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Formation of Immune Complexes with a Tetanus-Derived B Cell Epitope Boosts Human T Cell Responses to Covalently Linked Peptides in an Ex Vivo Blood Loop System

Erika A. K. Fletcher, Wendy van Maren, Robert Cordfunke, Jasper Dinkelaar, Jeroen D. C. Codee, Gijs van der Marel, Cornelis J. M. Melief, Ferry Ossendorp, Jan Wouter Drijfhout and Sara M. Mangsbo
J Immunol July 1, 2018, 201 (1) 87-97; DOI: https://doi.org/10.4049/jimmunol.1700911
Erika A. K. Fletcher
*Department of Pharmaceutical Biosciences, Science for Life Laboratory, 751 24 Uppsala University, Uppsala, Sweden;
†Immuneed AB, 752 37 Uppsala, Sweden;
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Wendy van Maren
‡Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2300 RC Leiden, the Netherlands; and
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Robert Cordfunke
‡Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2300 RC Leiden, the Netherlands; and
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Jasper Dinkelaar
§Department of Bio-organic Synthesis, Leiden Institute of Chemistry, Leiden University, 2300 RA Leiden, the Netherlands
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Jeroen D. C. Codee
§Department of Bio-organic Synthesis, Leiden Institute of Chemistry, Leiden University, 2300 RA Leiden, the Netherlands
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Gijs van der Marel
§Department of Bio-organic Synthesis, Leiden Institute of Chemistry, Leiden University, 2300 RA Leiden, the Netherlands
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Cornelis J. M. Melief
‡Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2300 RC Leiden, the Netherlands; and
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Ferry Ossendorp
‡Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2300 RC Leiden, the Netherlands; and
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Jan Wouter Drijfhout
‡Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2300 RC Leiden, the Netherlands; and
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Sara M. Mangsbo
*Department of Pharmaceutical Biosciences, Science for Life Laboratory, 751 24 Uppsala University, Uppsala, Sweden;
†Immuneed AB, 752 37 Uppsala, Sweden;
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  • FIGURE 1.
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    FIGURE 1.

    The peptide-conjugates with NLV- and GIL- CD8+ epitopes boost IFN-γ and TNF-α recall responses of epitope-specific CD8+ T cells in human whole blood. The peptide-conjugate [MTTE]3-NLV (A), containing the CD8 epitope pp65(NLV) from CMV, was incubated at a final concentration of 120 nM in human whole blood from HLA-A*0201+ and CMV+ healthy donors in a circulating blood loop assay. After 2 h, Brefeldin A was added, and after a total of 6 h, aliquots were harvested and stained for T cell markers, tetramer HLA-A*0201 CMV pp65 (NLVPMVATV), and intracellular IFN-γ and TNF-α and analyzed with flow cytometry (B). The IFN-γ release in response to [MTTE]3-NLV was compared with up to ∼100-fold higher SLP (NLV) concentration [(C), n = 3]. The peptide-conjugate [MTTE]3-GIL (480 nM) containing the CD8 epitope GIL from influenza (GILGFVFTL) was run as described above [(D), n = 1].

  • FIGURE 2.
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    FIGURE 2.

    The conjugation of at least three MTTE sequences per SLP is required to boost IFN-γ recall responses of Ag-specific CD8+ T cells in human whole blood. The peptide-conjugate [MTTE]3-NLV (Fig. 1A) was incubated at a final concentration of 120 nM in whole blood from HLA-A*0201+ and CMV+ healthy donors in a circulating blood loop assay. After 2 h, Brefeldin A was added, and after a total of 6 h, cells were stained for tetramer HLA-A*0201 CMV pp65 (NLVPMVATV) and intracellular IFN-γ and analyzed with flow cytometry. [MTTE]3-NLV in a conjugated form was compared with the two separate entities ([MTTE]3 + SLP [NLV]) [(A), n = 5 donors run at separate occasions, and the lines represent the mean]. IFN-γ responses induced by conjugates with one, two, or three MTTE sequences were compared, and the percentage of IFN-γ+ NLV–specific cells induced by conjugates with one, two, or three MTTE is shown [(B), n = 4 donors run at separate occasions]. IFN-γ responses induced by [MTTE]3-NLV were compared with that of a conjugate containing a scrambled MTTE sequence [ETTM]3-NLV, showing the mean and SD [(C), n = 2 donors run at separate occasions]. The cold conjugate without an SLP ([MTTE]3 or the scrambled control conjugate [ETTM]3) was preincubated in the blood (from a donor that mounts a strong T cell response against [MTTE]3-NLV) for 10 min before [MTTE]3-NLV was added and analyzed as described above [(D), n = 1]. The IFN-γ response of a donor that mounts a poor T cell response against [MTTE]3-NLV, was analyzed with the addition of a mouse anti-MTTE IgG2a Ab at the final concentration of 40 μg/ml [(E), one representative donor out of three]. The data were analyzed with Friedman test with Dunn correction. **p < 0.01.

