Abstract
Antigen-specific CD8+ T cells acquire peptide–major histocompatibility complex (MHC) clusters through T-cell receptor (TCR)–mediated endocytosis after specific antigen stimulation. We generated an antigen-presenting cell (APC) expressing human leukocyte antigen (HLA)-A*201 coupled to the enhanced green fluorescent protein (GFP), which delivered GFP to an antigen-specific T cell when pulsed with antigenic peptide. We quantitatively identified human T-cell lymphotropic virus type I (HTLV-I) Tax(11–19) peptide–specific T-cell populations in peripheral blood mononuclear cells (PBMCs) from patients with HTLV-I–associated neurologic disease and defined a new CD8+ T-cell epitope in the HTLV-I envelope region. Acquisition of peptide–HLA-GFP complexes by antigen-specific T cells could distinguish, with respect to phenotype and perforin production, T cells from the chronic viral infections cytomegalovirus and HTLV-I. This approach will be a powerful tool in understanding the role of antigen-specific T-cell responses in health and disease.
Main
Virus-specific T-cell responses are essential in host immune defense and have an important role in the pathogenesis of virus-mediated disorders. A crucial event in the initiation of an immune response is the activation of T lymphocytes through TCR recognition of the peptide-MHC, which initiates a precisely orchestrated cascade of molecular and cellular events. The detection and quantitative analysis of epitope-specific T-cell populations has been fundamental to our understanding of the cellular immune response in health and disease1. Peptide-MHC clusters are acquired by CD8+ T cells and internalized through the TCR2,3. Because this internalization is based on the specificity of peptide-MHC-TCR recognition, we postulated that acquisition of peptide-MHC molecules by T cells could be used for the quantitative detection of virus-specific T-cell populations, identification of viral T-cell epitopes and analysis of T-cell responses after antigen stimulation.
Here, we generate an APC expressing HLA-A*201 coupled to GFP (HmyA2GFP cells) and show that the acquisition of peptide–HLA-GFP complexes by antigen-specific T cells can quantitatively identify epitope-specific T cells and define new CD8+ T-cell immunodominant epitopes from bulk PBMCs. We also use this system to characterize the phenotype and cytolytic function of virus-specific T cells in two chronic viral infections.
Acquisition of peptide–HLA-GFP complexes by CTL clones
To show antigen-specific acquisition of HLA-GFP complexes by CD8+ T cells, we used a CD8+ T-cell clone specific for the immunodominant HTLV-I Tax(11–19) peptide. HmyA2GFP cells (Fig. 1a) were pulsed with Tax(11–19) peptide and incubated with HTLV-I Tax(11–19)-specific cytotoxic T-lymphocyte (CTL) clones (Fig. 1b). Within 5 min, HLA-GFP molecules formed dense clusters at the T cell–APC contact site. After 30 min, small aggregates of HLA-GFP appeared within HTLV-I –specific CTL clones. The acquisition of peptide–HLA-GFP by T cells was also monitored by flow cytometry (Fig. 1c). After 30 min, most HTLV-I–specific CTL clones were positive for HLA-GFP but negative for the control human immunodeficiency virus (HIV) Gag(77–85) peptide. We also showed peptide-specific acquisition of HLA-GFP molecules by T cells using CTL clones specific for cytomegalovirus (CMV) pp65(405–503) peptide (Fig. 1c). To assess the kinetics of peptide–HLA-GFP acquisition by T cells, Tax(11–19)-specific CTL clones were incubated with Tax(11–19)-pulsed HmyA2GFP cells at various time points (Fig. 1d). After 30 min, most of the Tax(11–19)-specific CTLs were positive for HLA-GFP. Fluorescence level remained stable for 2 h and then declined. A dose-dependent titration of HTLV-I Tax(11–19)-pulsed HmyA2GFP cells resulted in a lower limit of detection of 100 pM peptide (data not shown).
