Abstract
High-risk human papillomavirus (HPV) infection of the cervical epithelium is causally linked with the generation of cervical cancer. HPV does not activate Langerhans cells (LC), the APC at the site of infection, leading to immune evasion. The HPV protein responsible for inducing this immune escape has not been determined. We demonstrate that LC exposed to the minor capsid protein L2 in HPV16L1L2 virus-like particles do not phenotypically or functionally mature. However, HPV16L1 virus-like particles significantly induce activation of LC. Our data suggest that the L2 protein plays a specific role in the induction of this immune escape of HPV16 through the manipulation of LC. This novel function is the first immune modulating action attributed to the L2 protein and adds significantly to our understanding of the mechanism of HPV immune escape.
Cervical cancer is the second most common cancer among women worldwide (1) and is causally linked with high-risk human papillomavirus (HPV)4 infection (2). The majority of women will acquire a genital HPV infection at some point in their lifetime (3), and although most women will clear the infection, the average time for clearance is close to a year (4). Approximately 15% of women with a high-risk HPV infection cannot induce an effective immune response against the virus (5). These observations indicate that HPV is escaping immune detection and clearance.
The life cycle of HPV is dependent on the differentiation of cells in the epithelium and thus it is difficult to produce large quantities of HPV virions in vitro, therefore HPV virus-like particles (VLP) have been developed. When the major capsid protein L1 is expressed, it can self-assemble into a L1 VLP with a 72-pentamer icosahedral structure (6). If both L1 and the minor capsid protein L2 are simultaneously expressed, the proteins assemble into L1L2 VLP that contain up to 72 L2 proteins per VLP (7, 8). Because HPV virions are composed of both L1 and L2 proteins, HPV L1L2 VLP are morphologically equivalent to HPV virions while VLP comprised of L1 alone are not.
Although the HPV minor capsid protein L2 is not required for VLP formation, it has been shown to possess a variety of critical functions. The carboxy terminus of L2 binds directly to L1 primarily through hydrophobic interactions. This region of L2 is proline-rich allowing for sharp bending of the protein that may facilitate L2 to loop through the central cavity of the L1 pentamer (9). It has also been demonstrated that L2 interacts with the viral genome and is integral in the encapsidation of viral DNA (10). Collectively, these interactions imply a significant role for L2 in the formation of the virion. Furthermore, L2 facilitates HPV infection through an interaction between the N terminus region of the L2 protein and an unknown cell surface receptor (11, 12). Further functions of L2 include binding of the virion to the cytoskeleton, transport within the cytoplasm (13), and facilitation of endosomal escape of the viral genome after infection (14).
Langerhans cells (LC) are APC located in the epithelium of the skin and mucosa (15). Due to the site of HPV infection, LC are responsible for initiating an immune response against HPV. It has been found in various studies that HPV L1 VLP and HPV L1L2 VLP can bind to and activate human dendritic cells (DC) (16, 17, 18), providing evidence that the structural surface components of HPV can induce the maturation of APC. However, we have previously demonstrated that human LC exposed to HPV16L1L2 VLP are not activated, implicating an HPV immune escape mechanism that targets LC (19). We have shown that this HPV16 immune escape mechanism is due to the deregulation of the PI3K-Akt pathway in LC (20). Thus, even though DC and LC are both potent APC, they respond differently to HPV.
In apparent contradiction to our studies, LC exposed to HPV L1 VLP were shown to generate cytolytic T cells in vitro (21). HPV L1 VLP were also shown to be taken up by LC through either a clathrin-mediated (22) or caveolae-dependent mechanism (21), while we demonstrated that HPV16L1L2 VLP were taken up by LC through a clathrin-, caveolae-, actin-independent pathway (23). These contrasting studies highlight differences in the interaction between LC and HPV L1 VLP vs HPV L1L2 VLP, and point to the potentially important presence of L2. Therefore, we sought to elucidate whether the minor capsid protein L2 is responsible for the induction of immune escape of HPV16.
