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Article
Nature Immunology - 7, 1182 - 1190 (2006)
Published online: 8 October 2006; | doi:10.1038/ni1396

RhoH GTPase recruits and activates Zap70 required for T cell receptor signaling and thymocyte development

Yi Gu1, 3, Hee-Don Chae1, 3, Jamie E Siefring1, Aparna C Jasti1, David A Hildeman2 & David A Williams1

1 Division of Experimental Hematology, Cincinnati Children's Research Foundation and Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio 45229, USA.

2 Division of Immunobiology, Cincinnati Children's Research Foundation and Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio 45229, USA.

3 These authors contributed equally to this work.

Correspondence should be addressed to David A Williams david.williams@cchmc.org or Yi Gu yi.gu@cchmc.org

RhoH is a hematopoietic-specific, GTPase-deficient member of the Rho GTPase family with unknown physiological function. Here we demonstrate that Rhoh-/- mice have impaired T cell receptor (TCR)–mediated thymocyte selection and maturation, resulting in T cell deficiency. RhoH deficiency resulted in defective CD3zeta phosphorylation, impaired translocation of the signaling molecule Zap70 to the immunological synapse and reduced activation of Zap70-mediated signaling in thymic and peripheral T cells. Proteomic analyses demonstrated that RhoH is a component of TCR signaling and is required for recruitment of Zap70 to the TCR through interaction with RhoH noncanonical immunoreceptor tyrosine-based activation motifs (ITAMs). In vivo reconstitution studies also demonstrated that RhoH function depends on phosphorylation of the RhoH ITAMs. These findings suggest that RhoH is a critical regulator of thymocyte development and TCR signaling by mediating recruitment and activation of Zap70.
As demonstrated by studies of human immunophenotypes and a variety of gene-targeted mouse lines, functional T cell development is critical for the adaptive immune system. Maturation of T lymphocytes with the appropriate immune repertoire occurs in the thymus and involves a tightly controlled, sequential process of T cell receptor (TCR) gene rearrangement, positive and negative selection and proliferative expansion1. There are three critical checkpoints in the TCRalphabeta lineage maturation, comprising beta-selection regulated by a pre-TCR signaling complex2, 3 and positive and negative selection controlled by signals derived from a fully rearranged TCRalphabeta antigen complex4.

The Rho family GTPases are Ras-like molecules increasingly recognized as important signaling proteins involved in the pre-TCR and TCRalphabeta pathways during T cell differentiation and proliferation5. In general, Rho GTPases cycle between GTP-bound, active and GDP-bound, inactive states and are regulated by the activity of guanine nucleotide–exchange factors and GTPase-activating proteins. Rhoh, first identified as a hypermutable gene in non-Hodgkin lymphoma6, 7 and a member of the RhoE subfamily, lacks intrinsic and/or agonist-induced GTPase activity and remains in the GTP-bound, active conformation8. Thus, regulation of the cellular activity of this GTPase remains unclear but it may be depend in part on cell-specific expression that determines the amount of intracellular protein. Indeed, RhoH is hematopoietic specific and has high expression in mouse thymus and human T cells8, 9. Experimental alteration of RhoH expression affects the proliferation and engraftment of hematopoietic progenitor cells9 and integrin-mediated adhesion in Jurkat cells10. Studies have reported that transcriptional regulation of the Rhoh gene and alternative splicing of 5' exons of Rhoh mRNA occur in hematopoietic and lymphoid cells8, 11. However, key unanswered biological issues remain, including the mechanism of physiological regulation and the function of RhoH in the hematopoietic lineages.

Intrathymic selection events are dependent on TCR signal transduction mediated by protein tyrosine kinases12. Engagement of antigen receptors by self antigens expressed on the thymic stromal cells initiates activation of the Src family kinases Lck and Fyn. Phosphorylation of the immunoreceptor tyrosine-based activation motifs (ITAMs) in the cytoplasmic domains of CD3zeta subunits by Src family kinases induces interaction of CD3zeta with Zap70 in the plasma membrane and cytoskeleton-enriched fractions and activation of Zap70 (refs. 13,14). Zap70 subsequently stimulates 'downstream' signaling cascades, including the activation (phosphorylation) of mitogen-activated protein kinases15. Zap70-deficient mice have developmental arrest of thymocytes at the CD4+CD8+ double-positive (DP) stage16. The importance of Zap70 in human T cell differentiation and/or function has also been demonstrated in patients with loss-of-function mutations in the gene encoding Zap70 (refs. 17,18) or defective recruitment of Zap70 to the signaling competent TCR complex19. So far, the molecular mechanism involved in regulating the recruitment of Zap70 to the TCR subunits for signaling activation is incompletely understood, and as-yet-unidentified molecules have been linked to the process. Our studies here of gene-targeted Rhoh-knockout mice demonstrate a critical function for RhoH in thymocyte development and peripheral T cell function by regulating the recruitment and activation of Zap70 in TCR signal transduction and also suggest a previously unknown regulatory mechanism for RhoH activity by tyrosine phosphorylation of ITAMs, which may have broad implications for GTPase biology.

Results
T lymphopenia and developmental arrest in Rhoh-/- mice
To determine the physiological requirement for RhoH in an animal model, we generated mice deficient in RhoH using standard homologous recombination methods (Supplementary Fig. 1 online). We confirmed the deletion of Rhoh sequences in the transgenic mice by Southern blot analysis (Supplementary Fig. 1). We detected no RhoH by immunoblot analysis of the Rhoh-/- hematopoietic lineages, including thymocytes (Fig. 1a). Rhoh-/- mice were generated at the expected mendalian ratio and seemed phenotypically indistinguishable from their age-matched wild-type littermates in pathogen-free conditions up to at least 12 months of age.

Figure 1. Substantial blockade of intrathymic T cell development in Rhoh-/- mice.
Figure 1 thumbnail

(a) Immunoblot of lysates from wild-type (WT) and Rhoh-/- thymocytes. alpha-, antibody to. (b) Total thymocytes in wild-type and Rhoh-/- mice. Data represent mean plusminus s.d.; n = 8 mice per genotype. *, P < 0.01, Rhoh-/- versus wild-type mice. (c) Flow cytometry showing the distribution of CD4+CD8+ thymocyte subsets in thymi from 2-week-old wild-type and Rhoh-/- mice. Numbers in dot plots indicate the percent of each CD4 and CD8 subset in the corresponding quadrant. Cell number (right) is calculated as (frequency) times (thymic cellularity). (d) Flow cytometry of thymocytes from 6-week-old wild-type and Rhoh-/- mice stained for Thy-1.2, CD4, CD8, CD25 and CD44. Numbers in dot plots indicate the percent of each CD25 and CD44 subpopulation in the corresponding quadrant, after gating on the DN cells. Cell number (right) is calculated as (frequency) times (total DN cells). Data in c,d represent mean plusminus s.d.; n = 10 mice per genotype. Data are representative of three experiments.



