Setagaya-ku, Tokyo 154-8509, Japan. E-mail address: jfujimoto{at}nch.go.jp
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↵3 Abbreviations used in this paper: PTK, protein tyrosine kinase; GEM, glycolipid-enriched membrane; GSL, glycosphyngolipid; HSA, heat-stable Ag; BCR, B cell receptor for Ag; GC, germinal center; BL, Burkitt’s lymphoma; DS, detergent-soluble fractions; MAP, mitogen-activated protein; SAP, stress-activated protein; CT-B, cholera toxin B subunit.
- Received August 1, 2000.
- Accepted February 16, 2001.
- Copyright © 2001 by The American Association of Immunologists