Materials and Methods
Antibodies
The Abs against conformational HPV16L1 epitopes (H16.V5, and H16.E70) or linear HPV16L1 epitopes (Camvir-1, H16.D9, and H16.H5) were gifts from Neil Christensen (Penn State, Hershey, PA), except Camvir-1 (BD Biosciences). Polyclonal serum (DK44214) for HPV16L2 was a gift from John Schiller (National Institutes of Health, Bethesda, MD). Additionally, the following Abs were used in this study: anti-CD1a-PE, CD80-FITC, CD86-FITC, HLA-DR, DQ, DP-FITC, isotype controls, biotinylated anti-rabbit IgG, streptavidin-PE, and streptavidin-HRP (BD Biosciences); anti-CD207 (langerin) (Immunotech); anti-E-cadherin (Millipore); anti-phosphorylated (p)-PI3K (Tyr 508), PI3K, p-Akt (Ser 473), Akt (Santa Cruz Biotechnology); anti-GAPDH (Chemicon); goat anti-mouse-FITC and goat anti-rabbit-HRP (Biosource); goat-anti-mouse-IR Dye 800 (Rockland), goat-anti-rabbit-Alexa Fluor 680 (Molecular Probes); and anti-IFN-γ and biotinylated anti-IFN-γ (Mabtech).
LC and DC generation
Human PBL from healthy donors were obtained by leukapheresis (19). LC and DC were generated from human PBL as previously described (24). HPV serology of all donors was negative. All studies were approved by University of Southern California’s Institutional Review Board and informed consent was obtained from donors.
Virus-like particles
HPV16L1 VLP and HPV16L1L2 VLP were produced as previously described (19). Western blot analyses confirmed the presence of L1 and L2 while an ELISA and transmission electron microscopy confirmed the presence of intact particles. An E-toxate kit (Sigma-Aldrich) was used to semiquantitate endotoxin. The endotoxin level in the preparations was <0.06 endotoxin U/ml and this level does not activate LC (19). Baculovirus DNA used in VLP production procedure does not activate LC (19).
Activation assay
LC or DC were either left untreated, treated with 10 μg LPS (Sigma-Aldrich), 10 μg HPV16L1 VLP/106 cells, or 10 μg HPV16L1L2 VLP/106 cells. For titration experiments, LC were either left untreated, treated with 10 μg LPS, 10 μg HPV16L1 VLP/106 cells, 10 μg HPV16L1L2 VLP/106 cells, 6.6 μg HPV16L1 VLP/106 cells and 3.3 μg HPV16L1L2 VLP/106 cells (2:1), 5 μg HPV16L1 VLP/106 cells and 5 μg HPV16L1L2 VLP/106 cells (1:1), 3.3 μg HPV16L1 VLP/106 cells and 6.6 μg HPV16L1L2 VLP/106 cells (1:2), or with 5 μg HPV16L1 VLP/106 cells and 5 μg heated (10 min, 95°C) HPV16L1L2 VLP/106 cells (1:1Δ). To validate results, three different VLP preparations were used over the course of our experiments. The cells were then incubated for 1h at 37°C, mixed occasionally, and placed at 37°C for 48 h in 20 ml complete medium containing 1000 U/ml rGM-CSF. Supernatants were collected and cells were harvested, washed, stained for surface markers or isotype controls, and analyzed by flow cytometry. Supernatants were analyzed at the USC Beckman Immune Monitoring Center using the Bio-Plex Suspension Array System (Bio-Rad).
Migration assay
5 LC, untreated or treated as indicated in the activation assay to the upper chamber and incubated for 3.5 h at 37°C. The cells that migrated to the lower chamber were counted using a hemacytometer.
In vitro immunization assay
In vitro immunization assays were performed as previously described (19) with the same treatments as describe in the activation assay. After 28 days, effector CD8+ T cells were pooled and tested for IFN-γ production in an ELISPOT assay against a L1 peptide (aa 323–331, ICWGNQLFV) (25) as a measurement of HPV16L1 specific CD8+ T cell responses as described (19). Spots were counted using the KS ELISPOT analysis system (Carl Zeiss).