Full FigureFull Figure and legend (47K)
Rhoh-/- mice had T cell lymphopenia of the peripheral blood, spleen and lymph node (Supplementary Table 1 online). The much smaller number of CD4+ or CD8+ T cells in the periphery of Rhoh-/- mice was associated with defects in T cell maturation and population expansion in the thymus. Rhoh-/- thymuses were much smaller than wild-type thymuses (Supplementary Fig. 1). The thymic cellularity of Rhoh-/- mice was 30% that of wild-type mice (Fig. 1b). The number of B cells (B220+) was normal in Rhoh-/- spleen, lymph node and peripheral blood, compared with wild-type numbers (Supplementary Table 1).

Intrathymic T cell maturation involves sequential differentiation stages that can be distinguished on the basis of CD4 and CD8 coreceptor expression20. Very few CD4+ or CD8+ single-positive (SP) cells were present in Rhoh-/- thymus (Fig. 1c). Rhoh-/- mice had fewer DP thymocytes and slightly more CD4-CD8- double-negative (DN) thymocytes than did their wild-type littermates (Fig. 1c). The smaller DP, CD4 SP and CD8 SP subpopulations in Rhoh-/- thymocytes were associated with more apoptosis than that of wild-type cells (Supplementary Fig. 2 online). Immature DN thymocytes can be further categorized into four distinct pre–T cell developmental stages depending on the differential expression of CD25 (interleukin 2 receptor alpha-chain) and CD44 (Pgp-1)21. Rhoh-/- thymuses had significantly more CD44+CD25+ (DN2) and CD44-CD25+ (DN3) cells than did wild-type thymuses but had fewer Rhoh-/- CD44-CD25- (DN4) cells (Fig. 1d). The greater number of Rhoh-/- DN2 and DN3 cells was associated with moderately more proliferation, whereas the smaller number of Rhoh-/- DN4 cells was associated with more apoptosis (Supplementary Fig. 2). These data collectively suggested that the deletion of Rhoh results in substantial blocks in thymocyte development at the DN3 and DP stages, leading to many fewer mature T cells in the Rhoh-/- thymus as well as peripheral lymphoid tissues.

TCR signaling in thymic and peripheral T cells requires RhoH
TCRalphabeta is essential in thymocyte development through interaction with self major histocompatibility complex class I and class II molecules expressed on thymic stromal cells. TCR beta-chain gene rearrangement and surface expression are critical for the transition of DN thymocytes to DP thymocytes2. Flow cytometry showed that Rhoh-/- DP thymocytes included fewer TCRbetahi cells than did wild-type thymocytes (Fig. 2a). In contrast, the proportion of TCRbetalo cells in Rhoh-/- thymuses was normal. Furthermore, semiquantitative RT-PCR analysis showed that Rhoh-/- and wild-type thymocytes had similar amounts of rearranged Tcrb variable (V), diversity (D) and joining (J) segments and Cd3e transcripts (Fig. 2b). These data suggested that rearrangement of the Tcrb locus and expression of Cd3e are normal in Rhoh-/- thymocytes.

Figure 2. Defective TCR-mediated thymic positive selection in Rhoh-/- mice.
Figure 2 thumbnail

(a) Flow cytometry of thymocytes from wild-type and Rhoh-/- mice, stained with fluorescein isothiocyanate–anti-CD4, allophycocyanin–anti-CD8 and phycoerythrin–anti-TCRbeta. Numbers above bracketed lines indicate percent TCRbetahi cells. n = 8 mice per genotype. (b) RT-PCR of Tcrb VDJ and Cd3e transcripts in wild-type and Rhoh-/- thymocytes. VC and DC, products of RT-PCR with primers Vbeta8 LV-5' and Cbeta2A-3' and primers Dbeta2-5' and Cbeta2B-3' (Supplementary Methods online), respectively. Hprt1 (hypoxanthine guanine phosphoribosyl transferase), loading control. (c,d) Flow cytometry of the expression of CD5 (c) and CD69 (d) by wild-type and Rhoh-/- DP thymocytes. Gray (c), isotype antibody control. Numbers above bracketed lines (d) indicate percent CD69hi cells. n = 6 mice per genotype. (e) Flow cytometry of the distribution of the CD4+ and CD8+ subsets of thymocytes from wild-type mice (Non-tg Rhoh+/+), p14tg/+Rhoh+/+ mice (Rhoh+/+) and p14tg/+Rhoh-/- mice (Rhoh-/-). Numbers in dot plots (top) indicate percent cells in each corresponding quadrant; numbers above bracketed lines (bottom) indicate percent TCR Vbeta8hi cells among DP thymocytes. n = 10 mice per genotype. (f) Proliferation of CD3+ cells isolated from splenocyte samples from wild-type and Rhoh-/- mice and cultured for 48 h in the presence of plate-coated anti-CD3epsilon (dose, below graph) or medium alone. Data represent mean plusminus s.d. (n = 6 mice). *, P < 0.001, Rhoh-/- versus wild-type cells. Data are representative of more than three experiments.



Full FigureFull Figure and legend (57K)
TCR engagement initiates intracellular signals that induce the expression of thymocyte positive-selection and maturation markers, such as CD5 and CD69 (refs. 22, 23, 24, 25). Surface expression of CD5 and CD69 was much lower on Rhoh-/- DP thymocytes than on wild-type DP thymocytes (Fig. 2c,d), suggesting that TCR-mediated positive selection might be defective in Rhoh-/- thymocytes. Furthermore, wild-type thymocytes expressing transgenic p14 TCRalphabeta (Valpha2Vbeta8), a TCR specific for the major histocompatibility complex class I–restricted epitope of the lymphocytic choriomeningitis virus glycoprotein26 (called 'p14tg/+' here), were positively selected to the CD8 SP subset. In contrast, that selection, accompanied by skewing toward CD8 SP thymocytes (p14tg/+Rhoh+/+; Fig. 2e, middle), was mostly absent from p14tg/+Rhoh-/- mice (Fig. 2e, right), and the thymocyte phenotype of the p14tg/+Rhoh-/- mice resembled that of Rhoh-/- mice (Fig. 1c and Supplementary Fig. 3 online). Also, p14tg/+Rhoh-/- DP thymocytes had lower expression of the transgenic Vbeta8 TCR than did p14tg/+Rhoh+/+ cells (Fig. 2e). These results suggested that RhoH is required for the TCR-mediated signaling that regulates thymocyte positive selection and maturation.