Detection of virus-specific T cells from bulk PBMCs
Having observed that acquisition of peptide–HLA-GFP complexes can be readily detected in antigen-specific T-cell clones, we extended this system to identify and quantify antigen-specific T-cell populations from bulk PBMCs in patients with virus-associated diseases. We used PBMCs from HTLV-I–infected patients with an inflammatory disease of the central nervous system, known as HTLV-I–associated myelopathy and tropical spastic paraparesis (HAM/TSP)4,5. HLA-A*201–positive patients show a high frequency of HTLV-I–specific CD8+ CTLs, most of which recognize the HTLV-I Tax(11–19) peptide6,7,8. It has been suggested that these HTLV-I–specific CTLs have an important role in the pathogenesis of this disease7,9. HmyA2GFP cells were pulsed with either HTLV-I Tax(11–19) or control HIV Gag(77–85) peptide and incubated with ex vivo PBMCs. The percentage of GFP+CD8+ cells from total PBMCs, as measured by flow cytometry, would then define the HTLV-I Tax(11–19-specific T-cell population (Fig. 2). In HAM/TSP patient no. 4, relative to the control peptide, 25.13% of CD8+ cells were GFP-positive when incubated with HmyA2GFP cells pulsed with Tax(11–19) peptide (Fig. 2a). The frequency of Tax(11–19)-specific T cells in PBMCs from this patient was comparable to the frequency measured using HTLV-I Tax(11–19)–HLA-A*201 tetramers (28.21%; Fig. 2b). We further analyzed the frequencies of HTLV-I–specific T cells in PBMCs from eight HLA-A*201–positive HAM/TSP patients, three HLA-A*201–negative HAM/TSP patients and three HLA-A*201–positive healthy donors (Table 1). HTLV-I Tax(11–19)-specific T cells were detected in PBMCs from all patients at a frequency comparable with that of tetramers, but were not detected in HLA-A*201–negative patients or in healthy donors. We also used this A2GFP system for enumerating CMV-specific T cells in HAM/TSP patient no. 5 (Fig. 2c), again at a frequency comparable to that measured using CMVpp65–HLA-A*201 tetramers (Fig. 2d).
Detection of new CD8 + T-cell epitopes
We extended this system to detect previously unidentified antigen-specific CD8+ T cells by pulsing HmyA2GFP cells with a panel of peptides. We searched for HTLV-I envelope (Env)–specific CD8+ T cells from PBMCs of HAM/TSP patients. We incubated PBMCs from HLA-A*201–positive HAM/TSP patient no. 1 with HmyA2GFP cells pulsed with a series of 26 overlapping peptides from the HTLV-I Env gp46 region10 and analyzed HLA-GFP acquisition by CD8+ T cells using flow cytometry. Significant HLA-GFP acquisition by bulk CD8+ T cells was observed with the Env(291–305) peptide (Fig. 3a). To confirm this observation, we sorted the HLA-GFP–positive CD8+ T cells, a putative Env(291–305)-specific T-cell population, by flow cytometry (Fig. 3b) and assessed them for cytotoxicity using a variety of target cells (Fig. 3c). HTLV-I Env(291–305)-pulsed targets were lysed to a significant degree compared to control HTLV-I Env peptides. In addition, target cells infected with a vaccinia virus expressing HTLV Env and an autologous HTLV-I–infected CD4+ T-cell line (RS CD4) known to express HTLV-I11 were also lysed by the Env(291–305)-sorted CD8+ T cells. These results showed that the sorted Env(291–305)-specific CD8+ T cells detected by the A2GFP system were peptide-specific and functionally cytolytic and indicated that the Env(291–305) region of HTLV-I might contain an immunodominant, HLA-A*201–specific CTL epitope. This Env(291–305) region contains a relatively strong HLA-A*201 binding motif12, based on an estimation of the dissociation rate of the peptide-HLA complex (http://bimas.dcrt.nih.gov/molbio/hla_bind/).