Western blot
LC were treated as described in the activation assay at 37°C for 15 min. Cellular extracts were prepared using the Mammalian Protein Extraction Reagent (Pierce). Normalized aliquots of cell lysates were electrophoresed on 10% NuPage Novex Bis-Tris gels (Invitrogen) and transferred to nitrocellulose membranes. Immunoblotting was performed using p-PI3K, PI3K, p-Akt, Akt, or GAPDH Abs. Visualization was performed using the Odyssey Infrared Imaging System (LI-COR Bioscience).
HPV16 VLP uptake assay
HPV16L1L2 VLP and HPV16L1 VLP were labeled with carboxyfluorescein diacetate, succinimidyl ester (CFDA-SE) using the Vybrant CFDA-SE cell tracer kit (Invitrogen) as directed by the manufacturer’s instructions. CFDA-SE labeled HPV16 VLP were dialyzed against 4 L of cold PBS/0.5 M NaCl to remove all the excess free dye. As a control, CFDA-SE was added to PBS and dialyzed as described above. LC were harvested, washed with PBS, and aliquoted at a concentration of 1 × 106 cells/400 μl PBS into 1.5 ml amber tubes. Next, CFDA-SE/PBS control, CFDA-SE labeled HPV16L1L2 VLP or HPV16L1 VLP (1 μg VLP/1 × 106 cells) were incubated with the LC at 37°C. After 15 min, LC were harvested and fixed in 2% paraformaldehyde. Finally, HPV16 VLP uptake by LC was assessed via flow cytometry.
Statistical analysis
All statistical analyses were performed using GraphPad Prism (GraphPad Software).
Results
LC acquire a mature phenotype when exposed to HPV16L1 VLP but not when exposed to HPV16L1L2 VLP
We sought to determine whether L2 is responsible for initiating immune escape of HPV16 in LC. First, to verify the purity of the LC used in this study, we assessed by flow cytometry the presence of surface markers commonly used to identify LC: langerin, CD1a, and E-cadherin. Our results show that LC generated from human monocytes are a pure population and phenotypically equivalent to LC found in the epidermis (Fig. 1⇓A). Our LC derived from human monocytes contain Birbeck granules, as we have also previously shown (19). Although it is possible to isolate human LC from epidermal sheets, the isolation process induces the activation of LC (26) and therefore cannot be used. Thus, human monocyte-derived LC are the most appropriate model to critically examine the interaction between HPV and human LC.
Expression of surface markers on LC and DC. A, Purity of human monocyte-derived LC was confirmed by their expression of langerin, CD1a, and E-cadherin by flow cytometry. B, HPV16L1 VLP induce the up-regulation of CD86 on LC, however CD86 is not increased on LC exposed to HPV16L1L2 VLP. Both types of HPV16 VLP induce the up-regulation of CD86 on DC. LC and DC were treated as indicated in the activation assay and analyzed by flow cytometry. Gray lines represent isotype-matched controls. One representative experiment of eleven is shown. C, Fold change in expression of MHC class II, CD80, and CD86 on HPV VLP exposed LC relative to untreated LC are depicted. The mean of eleven separate experiments ± SEM is presented (∗, p < 0.05; ∗∗, p < 0.01 determined by a two-tailed, paired t test, as compared with LC exposed to HPV16L1 VLP).
To determine the effects of L2 on the phenotypic maturation of LC, we assessed the expression of cell surface activation markers on LC after exposure to either HPV16L1 VLP or HPV16L1L2 VLP. After exposure to HPV16L1 VLP, LC up-regulated CD86 (Fig. 1⇑, B and C), CD80, and MHC class II molecules (Fig. 1⇑C) in comparison to untreated LC, while LC exposed to HPV16L1L2 VLP had only a minor up-regulation of these markers (Fig. 1⇑, B and C). As a control, DC were exposed to HPV16L1 VLP or HPV16L1L2 VLP and were found to be phenotypically activated by both VLP types (Fig. 1⇑B).