To further determine if the few peripheral T cells present in Rhoh-/- mice were competent for TCR signal transduction, we isolated CD3+ cells from wild-type and Rhoh-/- splenocytes, stimulated the cells with antibody to CD3epsilon (anti-CD3epsilon) and assessed their proliferative response. Surface expression of TCRbeta was similar in wild-type and Rhoh-/- spleen T cells (mean fluorescent intensity of TCRbeta, wild-type versus Rhoh-/-: CD4+ cells, 175 plusminus 8 versus 187 plusminus 10; CD8+ cells, 102 plusminus 6 versus 95 plusminus 5). Despite having normal amounts of TCR, Rhoh-/- T cells proliferated much less after stimulation with anti-CD3epsilon than did wild-type cells (Fig. 2f), suggesting that RhoH is required for TCR signaling in peripheral T cells, probably 'downstream' of the TCR.

RhoH reconstitution of Rhoh-/- T cells
To determine whether the thymocyte developmental defects in Rhoh-/- mice were directly related to the loss of RhoH, we transduced Rhoh-/- bone marrow cells with a bicistronic retroviral vector coexpressing enhanced green fluorescent protein (EGFP) and hemagglutinin-tagged RhoH (HA–RhoH), which has been shown to produce RhoH expression similar to endogenous expression in those cells9. We transplanted EGFP+ sorted bone marrow cells by intravenous injection into sublethally irradiated recipient mice deficient in recombination-activating gene 2 (Rag2-/-), which have less thymic cellularity and lack mature T cells27. At 9 weeks after transplantation, transgenic expression of RhoH was associated with more thymic cellularity (Fig. 3a). The number of CD4 SP or CD8 SP thymocytes in Rag2-/- mice that received RhoH-transduced Rhoh-/- bone marrow cells was similar to the number in mice infused with wild-type cells (Fig. 3b,c); in contrast, mice that received Rhoh-/- cells lacked thymocyte development. Transgenic expression of RhoH in Rhoh-/- cells also led to many more mature CD4+ or CD8+ T cells in the spleen and lymph nodes (Supplementary Table 2 online). All recipient mice had similar degrees of engraftment, as assessed by the EGFP+ chimerism in the thymus and peripheral blood, suggesting that those phenotypic changes were related to enhanced thymic T cell development (Supplementary Table 2). We also isolated Rhoh-/- and RhoH-reconstituted Rhoh-/- CD3+ splenocytes from the Rag2-/- recipient mice, stimulated the cells with anti-CD3epsilon and assessed their proliferative responses. Transgenic expression of RhoH in the reconstituted cells resulted in significant correction of the proliferation defect of Rhoh-/- T cells (Fig. 3d). These results demonstrated that the thymocyte development defect associated with RhoH deficiency is intrinsic to hematopoietic cells and can be completely 'rescued' by transgenic expression of RhoH.

Figure 3. Transgenic expression of RhoH restores Rhoh-/- intrathymic development and T cell function.
Figure 3 thumbnail

EGFP+ wild-type and Rhoh-/- bone marrow cells transduced with a retroviral vector coexpressing EGFP and RhoH or empty vector (control) were injected intravenously into sublethally irradiated Rag2-/- recipient mice; 9 weeks later, thymuses and spleens from the reconstituted recipient mice were analyzed. None, no bone marrow transplanted. (a) Thymic cellularity. (b) Flow cytometry of the distribution of CD4+ and CD8+ subsets. Numbers in dot plots indicate percent cells in each corresponding quadrant. (c) Number of cells in the CD4+ or CD8+ SP subset, calculated as (frequency) times (total thymocytes). (d) In vitro proliferation of equal numbers of CD3+ cells isolated from splenocytes of the reconstituted Rag2-/- recipient mice cultured for 48 h in plates coated with anti-CD3epsilon (10 mug/ml) or medium alone. Data represent mean plusminus s.d. (n = 5–10 mice per transplant group (ac) or n = 3 (d)) and are representative of more than two experiments.



Full FigureFull Figure and legend (39K)
RhoH interacts with Zap70
Unlike other Rho family members such as Rac1, Cdc42 and RhoA, very little is known about the 'downstream' effectors of RhoH. To investigate the molecular mechanism of the involvement of RhoH in TCR signaling events, we identified RhoH-interacting proteins in T cells using purified glutathione S-transferase (GST)–RhoH fusion proteins and whole-cell lysates of Jurkat cells in an in vitro binding assay. One protein band at about 70 kilodaltons was selectively associated with the GST–RhoH beads but not with GST alone (Fig. 4a). Mass spectrometry identified the protein as Zap70, a Syk family protein tyrosine kinase expressed in T cells and natural killer cells14. We confirmed the physical association between RhoH and Zap70 by transfecting them together in HEK293 cells, followed by immunoprecipitation with anti-Zap70 (Fig. 4b, top). That interaction was enhanced more than 20-fold when constitutively active Lck, a Src family tyrosine kinase and 'upstream activator' of Zap70 (ref. 14), was coexpressed. The increased interaction of RhoH with Zap70 was associated with tyrosine phosphorylation of RhoH in the presence of constitutively active Lck (Fig. 4b, middle), suggesting that the interaction may involve phosphorylated tyrosine residues in RhoH, a post-translational modification not linked before to the physiological regulation of Rho GTPases.

Figure 4. RhoH is tyrosine-phosphorylated and interacts with Zap70.
Figure 4 thumbnail

(a) GST affinity assay of Jurkat cell lysates, detected by SDS-PAGE and Coomassie blue staining. Far right, nonspecific bacterial proteins. *, identified by mass spectrometry as Zap70. (b) Immunoprecipitation (IP) and immunoblot (IB) of lysates of HEK293 cells transfected with various combinations (above lanes) of DNA constructs expressing HA–RhoH, Zap70 and/or constitutively active Lck (ca-Lck). (c) Immunoprecipitation and immunoblot of Jurkat cells left untransduced or transduced with a retroviral vector expressing HA–RhoH and left unstimulated or stimulated anti-CD3epsilon. pTyr, phosphorylated tyrosine; pZap70, phosphorylated Zap70; pp23zeta and pp21zeta, phosphorylated p23zeta and p21zeta; pCD3zeta, phosphorylated CD3zeta. Data are representative of more than three experiments.