  • FIGURE 3.
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    FIGURE 3.

    The uptake of [MTTE]3-AF488 by human blood monocytes and B cells is Ab dependent. Alexa Fluor 488–labeled [MTTE]3-SLP, ([MTTE]3-AF488), raMTTE, or in vitro preincubated [MTTE]3-AF488 and raMTTE (preformed IC) were incubated in blood from healthy donors in a circulating blood loop assay. After 1 h (and 4 h where indicated), aliquots were harvested and stained for monocytes (CD14+CD19−) and B cells (CD19+CD14−). The uptake was analyzed with flow cytometry, and the fold change in mean fluorescence intensity (AF488) postloop/preloop (0 time point) is presented in [(A), n = 6]. The surface-bound AF488 (1 and 4 h) was quenched with an anti–Alexa Fluor 488 Ab [(B), 1 h, n = 8 and 4 h, n = 3]. The uptake of [MTTE]3-AF488 and [ETTM]3-AF488 by monocytes [(C), n = 9] and by blood-derived DCs [(E), n = 2]. The uptake pattern by monocytes of [MTTE]3-AF488 and [ETTM]3-AF488 in a titration [(D), n = 1]. The data were analyzed with the Friedman test with Dunn correction (A) or the Wilcoxon signed-rank test (B and C). The lines represent the mean. **p < 0.01.

  • FIGURE 4.
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    FIGURE 4.

    Blocking C1q reduces the uptake of [MTTE]3-AF488 by monocytes and affects the IFN-γ recall responses boosted by [MTTE]3-NLV. The uptake of Alexa Fluor 488–labeled [MTTE]3-SLP ([MTTE]3-AF488) by monocytes was blocked with EDTA (n = 5), EGTA (n = 4), Compstatin (n = 3) (A), or a C1q-blocking peptide (n = 4) (C). The blocking agents were preincubated for 10 min before the addition of [MTTE]3-AF488 to blood from healthy donors in a circulating blood loop assay. After 1 h of incubation, aliquots were harvested and stained for blood monocytes (CD14+ and CD19−). The percentage of total uptake was calculated by subtracting the background (medium) mean fluorescence intensity (MFI) (AF488) followed by (MFI of block/MFI of [MTTE]3-AF488) × 100 (A and C). The blocking agents were preincubated for 10 min before [MTTE]3-NLV was added to whole blood from HLA-A*0201+ and CMV+ healthy donors. After 2 h, Brefeldin A was added, and after a total of 6 h, aliquots were harvested and stained for T cell markers, tetramer HLA-A*0201 CMV pp65 (NLVPMVATV), and intracellular IFN-γ and analyzed with flow cytometry. The percentage of total recall response was calculated by dividing (percentage of IFN-γ of block with percentage of IFN-γ of [MTTE]3-NLV) × 100 [(B) and (D), n = 1]. The data were analyzed with the Wilcoxon signed-rank test. The lines represent the mean. *p < 0.05, **p < 0.01.

  • FIGURE 5.
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    FIGURE 5.

    Healthy individuals have circulating IgG, but not IgM, Abs against the MTTE peptide. Antitetanus IgG titers of TetaQuin were determined by an in-house ELISA using plates coated with TTd and the detection Abs: polyclonal anti-human IgG and isotype-specific HRP-conjugated Abs [(A), repeated two times with similar results]. The presence of anti-MTTE IgG and IgM in plasma from blood loop donors was determined by coating streptavidin plates with either MTTE-biotin or ETTM-biotin, and the IgG Abs were detected by a polyclonal anti-human IgG HRP-conjugated Ab [(B), n = 10] or anti-human IgM HRP-conjugated Ab [(B), n = 9]. The data were analyzed with the Wilcoxon signed-rank test. The lines represent the mean. **p < 0.01.

  • FIGURE 6.
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    FIGURE 6.