Differential expression of cytokines and chemokines by LC exposed to HPV16L1 VLP or HPV16L1L2 VLP
In addition, we analyzed the types of cytokines and chemokines that are secreted by LC upon exposure to HPV16L1 VLP or HPV16L1L2 VLP. LC exposed to HPV16L1 VLP highly secreted proinflammatory cytokines and chemokines indicative of a Th1 cell-mediated immune response, specifically TNF-α, IL-12p70, IL-6, IL-8, IFN-inducible protein 10, MCP-1, MIP-1β, and RANTES (Fig. 2⇓A). The secretion of these cytokines and chemokines was similar to that of the positive control, LPS stimulated LC. LC incubated with HPV16L1L2 VLP secreted comparable levels of proinflammatory cytokines and chemokines produced by untreated LC (Fig. 2⇓A). As a control, DC were exposed to HPV16L1 VLP or HPV16L1L2 VLP and were found to be functionally activated by both VLP types (Fig. 2⇓B).
Differential secretion of Th1-associated cytokines and chemokines by DC and LC exposed to HPV16L1 VLP or HPV16L1L2 VLP. A, LC exposed to HPV16L1 VLP secrete Th1-associated cytokines and chemokines while LC exposed to HPV16L1L2 VLP do not. Supernatants collected from untreated LC (1), LPS treated LC (2), HPV16L1 VLP-exposed LC (3), and HPV16L1L2 VLP-exposed LC (4) were analyzed in triplicate for the presence of cytokines and chemokines. These data are expressed as the mean concentration ± SEM (∗∗, p < 0.01; ∗∗∗, p < 0.001 determined by a two-tailed, unpaired t test, as compared with LC exposed to HPV16L1 VLP). B, DC incubated with either HPV16L1 VLP or HPV16L1L2 VLP secrete Th1-associated cytokines and chemokines. Supernatants collected from untreated DC (1), LPS treated DC (2), HPV16L1 VLP-exposed DC (3), and HPV16L1L2 VLP-exposed DC (4) were analyzed in triplicate for the presence of cytokines and chemokines. Levels of cytokines and chemokines were quantified using a human cytokine LINCOplex assay. These data are expressed as the mean concentration ± SEM (∗∗, p < 0.01; ∗∗∗, p < 0.001 determined by a two-tailed, unpaired t test, as compared with untreated DC). The experiment was repeated three times and yielded similar results.
LC increase migration when exposed to HPV16L1 VLP but not HPV16L1L2 VLP
To initiate an adaptive immune response, mature APC migrate to the lymph node via the expression of CCR7, which binds to CCL21 (27). To assess the migratory capacity of LC incubated with either HPV16L1 VLP or HPV16L1L2 VLP, we performed a transwell migration assay using CCL21. Exposure to HPV16L1 VLP induced statistically significant increased LC migration toward CCL21 compared with that of untreated LC and LC exposed to HPV16L1L2 VLP (Fig. 3⇓).
HPV16L1 VLP induce LC migration. LC exposed to HPV16L1 VLP migrate toward CCL21, however LC exposed to HPV16L1L2 VLP do not migrate toward CCL21. LC were treated as indicated in the activation assay, used in a migration assay and analyzed in triplicate. (∗, p < 0.05 determined by a two-tailed, unpaired t test, as compared with LC exposed to HPV16L1 VLP). The mean number of migrating cells ± SEM is presented. The experiment was repeated four times and yielded similar results.
LC exposed to HPV16L1L2 VLP fail to induce an HPV-specific CD8+ T cell response in contrast to the strong response induced by LC exposed to HPV16L1 VLP
During viral infections, APC take-up viral particles and subsequently process and present viral peptides on MHC class I molecules to CD8+ T cells through a process known as cross presentation. Thus, we investigated whether LC exposed to HPV16L1 VLP or HPV16L1L2 VLP would lead to differential induction of HPV16-specific CD8+ T cell responses by performing in vitro immunization assays. LC exposed to HPV16L1L2 VLP failed to induce an HPV16L1-specific CD8+ T cell response. In contrast, LC exposed to HPV16L1 VLP induced a robust HPV16L1-specific CD8+ T cell response (Fig. 4⇓). These results are of major impact because they demonstrate that the presence of L2 in the VLP silences the ability of LC to activate effector T cells thereby crippling the HPV-specific immune response.