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Zap70 is a key signaling molecule in the TCR complex through its interaction with the tyrosine-phosphorylated CD3zeta isoforms p21zeta and p23zeta14, 28, 29. To determine whether RhoH is regulated by tyrosine phosphorylation after TCR engagement and is involved in the CD3zeta-Zap70 complex in T cells, we expressed HA–RhoH in Jurkat cells. Stimulation with anti-CD3epsilon increased tyrosine phosphorylation of HA–RhoH (Fig. 4c, bottom) and HA–RhoH immunopreciptated together with Zap70 (Fig. 4c, top). These results suggested that TCR engagement can induce the tyrosine phosphorylation of RhoH and association of RhoH with Zap70. In contrast to the interaction with p21zeta and p23zeta only after stimulation with anti-CD3epsilon (Fig. 4c, top), we detected the Zap70-RhoH association in the resting state, suggesting that RhoH probably interacts with Zap70 before Zap70 is recruited to the phosphorylated CD3zeta induced by TCR engagement.

Zap70 is known to recognize tyrosine-phosphorylated ITAMs containing the consensus sequence YXX(L/I)X6–8YXX(L/I) (where 'X' is any amino acid and 'L/I' means 'leucine or isoleucine')30. Both human and mouse RhoH have ITAM-like motifs between residue 73 and residue 86, which contain alanine as an aliphatic amino acid at the '+3' position31, 32 (Fig. 5a), differing from the leucine or isoleucine in the conventional ITAMs. Alignment of the amino acid sequences of RhoH and other known Rho GTPases, including Rac1, Cdc42, RhoA, and RhoE, suggested that the motifs are unique to RhoH. To test whether the two tyrosine residues in the motifs were required for the interaction of RhoH with Zap70, we substituted the tyrosine residues at positions 73 and 83 with phenylalanine. The resultant 'RhoHF73F83' mutant had much less interaction with Zap70 than did wild-type RhoH in Jurkat cells after stimulation with anti-CD3epsilon (Fig. 5b, top), suggesting that the ITAM motifs in RhoH are probably involved in the interaction with Zap70. The weak binding between the RhoHF73F83 mutant or nonphosphorylated GST–RhoH and Zap70 (Fig. 4a) indicated that additional, unidentified sequences in RhoH may also be involved in modifying this interaction. Zap70 binds to phosphorylated ITAMs via the two cooperative Src homology 2 (SH2) domains13. Zap70 mutants lacking either the N-terminal or C-terminal SH2 domain showed defective binding to RhoH when expressed together with constitutively active Lck in HEK293 cells (Fig. 5c). These results collectively suggested that the interaction between RhoH and Zap70 depends mainly on the tyrosine-phosphorylated ITAMs in RhoH and the SH2 domains in Zap70.

Figure 5. Conserved tyrosine-phosphorylated sequence motifs in RhoH mediate the interaction with Zap70 and RhoH function in thymocyte development.
Figure 5 thumbnail

(a) Alignment of the amino acid sequences of RhoH, Rac1, Cdc42, RhoA and RhoE. Bold (RhoH), ITAM-like motifs; 'a' (ITAM consensus sequence), aliphatic amino acid. (b) Immunoprecipitation and immunoblot analysis of lysates of Jurkat cells left untransduced (None) or transduced with retroviral vector expressing HA–RhoH or mutant HA–RhoHF73F83 and left unstimulated (0) or stimulated with anti-CD3epsilon (10) before immunoprecipitation. (c) Immunoprecipitation of total lysates of HEK293 cells expressing HA–RhoH and constitutively active Lck and transfected with Zap70, or Zap70 mutants lacking the N-terminal SH2 domain (Zap70DeltaN–SH2) or the C-terminal SH2 domain (Zap70DeltaC–SH2). Bottom, binding affinity, determined by the ratio of bound to total HA–RhoH. (d) Flow cytometry of thymocytes from Rag2-/- recipient mice 9 weeks after transplantation with wild-type bone marrow cells (open bars) or with Rhoh-/- bone marrow cells transduced with a retroviral vector expressing EGFP (light gray bars) or coexpressing EGFP and either RhoH (filled bars) or RhoHF73F83 (dark gray bars). None, no bone marrow transplanted. Number of cells in the CD4+ or CD8+ SP subset is calculated as (frequency) times (total thymocytes). Data represent mean plusminus s.d. (n = 4–6 mice per transplant group). (e) Immunoblot analysis of HA–RhoH and HA–RhoHF73F83 or beta-actin (loading control) in EGFP+ thymocytes isolated from the Rag2-/- recipients in d. Bottom, EGFP chimerism and mean fluorescence intensity (MFI) of thymocytes from individual recipient mice. Data are representative of more than three experiments.



Full FigureFull Figure and legend (47K)
ITAMS mediate RhoH function in thymocyte development
Rhoh-/- mice and mice lacking Zap70 share phenotypic similarity in that both genotypes have thymocyte differentiation blocked at the DP stage associated with defective TCR-mediated selection and signaling16. To further verify that normal thymocyte development is dependent on the interaction of RhoH with Zap70, we assessed the ability of the RhoHF73F83 mutant to restore Rhoh-/- T cell reconstitution in Rag2-/- recipient mice. RhoHF73F83 transgenic expression in adoptively transferred bone marrow cells was unable to fully 'rescue' the Rhoh-/- thymocyte developmental arrest. Mice that received the RhoHF73F83-transduced Rhoh-/- bone marrow cells had significantly fewer CD4 SP or CD8 SP thymocytes at 9 weeks after transplantation than did mice that received wild-type or RhoH-transduced Rhoh-/- bone marrow cells (Fig. 5d). The phenotypes occurred despite the similar donor cell chimerism and transgene expression of the transduced thymocytes (Fig. 5e). The impaired in vivo function of RhoHF73F83 associated with its lower binding to Zap70 suggested that RhoH function in thymocyte development is dependent in part on ITAMs, supporting the physiological relevance of the interaction between Zap70 and RhoH.