Characterization of HTLV-I– and CMV–specific T cells
Differentiation phenotype and perforin production of virus-specific CD8+ T cells vary among persistent viral infections, which may be a result of the different functional properties necessary to control each virus during the chronic stage of infection13,14. PBMCs from patients with HAM/TSP have high HTLV-I viral loads in the presence of large numbers of HTLV-I–specific CTLs, suggesting that HTLV-I–specific T cells may be insufficient to control a persistent HTLV-I infection7,9. In contrast, other chronic viral infections such as CMV elicit a highly effective and efficient CTL response associated with rapid clearance of the virus. This led us to compare the differentiation phenotype and perforin expression of HTLV-I– and CMV-specific T cells using PBMCs from HAM/TSP patients. In addition, T-cell responses after the recognition of peptide-HLA complexes are important for immune regulation during the chronic stage of viral infections. Therefore, we also analyzed differentiation phenotype and perforin expression of T cells after ex vivo peptide presentation by HmyA2GFP cells.
We first analyzed the distribution of the T-cell differentiation markers CD27 and CD45RA on HTLV-I Tax(11–19) tetramer–positive T cells and on CMV pp65 tetramer–positive T cells using PBMCs from HAM/TSP patients (Fig. 4a and b ). CD27 and CD45RA molecules have been reported to distinguish phenotypic subpopulations of CD8+ T cells15. On the basis of both phenotypic and functional maturation properties, four distinct T-cell subsets have been described15: CD27+ CD45RA+ (naive), CD27+ CD45RA− (memory), CD27− CD45RA− (effector/memory), and CD27− CD45RA+ (effector). Although virus-specific populations during persistent HTLV-I infection were represented in each of the four phenotypic subsets, HTLV-I Tax(11–19) tetramer–positive T cells showed a clear enrichment for the CD27+ CD45RA− (memory) subset (Fig. 4a). By contrast, CMV tetramer–positive T cells showed a substantial enrichment for the CD27− CD45RA+ (effector) subset (Fig. 4b).
To study how virus-specific T cells with different phenotypes respond to antigen stimulation, we analyzed alterations of CD27 and CD45RA expression in HLA-GFP–acquiring HTLV-I– and CMV tetramer–positive T cells after ex vivo peptide presentation by HmyA2GFP cells (Fig. 4c and d ). PBMCs from HAM/TSP patients were incubated with HTLV-I Tax(11–19) or CMV pp65 peptide–pulsed HmyA2GFP cells for 1 h, stained with antibodies against CD27 and CD45RA and with HTLV-I or CMV tetramers, and analyzed by flow cytometry. After stimulation with Tax(11–19)-pulsed HmyA2GFP cells, there was a decrease in the CD27+ CD45RA− (memory) subset and an increase in the CD27− CD45+ (effector) subset in HLA-GFP–acquiring HTLV-I tetramer–positive cells (Fig. 4c). In contrast, in HLA-GFP–acquiring CMV tetramer–positive T cells, there was no significant change in the proportion of effector T cells after stimulation with CMV pp65–pulsed HmyA2GFP cells (Fig. 4d). There was, however, a substantial increase in the CD27− CD45RA− (effector/memory) subset with a concomitant decrease in the CD27+ CD45RA− (memory) subset (Fig. 4d).
These phenotypically defined T-cell populations were further characterized with respect to perforin expression and cytolytic activity. Our results were consistent with previous reports showing that terminally differentiated effector cells contain more perforin than cells with a naive or memory phenotype14. We showed that CMV-specific CD8+ T cells had higher levels of perforin than HTLV-I–specific CD8+ T cells ex vivo (Fig. 4e). In contrast, there was no change in the amount of perforin in HTLV-I–specific T cells after Tax(11–19) stimulation, and there was a significant decrease in the amount of perforin in CMV-specific T cells after CMVpp65 peptide stimulation (P = 0.0166 by paired T-test). These observations were supported by assessments of cytotoxicity in sorted HTLV-I– and CMV tetramer–positive T cells. CMV tetramer–positive T cells induced higher cell lysis than HTLV-I tetramer–positive T cells (Fig. 4g); this was also observed in bulk, non-sorted PBMCs from a HAM/TSP patient (Fig. 4h).