LC exposed to HPV16 VLP induce differential activation of HPV16-specific CD8+ T cells. LC exposed to HPV16L1 VLP induce an HPV16L1-specific CD8+ T cells response yet LC exposed to HPV16L1L2 VLP do not. LC were treated as indicated in the activation assay and used in an in vitro immunization assay. Responder cells were analyzed for IFN-γ production in an ELISPOT assay against a L1 peptide. The number of spots in each well was counted and averaged over five wells, and background values (no peptide stimulation in the ELISPOT) were subtracted. These data are expressed as the mean of three separate experiments ± SEM (∗, p < 0.05 determined by a two-tailed, paired t test, as compared with LC exposed to HPV16L1 VLP).
LC activate PI3K but down-regulate Akt after exposure to HPV16L1L2 VLP but not after exposure to HPV16L1 VLP
Furthermore, we examined whether L2 plays a role in immune escape of HPV16 through deregulation of the PI3K pathway in LC, a mechanism implicated in our earlier studies (18). LC exposed to HPV16L1 VLP did not induce the activation, i.e., phosphorylation of PI3K, while exposure to HPV16L1L2 VLP highly induced the activation of PI3K in LC compared with that detected in untreated LC (Fig. 5⇓). We also demonstrate that HPV16L1L2 VLP down-regulated Akt activation, as shown by a decrease in the phosphorylation of Akt when compared with untreated LC, while HPV16L1 VLP maintained baseline levels of phosphorylated Akt (Fig. 5⇓). Previously, we have demonstrated that blocking PI3K activation during LC exposure to HPV16L1L2 VLP allowed for LC maturation and the induction of an HPV16-specific CD8+ T cell response, indicating that PI3K activation by HPV16L1L2 VLP is an active immune evasion mechanism (20). This earlier study, combined with our current data, suggest that the L2 protein’s mechanism of action is the deregulation of the PI3K-Akt pathway, which leads to the suppression of LC maturation and therefore immune evasion.
HPV16L1L2 VLP induce an immune suppressive signal transduction cascade in LC. LC were left untreated, treated with LPS, incubated with HPV16L1 VLP, or incubated with HPV16L1L2 VLP for 15 min. Cellular lysates were isolated and subjected to Western blot analysis. HPV16L1L2 VLP induce the activation of PI3K but down-regulation of p-Akt in LC while LC exposed to HPV16L1 VLP do not up-regulate PI3K activity and maintain a baseline level of p-Akt. One representative experiment of three is shown.
Differential internalization of HPV16L1 VLP and HPV16L1L2 VLP in LC
The differences in LC activation and signaling led us to investigate whether there is a difference in internalization of HPV16L1 VLP vs HPV16L1L2 VLP. We decided to assess uptake at 15 min because we have previously demonstrated that LC readily internalize VLP by 15 min (19) and this is the time point in which a difference in PI3K and Akt signaling is observed (20). LC were exposed to CFDA-SE labeled-HPV16 VLP, fixed with 2% paraformaldehyde following incubation and internalization was assessed by flow cytometry. CFDA-SE attaches to proteins, via amines, and once internalized it generates a fluorescent signal after cleavage by intracellular esterases that is detectable by flow cytometry. Therefore, HPV16 VLP that have been internalized by LC will fluoresce, while HPV16 VLP bound to the cell surface will not be detected. Previously, we have shown that CFDA-SE labeling does not interfere with the initial binding interaction between VLP and APC (19). We found that LC internalize over twice as much HPV16L1L2 VLP compared with HPV16L1 VLP (Fig. 6⇓), suggesting that there exists a specific L2 receptor and HPV16L1L2 VLP internalization pathway.
LC internalize HPV16L1L2 VLP twice as much as HPV16L1 VLP. LC were incubated with either CFDA-SE/PBS control, CFDA-SE labeled-HPV16L1 VLP, or CFDA-SE labeled-HPV16L1L2 VLP for 15 min. Internalization was assessed by flow cytometry. The percent uptake is noted in the upper right quadrant. One representative experiment of three is shown.