Rhoh-/- thymocytes are defective after TCR engagement
TCR engagement triggers the recruitment of Zap70 to the TCR complex at the cytoskeleton-enriched plasma membrane, leading to activation of Zap70 and the Zap70-induced 'downstream' kinase cascades13, 14. Given the functional interaction of RhoH with Zap70 in thymocyte development and the known involvement of Rho GTPases in cytoskeleton rearrangements in many mammalian cell types, we hypothesized that RhoH may be involved in recruitment of Zap70 to the plasma membrane. To test that, we examined the subcellular localization of Zap70 in wild-type and Rhoh-/- thymocytes. Without stimulation with anti-CD3epsilon, there was substantial Zap70 in wild-type thymocytes in the soluble cytoplasm-containing (S100) and detergent-soluble membrane-containing (P100) fractions and little in the detergent-insoluble cytoskeleton-containing fraction (Fig. 6a). In the resting Rhoh-/- thymocytes, there was much less Zap70 in the P100 fraction and it was barely detectable in the cytoskeleton fraction. Stimulation with anti-CD3epsilon further increased the translocation of Zap70 to the cytoskeleton fraction in wild-type thymocytes. That recruitment was almost completely blocked in Rhoh-/- thymocytes. In contrast to loss of Zap70, loss of RhoH had little affect on the subcellular distribution of CD3zeta, which we detected in the P100 and cytoskeleton fractions. These results suggested that RhoH is required for the proper localization of Zap70 to the plasma membrane and cytoskeleton fractions in thymocytes.

Figure 6. Rhoh-/- thymocytes have impaired translocation of Zap70 to the plasma membrane and the immunological synapse and reduced phosphorylation of Zap70, CD3zeta and p42-p44.
Figure 6 thumbnail

(a) Immunoblot of lysates of wild-type and Rhoh-/- thymocytes left unstimulated (0) or stimulated anti-CD3epsilon (10). Lysates were separated by centrifugation into the soluble S100, detergent-soluble P100 and detergent-insoluble cytoskeleton fractions. (b) Fluorescence microscopy of p14 TCR–transgenic CD8+ splenocytes transduced with EGFP–RhoH and conjugated for 5 min with CH.B2 cells preloaded with gp33 peptide, then fixed and stained with anti-Zap70 (red). Differential interference contrast (DIC) images show antigen-specific T cell–APC conjugates. EGFP–RhoH and Zap70 are localized together in the immunological synapse (yellow; arrowheads). (c) Fluorescence microscopy of thymocytes from p14tg/+Rhoh+/+ (WT) or p14tg/+Rhoh-/- transgenic mice, conjugated and stained as described in b. Zap70 is recruited to the immunological synapse in wild-type cells (arrowheads). (d,e) Immunoblot of phosphorylated and unphosphorylated Zap70 and CD3zeta (d) or phosphorylated and unphosphorylated p42-p44 (e) in lysates of freshly isolated wild-type and Rhoh-/- thymocytes left unstimulated (0) or stimulated anti-CD3epsilon (10). Data are representative of three experiments.



Full FigureFull Figure and legend (95K)
Zap70 is recruited to the cell-cell contact area of T cells and antigen-presenting cells (APCs), known as the 'immunological synapse'; this is a critical step for TCR-mediated tyrosine kinase signaling in T cell activation33, 34. We next examined the function of RhoH in the recruitment of Zap70 to the immunological synapse by immunofluorescence staining using an EGFP–RhoH fusion protein and anti-Zap70 in T cells from p14tg/+Rhoh+/+ or p14tg/+Rhoh-/- transgenic mice, which can be activated by conjugation with APCs preloaded with gp33 peptide (glycoprotein 33 epitope of lymphocytic choriomeningitis virus). In the absence of APCs, EGFP–RhoH was present in the cytoplasm and on the cell membrane of normal T cells, whereas Zap70 was present mainly in the cytoplasm (Fig. 6b). After conjugation of T cells with APCs, Zap70 was translocated to the immunological synapse, where it is localized together with EGFP–RhoH (Fig. 6b,c, arrows). In contrast, recruitment of Zap70 from the cytoplasm to the immunological synapse after APC conjugation was defective in Rhoh-/- thymocytes (Fig. 6c) and spleen T cells, which had normal expression of TCR (Supplementary Fig. 4 online). The immunofluorescence data, complementing the biochemical results reported above, further suggested that RhoH is critical for TCR activation–dependent Zap70 membrane recruitment.

Consistent with the defective plasma membrane translocation, there was less phosphorylation of Zap70 at Y319, which is important for Zap70 activation35, in Rhoh-/- thymocytes and spleen T cells than in wild-type cells, after stimulation with anti-CD3epsilon (Fig. 6d and Supplementary Fig. 4). The lower phosphorylation of Zap70 in Rhoh-/- T cells was associated with defective phosphorylation of the membrane adaptor Lat and p42-p44 mitogen-activated protein kinases (Fig. 6e and Supplementary Fig. 4), critical 'downstream' signaling molecules activated by Zap70 after TCR engagement15, 36. However, phosphorylation of p38 mitogen-activated protein kinase and the kinase Akt was not affected in Rhoh-/- cells (data not shown). Also, phosphorylation of CD3zeta was impaired in Rhoh-/- thymocytes and spleen T cells (Fig. 6d and Supplementary Fig. 4). We detected neither p21zeta nor p23zeta in Rhoh-/- T cells, in contrast to wild-type cells. Those data suggested that RhoH is an important intracellular regulator for activation of the CD3zeta-Zap70 signaling pathways.

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Discussion
Members of the Rho family of GTPases act as signal transducers through a variety of receptors critical for hematopoiesis and lymphoid cell development9, 37, 38, 39. RhoH has been linked to the regulation of proliferation and engraftment of hematopoietic progenitor cells9 and integrin-mediated adhesion in Jurkat cells10. Whether RhoH has a physiological function in those cells remains to be determined. Using a genetic approach, we have shown here that RhoH is essential for thymocyte positive selection and maturation. Loss of RhoH led to impaired pre–T cell transition from the DN3 to the DN4 stage and the transition of thymocytes from DP to SP, resulting in abnormally increased DN subpopulation and reduced SP subpopulations. That phenotype was the direct result of Rhoh deletion and was fully 'rescued' by re-expression of RhoH.