    A standard tetanus booster vaccination elevates anti-MTTE IgG1 levels in plasma and enhances IFN-γ recall responses of NLV-specific CD8+ T cells in response to [MTTE]3-NLV. The anti-MTTE IgG and IgM levels in plasma pre- and posttetanus booster vaccination were determined in an in-house ELISA where streptavidin plates were coated with MTTE-biotin (or ETTM-biotin) and the Abs were detected with a polyclonal anti-IgG, polyclonal anti-IgM, or IgG isotype-specific HRP-conjugated Abs [(A), mean, n = 6 and (B), n = 6]. The peptide-conjugate [MTTE]3-NLV was incubated in whole blood from HLA-A*0201+ and CMV+ healthy donors (pre- and posttetanus booster vaccination) in a circulating blood loop assay. After 2 h, Brefeldin A was added, and after a total of 6 h, aliquots were harvested and stained for T cell markers, tetramer HLA-A*0201 CMV pp65 (NLVPMVATV), and intracellular IFN-γ and TNF-α and analyzed with flow cytometry [(C), n = 2]. The data were analyzed with a two-way ANOVA. *p < 0.05, **p < 0.01.

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    Table I. Peptide sequences
    AbbreviationsSequence
    [MTTE]3-NLV[FIGITELKKLESKINKVF-AAKYARVRAKC]3 - CORE LINKER- SLP (NLV)a
    [ETTM]3-NLV[EKLINKLSKIFKGTIEVF-AAKYARVRAKC]3 - CORE LINKER - SLP (NLV)
    [MTTE]3-AF488[MTTE]3 - CORE LINKER - AFKSKACB-Alexa Fluor 488
    MTTE-BiotinFIGITELKKLESKINKVF-SSSAFADVEAAZO-Biotinb
    SLP (Irrelevant)DGLQGLLLGLRQRIETLEGK
    SLP (NLV)AGILARNLVPMVATVQGQNLKYc
    SLP (GIL)DLEALMEWLKTRPILSPLTKGILGFVFTLTVPc
    C1q binding peptideCEGPFGPRHDLTFCW
    Control peptideFPLRAPTFFVRRTIG
    • ↵a The underlined MTTE sequence and the core linker are described in Ref. 17.

    • ↵b O Lys(biotin).

    • ↵c CD4 epitopes are underlined, and CD8 epitopes are bolded.

    • B, amide; Z, aminohexane acid.

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    Table II. Ab titers before and after DTP booster vaccination
    DonorTotal IgGIgG1IgG4
    BeforeAfterBeforeAfterBeforeAfter
    Donor 1a1:32001:25600ND1:200ND1:10
    Donor 2a1:64001:256001:101:200ND1:10
    Donor 31:16001:64001:101:101:101:10
    Donor 41:1001:128001:101:100NDND
    Donor 51:8001:32001:101:1001:501:200
    Donor 61:256001:128001:501:1001:501:50
    • The titers are expressed by the dilution whereby a fold change >1.1 is achieved of the ratio between the MTTE and the control-coated ETTM plate.

    • ↵a The donors are represented in Fig. 6C.

    • ND, not detected.

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The Journal of Immunology: 201 (1)
The Journal of Immunology
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1 Jul 2018
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Formation of Immune Complexes with a Tetanus-Derived B Cell Epitope Boosts Human T Cell Responses to Covalently Linked Peptides in an Ex Vivo Blood Loop System
Erika A. K. Fletcher, Wendy van Maren, Robert Cordfunke, Jasper Dinkelaar, Jeroen D. C. Codee, Gijs van der Marel, Cornelis J. M. Melief, Ferry Ossendorp, Jan Wouter Drijfhout, Sara M. Mangsbo
The Journal of Immunology July 1, 2018, 201 (1) 87-97; DOI: 10.4049/jimmunol.1700911

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Formation of Immune Complexes with a Tetanus-Derived B Cell Epitope Boosts Human T Cell Responses to Covalently Linked Peptides in an Ex Vivo Blood Loop System
Erika A. K. Fletcher, Wendy van Maren, Robert Cordfunke, Jasper Dinkelaar, Jeroen D. C. Codee, Gijs van der Marel, Cornelis J. M. Melief, Ferry Ossendorp, Jan Wouter Drijfhout, Sara M. Mangsbo
The Journal of Immunology July 1, 2018, 201 (1) 87-97; DOI: 10.4049/jimmunol.1700911
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