Differential activation of LC exposed to ratios of HPV16L1 VLP to HPV16L1L2 VLP
To determine whether the suppressing effects of HPV16L1L2 VLP are dominant over the activating effects of HPV16L1 VLP, we exposed LC to different ratios of HPV16L1 VLP to HPV16L1L2 VLP and assessed the activation of LC. We demonstrate that HPV16L1 VLP phenotypically (Fig. 7⇓A) and functionally (Fig. 7⇓B) activated LC in a dose-dependent manner in the presence of HPV16L1L2 VLP. As a control, we disrupted the conformational structure of HPV16L1L2 VLP by boiling them for 10 min. We exposed LC to a 1:1 ratio of HPV16L1 VLP to disrupted HPV16L1L2 VLP and determined the activation status of LC. LC were similarly activated when exposed to either a 1:1 ratio of VLP or a 1:1 ratio of VLP with heated HPV16L1L2 VLP, suggesting that the conformational structure of L2 does not inhibit the activation of LC by HPV16L1 VLP. These data support our previous studies, which demonstrated that HPV16L1L2 VLP-exposed LC can be subsequently activated by many activating signals including TLR agonists and CD40L (19, 23, 24). We conclude that L2 is dominant within a HPV L1L2 VLP, however it cannot inhibit the maturation of LC by an independent activation signal.
The suppressive effect of HPV16L1L2 VLP is not dominant over potent activating signals. A, LC were treated as indicated in the activation assay and analyzed by flow cytometry for the expression of CD86. Gray lines represent isotype-matched controls. One representative experiment of three is shown. B, Supernatants were collected from each of the following treatments: untreated LC (1), LC treated with LPS (2), LC exposed to HPV16L1 VLP (3), LC exposed to HPV16L1L2 VLP (4), LC exposed to 2:1 ratio of HPV16L1 VLP to HPV16L1L2 VLP (5), LC exposed to 1:1 ratio of HPV16L1 VLP to HPV16L1L2 VLP (6), LC exposed to 1:2 ratio of HPV16L1 VLP to HPV16L1L2 VLP (7), and LC exposed to 1:1Δ ratio of HPV16L1 VLP to heated HPV16L1L2 VLP (8). Supernatants were analyzed in triplicate for the presence of cytokines and chemokines. Levels were quantified using a human cytokine LINCOplex assay. These data are expressed as the mean concentration ± SD. The experiment was repeated three times and yielded similar results.
Discussion
HPV has evolved to evade human immune detection in multiple ways to establish an infection and maintain a persistent lifecycle within a hostile, antiviral environment (28). Persistence of an HPV infection is the greatest risk factor in the development of cervical cancer (29). By comparing the effects of HPV16L1 VLP and HPV16L1L2 VLP on LC, we investigated the role of the minor capsid protein L2 in the induction of immune escape. Herein, we demonstrate that HPV16L1 VLP induce LC maturation as shown through the up-regulation of surface markers, the increased production of proinflammatory cytokines and chemokines, the increased migration of LC, and the induction of an HPV16-specific CD8+ T cell response. In contrast, HPV16L1L2 VLP do not induce LC maturation but instead suppress the generation of an effective HPV-specific immune response via the deregulation of the PI3K-Akt pathway in LC. Collectively, our results strongly suggest a novel role for L2 in the initiation of HPV16 immune escape through LC.
Previously, it was demonstrated that LC exposed to HPV6bL1 VLP are activated as assessed by the generation of effector CD8+ T cells (21). This activation of LC by the HPV6bL1 VLP is likely due to the lack of the L2 protein. Notably, HPV6b is a low-risk genotype, while HPV16 used in this study is a high-risk genotype. It remains to be addressed whether L2 mediates immune evasion across all genotypes or whether it is a genotype specific response. L2’s role may be analogous among varied genotypes due to its highly conserved sequence across distantly related human and animal papillomavirus types (11, 30).