That developmental defect was also associated with less expression of CD5, CD69 and TCRbeta in Rhoh-/- thymocytes, which is regulated by TCR signaling40. Impaired TCR signaling in Rhoh-/- T cells was further demonstrated by less proliferation and less activation of kinase signaling cascades in response to TCR engagement. The moderately lower TCR surface expression on Rhoh-/- thymocytes may have contributed in part to the defective TCR signaling. However, Rhoh-/- spleen T cells with normal expression of TCR also demonstrated similar defects. Those results suggested that RhoH is required for intracellular TCR signal transduction. Thus, the lower TCR expression on Rhoh-/- thymocytes is probably a result rather than a cause of the developmental arrest and the defective TCR signaling.

Based on the phenotypes noted in Rhoh-/- thymus and peripheral T cells, we determined that RhoH serves as a positive regulator for thymocyte development and TCR signaling, although RhoH has been demonstrated to negatively regulate the tumor necrosis factor– and integrin-mediated pathways in Jurkat cells8, 10. RhoH activity was required for Zap70 localization in the plasma membrane and cytoskeleton fractions in the resting and TCR-activating states. Furthermore, recruitment of Zap70 to the immunological synapse at the interface of the T cell–APC conjugate was disrupted in Rhoh-/- T cells. As a result of that recruitment defect, there was less active phosphorylation of Zap70 at Y319 and of p42-p44 in Rhoh-/- cells. Mice lacking Zap70 also have developmental arrest of thymocytes at the DP stage associated with defective TCR-mediated selection and signaling16. Therefore, RhoH is important for T cell development, probably through the regulation of Zap70 membrane translocation and recruitment to the TCR for 'downstream' signaling activation. Notably, there was early pre–T cell arrest at the DN3 stage in Rhoh-/- mice but not in Zap70-/- mice, indicating that RhoH may also be involved in other signaling pathways regulated by Lck proteins41 and/or Vav proteins42, which are critical for early T cell development.

One important issue is how RhoH regulates Zap70 membrane translocation and recruitment to the TCR. Studies have suggested that the binding of peptide–major histocompatibility complex to the TCR stimulates sequential phosphorylation of the ITAMs of CD3zeta, resulting in the p21 and p23zeta isoforms28. Only the fully phosphorylated p23zeta is responsible for the SH2-dependent Zap70 interaction, whereas p21zeta binds weakly to Zap70 and is not able to activate Zap70 (ref. 43). The p23zeta isoform is not detectable in Rhoh-/- T cells after TCR engagement. That may explain the defective activation of Zap70 in Rhoh-/- cells, due to the lack of high-affinity binding to p23zeta. Lck is the main kinase responsible for phosphorylation of the ITAMs of CD3zeta44, and its activity is required for the transition of pre–T cells from the DN to the DP stage41, apparantly similar to RhoH protein. Further studies of the activity and subcellular localization of Lck in Rhoh-/- T cells will provide better understanding of the functions of RhoH in TCR-mediated Zap70 activation.

Our biochemical studies have also provided evidence of a second mechanism by which RhoH may regulate Zap70 membrane translocation and activation in T cells. We have shown that RhoH directly bound to the SH2 domains of Zap70. That interaction was greatly enhanced by tyrosine phosphorylation of the ITAMs of RhoH after TCR engagement. Notably, the ITAMs of RhoH were critical for its interaction with Zap70 and its function in thymocyte development. Those findings, along with the finding of a defective Zap70 membrane-recruitment phenotype associated with Rhoh-/- T cells, led us to propose that RhoH may be involved in the translocation of Zap70 to the TCR in the cytoskeleton-enriched and plasma membrane fractions through that interaction. In support of that hypothesis, we have shown that the EGFP–RhoH fusion protein was present in the cytoplasm and was also targeted to the plasma membrane in normal T cells, which is probably regulated by the C-terminal prenylation site CKIF8. Furthermore, immunofluorescence staining showed that RhoH was localized together with Zap70 in the immunological synapse, where the TCR subunits were present. Comparison of the ITAM consensus sequences in RhoH and CD3zeta has indicated that unlike CD3zeta, RhoH does not have a typical leucine or isoleucine residue at the '+3' position for high-affinity SH2 domain–dependent binding30, 32. Thus, it can be predicted that when both are fully phosphorylated and localized together with Zap70, CD3zeta would have higher affinity binding for Zap70 than would RhoH. Therefore, one possible function of RhoH is to shuttle intracellular Zap70 to the membrane-associated CD3zeta, leading to the effective, high-affinity interaction of Zap70 with p23zeta after TCR engagement. Indeed, we have shown that Zap70 immunoprecipitated together with RhoH in resting T cells, in contrast to the Zap70-p23zeta interaction, which we detected only in T cells stimulated with anti-CD3.

Notably, impaired recruitment of Zap70 to the p23zeta isoform has also been reported to be associated with defective TCR signaling in patients with common variable immunodeficiency with T cell defects19. T cells from those patients have normal expression of known TCR signaling components, including Lck, CD3zeta and Zap70, and the proteins expressed from alleles of those patients are competent in signaling assays in vitro. That would suggest that as-yet-undefined molecules are needed to mediate recruitment of Zap70 to the TCR. Given the phenotype of Rhoh-/- T cells, it remains a likely working hypothesis that RhoH serves as an adaptor molecule for the effective recruitment and activation of Zap70 in TCR signaling. RhoH may represent a new molecular target for the study of common variable immunodeficiency with T cell defects.

In summary, we have shown that RhoH is critical in normal T cell development and signaling. RhoH was required for full phosphorylation of CD3zeta, membrane translocation of Zap70 and subsequent activation of the Zap70-mediated pathways. In addition to its biological function in T cells, our biochemical evidence has shown that RhoH function is probably regulated by tyrosine phosphorylation of ITAMs, a mechanism not linked before to the physiological regulation of Rho GTPases. Given that RhoH belongs to the RhoE subfamily of Rho GTPases that are GTPase deficient and therefore lack regulation by the guanine nucleotide–exchange factors and GTPase-activating proteins8, this regulation may be critical for the biological activity of RhoH. Phosphorylation may be an important additional mechanism by which Rho GTPases are regulated45.