Discussion
Antigen-specific T-cell interactions are important components of cellular immunity against microbial agents, self proteins and tumor antigens. The detection and quantitative analysis of epitope-specific T-cell populations has been important in understanding the cellular immune response in health and disease. Quantitative detection of T-cell populations by tetramers has proved useful for monitoring virus-specific T-cell immunity in laboratory and clinical settings1. To generate the tetramers, however, requires a priori identification of an immunodominant peptide known to bind the appropriate MHC. During peptide-MHC recognition, membrane components of APCs containing MHC class I molecules are acquired by CD8+ T cells through the TCR2,3. In the present study, we have exploited peptide-HLA acquisition by T cells for quantitative identification of antigen-specific T-cell populations from bulk PBMCs. Using the A2GFP system, HLA-A*201–restricted, HTLV-I– and CMV-specific CD8+ T cells were detected from bulk PBMCs of patients with HAM/TSP, at amounts and sensitivities comparable to those in tetramer detection (Table 1; Fig. 2). This system was also used to screen unknown CD8+ T-cell epitopes (Fig. 3). The A2GFP system has clear advantages over other antigen-specific T-cell screening methods (such as tetramers, Elispot and in vitro cytokine detection systems), as the HmyA2GFP cells stably express HLA-A*201-GFP and can be easily pulsed with any peptide in a 30-min incubation process. This straightforward method for constructing stably transfected HLA-GFP cells is also applicable with other HLA alleles. We feel this approach will be useful in the analysis of other infectious agents, tumors and auto-antigens and will further enhance our understanding of antigen–host cell immunological interactions.
The acquisition of peptide–HLA-GFP by T cells specific for HTLV-I or CMV was also used to define stages of T-cell differentiation between two different chronic viral infections. To understand the T-cell immune response in persistent virus infections, virus-specific CD8+ T cells have been classified into distinct differentiation phenotypes using a combination of cell-surface markers such as CD27, CD28, CCR7, CD45RA and CD45RO, although these distinctions are primarily defined phenotypically and their correlations with function seem to be evolving13,14,15. HIV-specific CD8+ T cells were enriched for T cells with a memory phenotype (pre-terminally differentiated) in addition to expressing low levels of perforin, whereas CMV-specific T cells were predominantly of an effector phenotype (terminally differentiated) with high levels of perforin13,14. These results suggest that HIV-specific CD8+ T cells with an immature phenotype and a lack of perforin are associated with a defect in cytolytic activity that may contribute to the decline in CD8+ T-cell–mediated suppression of HIV replication and HIV disease progression13. In contrast, CMV-specific CD8+ cells with an effector phenotype and high perforin expression would be highly effective in eliminating CMV-infected cells13. Similar to the case in HIV, HTLV-I–specific T cells with a memory phenotype and low perforin are enriched in patients with HAM/TSP, a disorder in which immunopathogenic mechanisms have been proposed9,16. In the same patients, CMV-specific T cells, which are highly effective in eliminating CMV-infected cells13, were predominantly of an effector phenotype with high levels of perforin. In patients with HAM/TSP, high HTLV-I viral loads in PBMCs have been seen in the presence of very high frequencies of HTLV-I–specific CTLs (as high as 25% of total CD8+ cells)8. Collectively, these results suggest that HTLV-I–specific T cells may be insufficient to control persistent HTLV-I infection.