Research regarding the uptake of HPV by human LC has been at times contradictory. We previously demonstrated that the mode of uptake of HPV16L1L2 VLP by LC is clathrin-, caveolae-, and actin-independent (23). In a study by Yan et al. (21), LC were shown to internalize HPV6bL1 VLP through a caveolae-dependent pathway. Meanwhile, Bousarghin et al. (22), demonstrated that HPV16L1 VLP entered LC through a clathrin-dependent pathway. Although these studies came to different conclusions, they are likely due to the use of HPV L1 VLP vs HPV L1L2 VLP. When viewed in the contexts of our current results, which demonstrate the LC internalize HPV16L1L2 VLP twice as much as HPV16L1 VLP, these studies indicate the possible presence of a specific L2 receptor and uptake mechanism.
This concept of a specific L2 receptor is supported by several studies examining L2-mediated infectivity (11, 12). Kawana et al. (11) demonstrated that preincubation of COS-1 cells with the HPV16 L2 peptide aa 108–120 decreased infectivity of HPV16 pseudovirions. Additionally, Yang et al. (12) suggested that HPV16L1L2 VLP binding to the cell surface of HeLa cells causes aa 13–31 of the L2 protein to be displayed on the virion surface, interact with a secondary receptor, and facilitate infection. The existence of an L2-specific receptor becomes highly conceivable when these studies are viewed in the context of our results.
Due to the close interaction of the L1 and L2 proteins within the HPV capsid, we cannot rule out the possibility that L1 and L2 together are mediating the immune evasion. Upon binding of HPV to the cell surface, there may be a conformational change in the capsid that exposes regions of L1 and/or L2 that lead to the suppression of LC activation. Nonetheless, our results clearly demonstrate that the presence of L2 in the capsid not only leads to increased uptake but also is necessary for the induction of HPV immune evasion through the suppression of LC.
Additionally, it has been demonstrated that APC displaying peptides in the absence of both costimulation and proinflammatory cytokines have the ability to both anergize T cells (31) and generate regulatory T cells (32). By silencing maturation but continuing to present peptides, LC exposed to HPV16L1L2 VLP are likely to become tolerizing APC that possess the ability to induce anergic HPV16-specific T cells and/or regulatory T cells. This L2-mediated immune escape mechanism allows the virus to remain infectious by selectively eliminating beneficial T cells and actively suppressing HPV16-specific immune responses.
Our data indicate that the L2 protein dominates the interaction between HPV16L1L2 VLP and LC, likely by preferentially binding to a specific L2 receptor and initiating a L2-mediated signaling cascade, which leads to immune evasion. Our results further suggest that, in the absence of L2, HPV16L1 VLP enter LC through a secondary activating pathway. However, in a natural infection, HPV16L1 virions do not exist and therefore only the effects of HPV16L1L2 virions on LC are physiologically relevant. Thus, this study guides the field toward the use of HPV16L1L2 VLP when examining the interaction between HPV16 and host cells. These results are of major impact because they identify L2 as a critical protein, which drives immune evasion of HPV16 through the interaction with human LC.
Acknowledgments
We thank Dr. Barbara Gitlitz for screening donors.
Disclosures
The authors have no financial conflict of interest.
Footnotes
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
↵1 This study was supported by National Institutes of Health Grant R01 CA 74397 and 1RC2 CA 148298 (to W.M.K.), National Institutes of Health Training Grant T32 AI07078 (to L.M.F.), and National Institutes of Health Training Grant T32 GM0607587 (to A.B.R.).
↵2 L.M.F. and A.B.R. contributed equally to this study.
↵3 Address correspondence and reprint requests to Dr. W. Martin Kast, Norris Comprehensive Cancer Center, University of Southern California, 1450 Biggy Street, NRT 7507, Los Angeles, CA 90033. E-mail address: mkast{at}usc.edu
↵4 Abbreviations used in this paper: HPV, human papillomavirus; VLP, virus-like particle; LC, Langerhans cell; DC, dendritic cell; CFDA-SE, carboxyfluorescein diacetate, succinimidyl ester.
- Received July 6, 2009.
- Accepted September 11, 2009.
- Copyright © 2009 by The American Association of Immunologists, Inc.


