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Methods
Mice strains and genotyping.
The 129/Sv Rhoh-/- mice were generated by Targeting Laboratory. The entire coding region of mouse Rhoh is in its third exon; the targeting vector was designed to replace the third exon of Rhoh with a neomycin-resistance cassette. The genotypes of Rhoh gene-targeted embryonic stem cells and transgenic mice were determined by Southern blot analysis of DNA digested with SpeI using a 5' Rhoh genomic DNA probe or by PCR analysis with primers. The 129/Sv Rhoh-/- mice were crossed with wild-type or p14 TCR (Valpha2Vbeta8) transgenic mice on a C57BL/6J background to generate Rhoh-/- or p14tg/+Rhoh-/- compound mice. Mice used were littermates derived from backcross generations with an N of more than 2. The 129S6/SvEvTac-Rag2-/- mice were purchased from Taconic Animal Models. All animal experiments were approved by the Institutional Animal Care and Use Committee of the Cincinnati Children's Hospital Research Foundation (Cincinnati, Ohio).

DNA constructs.
For the transduction of bone marrow, primary T cells and Jurkat cells, the following mouse stem cell virus–based retroviral vectors were used: MIEG3 (empty vector), HA–RhoH9, HA–RhoHF73F83, generated by with QuiChange Site-Directed Mutagenesis Kit (Stratagene), and EGFP–RhoH, constructed as described46. For the production of GST–RhoH fusion proteins, a BamHI–EcoRI fragment of full-length Rhoh cDNA was subcloned into plasmid pGEX-2T (GE Healthcare Life Science). Full-length Zap70 cDNA and Zap70 cDNA with deletion of the SH2 domain were subcloned into pCDNA3 (Invitrogen) at the EcoRI and SalI sites from pGEM3Z-Zap70, pGEM3Z-ZapP70DeltaN–SH2 and pGEM3Z-Zap70DeltaC-SH2 constructs13. For the transfection of HEK293 cells, the following DNA constructs were used: HA–RhoH, pCDNA3-Zap70, pCDNA3-Zap70DeltaN–SH2 and pCDNA3-Zap70DeltaC–SH2, and pRc-CMV-ca-Lck.

Antibodies and GST fusion proteins.
Fluorescence-conjugated monoclonal antibodies to the following mouse antigens were used for flow cytometry: CD4 (RM4-5), CD8alpha (53-6.7), CD25 (7D4), CD44 (IM7), TCR beta-chain (H57-597), TCRgammadelta (GL3), TCR Vbeta8, TCR Vbeta5 (MR9-4), CD69 (H1.2F3), CD5 (53-7.3), Gr-1 (RB6-8C5), Mac-1 (M1-70), NK1.1 (PK136), Thy1.2 (53-2.1), CD45R–B220 (RA3-6B2), IgM (R6-60.2), BrdU (3D4) and Ter119 (Ly-76; all from Pharmingen). For immunoblot analyses, antibodies to the following were used: RhoH9 (B4998), Zap70 phosphorylated at Y319 (17a), phosphorylated tyrosine (4G10) and Lat (45; Pharmingen); hemagglutinin (3F10; Roche); beta-actin (AC-15; Sigma); CD3zeta (6B10.2; Santa Cruz Biotechnology); and Lat phosphorylated at Y191 (3584), Zap70 (99F2), phosphorylated p42-p44 (Thr202-Tyr204; 197G2) and p42-p44 (9102; Cell Signaling Technology). Primary antibodies were detected with the secondary antibodies horseradish peroxidase–conjugated goat anti-mouse (7076) or goat anti-rabbit (7074; both Cell Signaling Technology), or donkey anti-rat (sc-2956; Santa Cruz Biotechnology) using enhanced chemiluminescence detection (Cell Signaling Technology). GST fusion proteins were expressed in Escherichia coli BL21 (DE3) cells and were purified according to the manufacturer's recommendations (GE Healthcare Life Science). Purified GST fusion protein lysates were incubated for 1 h at 4 °C with glutathione–Sepharose 4B beads. Bead-bound GST fusion proteins were separated by SDS-PAGE and were quantified by Coomassie blue staining.

T cell preparation and activation.
Single-cell suspensions were generated from thymus and spleen. Total cells were counted with a Z1 Coulter counter (Beckman Coulter) or a hemocytometer. Cells were stained with fluorescence-conjugated antibodies for flow cytometry as described47. For isolation of CD3+ T cells without stimulation of the cells with anti-CD3epsilon during purification, splenocytes were labeled with fluorescein isothiocyanate–conjugated antibodies to mouse antigens, including CD45R–B220, Gr-1 and Ter119, for negative selection with anti–fluorescein isothiocyanate magnetic beads, according to the manufacturer's recommendations (Miltenyi Biotec). For TCR activation, thymocyte samples containing more than 90% DP cells or CD3+ T cells (more than 90% purity) were incubated on plates precoated with purified anti–mouse CD3epsilon (2c11; 25 mug/ml; Pharmingen) as described48.

Mouse bone marrow transduction and transplantation.
Retrovirus-mediated transduction of mouse bone marrow cells was done by published methods49. Prestimulated low-density bone marrow cells were infected with high-titer retrovirus supernatant on fibronectin-coated plates. Retrovirus supernatant was generated in the phoenix-gp cells with a mouse stem cell virus–based retroviral vector coexpressing EGFP and HA–RhoH as described50. EGFP+ sorted cells were transplanted by intravenous injection into the sublethally irradiated (300 rads with a 137Cs irradiator) Rag2-/- recipient mice. At 9 weeks after transplantation, thymus, peripheral blood, bone marrow, spleen and lymph nodes from each recipient mouse were collected for analysis of EGFP+ chimerism and hematopoietic lineage by flow cytometry. Expression of HA–RhoH and HA–RhoHF73F83 in EGFP+ sorted thymocytes of recipient mice was confirmed by immunoblot analysis.

Proliferation and apoptosis assays.
An in vivo BrdU (5-bromo-2'-deoxyuridine) incorporation assay was done as described9. Mice were fed 1 mg/ml of BrdU (Sigma) for 36 h and then were killed for thymus collection. Thymocytes from each mouse were stained with anti-CD4, anti-CD8, anti-CD25, anti-CD44 and anti-BrdU for proliferation analysis or with annexin V (550474; Pharmingen) for apoptosis analysis (all from Pharmingen) and then were analyzed by flow cytometry. For in vitro proliferation assays, equal amounts of CD3+ cells isolated from wild-type and Rhoh-/- splenocytes were plated in 96-well culture plates without precoating or precoated with the 2c11 mAb to mouse CD3epsilon (Pharmingen) in medium containing 10% FCS (HyClone). After 48 h, cells were incubated for 18 h with 1 muCi/well of [3H]thymidine (GE Healthcare Life Science). Incorporation of [3H]thymidine was measured with a scintillation counter (Beckman).