The newly described A2GFP system allowed us to assess the response of virus-specific T cells after antigen recognition. Although it has been shown that heterogeneity exists within virus-specific T-cell populations13,14, little is known about how virus-specific T cells with different phenotypes and levels of perforin expression respond to antigen when controlling viral infections. After antigen stimulation with peptide-pulsed HmyA2GFP cells, HTLV-I–specific CD8+ cells were enriched for an effector phenotype without significant induction of perforin or increased cytolytic activity. These cells may be insufficient to control virus infection, resulting in increased viral load in HAM/TSP patients17. In the same patients, CMV-specific T cells, which are highly effective at eliminating CMV-infected cells13 after antigen stimulation, were enriched for cells with an effector or effector/memory phenotype, with high levels of cytolytic activity and rapid exhaustion of perforin. The generation of a recall antigen response is thought to be associated with the proliferation of memory cells and their conversion to effector cells18. It is therefore possible that terminally differentiated effector cells rapidly intervene after re-encountering antigen, while precursor cells expand and ensure continuous replenishment of the effector cell pool. Alternatively, differences in perforin expression between HTLV-I– and CMV-specific CD8+ T cells may be linked to their antigenic history in vivo. Various priming conditions (such as the abundance of antigen, the duration of antigenic stimulation and the type of cytokine present)13,14,18 may be related to differences in the virus-specific T-cell phenotype and cytolytic function that are necessary to control chronic viral infection and disease outcome.
Methods
Generation of HmyA2GFP cells.
The full-length HLA-A*201 cDNA construct was obtained from the RSV-HLA-A2 vector19. The HLA-A2-GFP expression vector was generated by insertion of the HLA-A*201 cDNA with a stop codon mutated into the pEGFP-N3 vector (Clontech, Palo Alto, California). The HLA-A and HLA-B locus–defective immortalized B-cell line (Hmy2.CIR) was transfected with the HLA-A2-GFP vector using Trans-IT (Mirus, Madison, Wisconsin), according to the manufacturer's instructions. The cells were incubated for 48 h at 37 °C and placed in fresh selection medium DMEM (Gibco-BRL, Grand Island, New York) supplemented with 10% FBS (Atlanta Biologicals, Norcross, Georgia), 2 mM L-glutamine, 40 U/ml penicillin, 40 μg/ml streptomycin (all from BioWhittaker, Walkersville, Maryland) and 400 μg/ml of G418 sulfate (Cellgro, Herndon, Virginia)) to establish a stable cell line (HmyA2GFP) expressing the HLA-A*201-GFP fusion protein (Fig. 1a).
Subjects.
We used Ficoll-Hypaque (BioWhittaker) centrifugation to separate PBMCs from 8 HLA-A*201–positive HAM/TSP patients, 3 HLA-A*201–negative HAM/TSP patients and 3 HLA-A*201–positive HTLV-I–seronegative healthy donors. HAM/TSP was diagnosed according to the World Health Organization's guidelines20. Blood samples were obtained after informed consent as part of a clinical protocol reviewed and approved by the National Institutes of Health institutional review panel. HTLV-I infection was confirmed by ELISA (Abbott Laboratories, Chicago, Illinois) and western blot analysis (Genelabs, Singapore).
Peptides.
HTLV-I Tax(11–19) (LLFGYPVYV), HIV Gag(77–85) (SLYNTVATL) and CMV pp65 (495–503) (NLVPMVATV) peptides were synthesized and 95% purified by high-performance liquid chromatography (New England Peptide, Fitchburg, Massachusetts).
Generation of virus peptide–specific CTL clones.
Previously characterized CD8+ CTL clones21 were used in these studies. They were maintained by weekly stimulation with peptide-pulsed (1 μM) irradiated HLA-A*201–allogeneic PBMCs at a CTL clone/PBMC ratio of 1:10. Human recombinant interleukin-2 (40 U/ml; Roche Diagnostic, Indianapolis, Indiana) was added on the next day of stimulation. CTL culture medium was Iscove's modified Dulbecco's medium (Gibco-BRL) supplemented with 10% human serum, 2 mM L-glutamine, 40 U/ml penicillin and 40 μg/ml streptomycin.
Immunofluorescence staining.