Semiquantitative RT-PCR.
Total RNA was isolated from freshly isolated thymocytes. Then, cDNA was prepared with the M-MuLV reverse transcriptase and random primers according to the manufacturer's recommendations (New England Biolabs). Semiquantitative PCR analysis of Tcrb VDJC (where 'C' is the constant region) and Cd3e cDNA was done as described51. [32P]dCTP (GE Healthcare Life Science) was incorporated into PCR products for semiquantitative detection by autoradiography.

Immunoprecipitation and immunoblot analysis.
Jurkat cells were transduced with the high-titer retrovirus supernatant as described above for bone marrow cells and then were sorted to obtain EGFP+ cells. HEK293 cells were transfected by the calcium phosphate method according to the manufacturer's instructions (Invitrogen). The immunoprecipitation assay was done as described48. Cells were lysed in Mg2+ lysis wash buffer (MLB) (Upstate) containing Complete Protease Inhibitors (Roche) and phosphatase inhibitors (1 mM Na3VO4 and 10 mM NaF). Then, 500 mug of cell lysate was immunoprecipitated with anti-Zap70 or anti-hemagglutinin and protein A–protein G agarose (Santa Cruz). The immunoprecipitates or 20 mug of cell lysates were separated by 12% SDS-PAGE and then were analyzed by immunoblot.

GST precipitation assay.
Jurkat cells were lysed in GST lysis buffer (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 10 mM MgCl2, 1% Nonidet-P40 and Complete Protease Inhibitors). Cell lysates were loaded onto columns of bead-bound GST fusion proteins. After columns were washed with GST lysis buffer containing 150 mM and 200 mM NaCl, bound proteins were eluted with GST lysis buffer containing 400 mM NaCl and SDS sample buffer, sequentially. Eluted proteins were detected by SDS-PAGE and Coomassie blue staining. Protein bands were identified with a Bruker Biflex III MALDI-TOF mass spectrometer (SpectroREADER; Sequenom) and Protein Mass Fingerprinting Mascot search (Matrix Science).

Subcellular fractionation.
Cells were lysed by brief sonication on ice in a buffer of 250 mM sucrose, 20 mM Tris, pH 7.8, 10 mM MgCl2, 1 mM EDTA, 1 mM Na3VO4, 10 mM NaF and Complete Protease Inhibitors. Lysates were centrifuged to remove nuclei and debris (900g for 5 min at 4 °C). The P100 and S100 fractions were separated by centrifugation for 30 min at 100,000g. Membrane fractions were made soluble with MLB (Upstate) plus protease and phosphatase inhibitors. After centrifugation for additional 30 min at 100,000g, the detergent-insoluble cytoskeleton-containing fraction was resolved by 0.5% SDS-PAGE.

Retroviral transduction in primary T cells.
Splenocytes were isolated from p14 TCR–transgenic mice. Isolated splenocytes were labeled with fluorescein isothiocyanate–labeled anti–mouse CD8 for positive selection with anti–fluorescein isothiocyanate microbeads according to the manufacturer's recommendations (Miltenyi Biotech) to obtain CD8+ T cells. CD8+ T cells were cultured in Iscove's modified Dulbecco's medium plus 10% FCS supplemented with recombinant mouse interleukin 2 (10 ng/ml; Peprotech) and 50 muM beta-mercaptoethanol on tissue culture plates precoated with mAb to CD3epsilon (Pharmingen). For transduction, a published centrifugation method was used52. Cells were resuspended in retroviral supernatant containing interleukin 2 and protamine sulfate (4 mug/ml) and were centrifuged for 2 h at 30 °C at 2,400g on plates coated with mAb to CD3epsilon. The transduction process was repeated five times. EGFP+ T cells were isolated with a FACSVantage (BD Biotechnology).

T cell–APC conjugation and immunofluorescence staining.
CHB.2B cells53, a B cell lymphoma line used as APCs, were preloaded for 12 h with 1 mug/ml of gp33 peptide. Preloaded CHB.2B cells were plated on coverslips coated with poly-L-lysine. Equal amount of freshly isolated thymocyte samples containing more than 80% DP cells or the transduced and sorted EGFP+CD8+ T cells from wild-type and Rhoh-/- p14 transgenic mice were then added onto the coverslips. After 5 min, cells were fixed with cytofix buffer (BD Biosciences) and were stained with anti-Zap70 (Upstate) followed by Alexa Fluor 555–conjugated mouse immunoglobulin G antibody. Stained cells were mounted for fluorescence imaging analysis with a fluorescence microscope equipped with a 40 times objective lens and a deconvolution system (Leica) 'driven' by Openlab software (Improvision).

Statistical analysis.
Statistical significance was determined by Student's t-test. Data with a P value of less than 0.05 were considered significant.

Note: Supplementary information is available on the Nature Immunology website.

Author Contributions
Y.G. designed and did experiments and wrote the draft of the paper; H.-D.C. did experiments; J.E.S. and A.C.J. assisted in experiments; D.A.H. provided advice and directed some experiments; and D.A.W. provided oversight for all experiments, designed experiments and edited the draft paper.

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Received 11 May 2006; Accepted 25 August 2006; Published online: 8 October 2006.

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Acknowledgments
We thank D. Schumann and Y. Yuan (Genome Research Institute, University of Cincinnati, Cincinnati, Ohio) for assistance with mass spectrometry analysis; A.S. Shaw (Washington University School of Medicine, St. Louis. Missouri) for the pGEM3Z-Zap70, pGEM3Z-Zap70DeltaN-SH2 and pGEM3Z-Zap70DeltaC-SH2 constructs; C.T. Baldari (University of Siena, Siena, Italy) for the constitutively active Lck construct; P. Marrack (National Jewish Medical and Research Center, Denver, Colorado) for breeding pairs of p14 lymphocytic choriomeningitis virus TCR–transgenic mice; S. Li, J. Bailey and V. Summer (Cincinnati Children's Hospital, Cincinnati, Ohio) for technical assistance; and Y. Zheng for discussions and critical comments on the manuscript. Supported by the National Cancer Institute (KO1 CA107110 to Y.G.) and the US National Institutes of Health (RO1 DK62757 to D.A.W. and RO1 CA113969).

Competing interests statement:  The authors declare that they have no competing financial interests.

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