HmyA2GFP cells were pulsed with HTLV-I Tax(11–19) peptide at a concentration of 10 μM for 30 min, and cultured with an HTLV-I Tax(11–19)-specific CD8+ T-cell clone for indicated periods on poly-D-lysine–treated glass coverslips at 37 °C. The cells were fixed in 4% paraformaldehyde and stained with monoclonal antibody against CD8 (DAKO, Glostrup, Denmark) in combination with Alexa Fluor 350–conjugated goat antibodies against mouse IgG1 (blue; Molecular Probes, Eugene, Oregon). Images were examined with a Zeiss Axiovert 200M microscope.
Flow cytometric analysis.
HmyA2GFP cells were pulsed with each peptide and incubated in a round-bottom 96-well culture plate for 30 min at 37 °C. The cells were washed twice to remove any free peptide, mixed with CTL clones (at a 1:5 HmyA2GFP cell/CTL ratio) or PBMCs (at a 1:1 ratio) in a round-bottom, 96-well culture plate, centrifuged at 200g for a few seconds to provide immediate cell contact and incubated for 30 min at 37 °C. Cells were then stained with a variety of antibodies (see below) and the acquisition of HLA-GFP by T cells was assessed by flow cytometry. CTL clones were stained with phycoerythrin-labeled monoclonal antibody against CD8 (Caltag, Burlingame, California) to detect HLA-GFP molecules. PBMCs were stained with Tri-Color–labeled monoclonal antibody against CD8 (Caltag) and phycoerythrin-conjugated Tax(11–19) peptide–loaded HLA-A*201 tetramer (National Institutes of Health AIDS Research and Reference Reagent Program) or CMV pp65 peptide–loaded HLA-A*201 tetramer (Beckman Coulter, Fullerton, California). For phenotypic analysis of PBMCs, cells were stained with phycoerythrin-conjugated Tax(11–19) peptide–loaded HLA-A*201 tetramer, monoclonal antibody against CD27 and allophycocyanin-labeled monoclonal antibody against CD45RA. Peridinine chlorophyll protein–labeled rat antibody against mouse IgG1 was used as a secondary reagent for CD27-specific antibody (all from Pharmingen, San Diego, California). Cells were stained with saturating concentrations of antibody at 4 °C for 30 min and washed twice before analysis on a FACS Calibur (Becton Dickinson, San Jose, California). For intracellular perforin staining, cells were fixed and permeabilized with the Cytofix/CytoPerm kit (Pharmingen) and stained with monoclonal antibody specific for perforin (Pharmingen). Data were analyzed with CellQuest software (Becton Dickinson).
Cell sorting and CTL assay.
Effector cells were sorted by a FACS Vantage SE (Becton Dickinson). The sorted cells were incubated in CTL culture medium (see 'Generation of virus peptide–specific CTL clones' above) overnight. The 4-h CTL assay was done using europium (Aldrich Chemical, Milwaukee, Wisconsin) as described previously21. Effector cells were incubated with target cells at indicated effector-to-target ratios. Target cells were from an HLA-A*201–transfected human B-cell line pulsed with 100 nM each Env(11–25), Env(291–305), Tax(11–19) and CMV pp65 peptide; an HLA-A*201–transfected human B-cell line infected with vaccinia recombinant viruses expressing HTLV-I Env or control vaccinia expressing influenza virus hemagglutinin protein; or an autologous HTLV-I–infected CD4+ T-cell line known to express HTLV-I (RSCD4)11. The percent specific lysis was calculated as (experimental release – spontaneous release) ÷ (maximum release – spontaneous release) × 100. The assay was done in triplicate.
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Acknowledgements
We thank K. Yao, S. Gagnon and S. Soldan for helpful comments, and R. Turner for help with flow cytometry. U.T. was supported by the Japanese Society for the Promotion of Science and a US National Institutes of Health Research Fellowship.
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Tomaru, U., Yamano, Y., Nagai, M. et al. Detection of virus-specific T cells and CD8+ T-cell epitopes by acquisition of peptide–HLA-GFP complexes: analysis of T-cell phenotype and function in chronic viral infections. Nat Med 9, 469–475 (2003). https://doi.org/10.1038/nm845
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DOI: https://doi.org/10.1038/nm845
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