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Doctoral Thesis

Study of selected molecular and cellular aspects of autoimmunity Author(s): Bättig, Patrick Publication Date: 2004 Permanent Link: https://doi.org/10.3929/ethz-a-004779074

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ETH Library

DISS. ETH Nr. 15574

Study

of selected molecular and cellular of

aspects

autoimmunity

A dissertation submitted to the

SWISS FEDERAL INSTITUTE OF TECHNOLOGY ZURICH For the

degree

of

Doctor of Sciences

presented by PATRICK BÄTTIG

Dipl.

Natw. ETH

Born 15th Citizien of

Accepted

May 1974

Hergiswil

on

b. Willisau, LU

the recommendation of

Prof. Dr. S. Werner, examiner Prof. Dr. H.M.

Eppenberger,

co-examiner

Dr. M.F. Bachmann, co-examiner

2004

I

Table of Content

TABLE OF CONTENT

SUMMARY

1

ZUSAMMENFASSUNG

3

INTRODUCTION

5

1.

1.1.

T cell

1.1.1.

2.

3.

5

T CELLS

7

receptor

Genes

the T cell

encoding

1.2.

T cell

1.3.

T cell activation

1.4.

Cytotoxic

1.5.

THi

1.6.

Regulatory

9

receptor

12

development

14

17

lymphocytes (CTL)

T

20

TH2

versus

23

T cells

25

DENDRITIC CELLS 2.1.

Dendritic cell

2.2.

DC function

26

development

27

2.2.1.

Capturing

2.2.2.

Processing

2.2.3.

Migration

2.2.4.

Interaction with T cells

of the

to the

29

antigen

of the

antigen

lymphatic

and

loading

on

to the MHC class molecules

33

organs

36 40

AUTOIMMUNITY

3.1.

Central Tolerance

3.2.

Peripheral

3.3.

Mechanism

41

43

Tolerance

leading

to

45

autoimmunity

45

auto-antigens

3.3.1.

Release of isolated

3.3.2.

Breakdown of T cell anergy

3.3.3.

Chemical Alteration of

3.3.4.

Defective Activation-Induced cell death

3.3.5.

Defective T cell-mediated

3.3.6.

Molecular

Mimicry

47

3.3.7.

Polyclonal

Activators

48

3.3.8.

Exposure

3.3.9.

Genetic Factors

of

Cryptic

45 46

Self-Peptides (AICD)

suppression

Self and

epitope spreading

RESULTS 4.

46 47

48 49

50

EXPRESSION CLONING IDENTIFIES THE CC-CHEMOKINE CCL19 AS

POTENT ACTIVATOR OF DENDRITIC CELLS 4.1.

Abstract

50 51

II

Table of Content

4.2.

Introduction

52

4.3.

Material and Methods

54

4.3.1.

Mice

54

4.3.2.

Construction of normalized cDNA libraries

54

4.3.3.

Generation of

protein library

55

4.3.4.

Preparation

4.3.5.

Functional

4.3.6.

RT-PCR

4.3.7.

Expression

4.3.8.

CFSE in vitro

4.3.9.

Staining

4.3.10.

Induction of

4.4. 4.4.1.

of dendritic cells and T-cells

55

expression screening of DC maturation factors of

rescue

and

55

56

positive supematants

purification

of the recombinant

56

proteins

proliferation assay

57 57

for FCM and ELISA

experimental

autoimmune

57

myocarditis

59

Results Functional

cloning

of CCL19

as

inducer of T cell

proliferation

in DC-T

59

cell mixed culture assays 4.4.2.

CCL19 induces maturation of dendritic cells

4.4.3.

Purified CCL19 enhances

proliferation

61

of T cells in the DC-T cell

co-

culture system 4.4.4.

CCL19 induces

production 4.4.5. 4.5. 5.

62

of

cytokines

Induction of

up-regulation of co-stimulatory

molecules and the

in DCs

64

autoimmunity by CCL19-stimulated

66

DCs

DISCUSSION

68

INDUCTION OF AUTOIMMUNITY AS A FUNCTION OF EPITOPE STRENGTH

AND IMMUNE REGULATION

70

5.1.

Abstract

71

5.2.

Introduction

72

5.3.

Materials and Methods

74

5.3.1.

Mice viruses and cell lines

5.3.2.

Peptides, oligonucleotides, peptide-loaded tetramers,

74 rat anti-mouse

CD40, anti-CD25 Abs and VLPs 5.3.3.

In vitro and in vivo activation of

5.3.4.

In vivo CTL assay

5.3.5.

Assessement of

5.4.

p33-specific

CD8+ T cells

75 75

autoimmunity

Results

76 77

5.4.1.

Generation of VLPs

77

5.4.2.

Weak in vivo

79

5.4.3.

Anti-viral

5.4.4.

Induction of

5.5. 6.

74

containing p33 variant epitopes cross-reactivity of the peptides

protection by

cross-reactive T cells

autoimmunity

Discussion

81 83

86

ORIGINAL ANTIGENIC SIN FOR T CELLS: ANALYZED IN A VIRAL

INDEPENDET MODEL SYSTEM

88

6.1.

Abstract

89

6.2.

Introduction

90

III

Table of Content

92

Materials and Methods

6.3.

92

6.3.1.

Mice viruses and cell lines

6.3.2.

Peptides, oligonucleotides, peptide-loaded

92

tetramers and VLPs

93

Results and discussion

6.4.

ENHANCED APOPTOTIC ACTIVITY OF A STRUCTURALLY OPTIMIZED

7.

98

FORM OF GALECTIN-1

99

7.1.

Abstract

7.2.

Introduction

100

7.3.

Experimental procedures

102 the

sequence of the dimeric and

102

7.3.2.

eukaryotic expression plasmids containing wild-type galectin-1 and purification of the recombinant proteins Expression

102

7.3.3.

Nondenaturing gel electrophoresis

7.3.4.

Reduction

7.3.5.

Hemagglutination assay Measurement of apoptosis by Annexin-Cy5 staining

Construction of

7.3.1.

7.3.6. 7.4.

by acetylation

103

and oxidation of the recombinant

103 104 105

Results

7.4.1.

Dimerized

galectin-1

is still

efficiently

secreted via the unknown

non-

105

and does not form tetramers

classical

pathway

7.4.2.

Covalent dimerization of

activity

galectin-1 strongly

increases the

agglutination 107

protein.

of the

103

proteins

galectin-1 dimers are active and kill thymocytes ten times 109 more efficiently wild-type form. 7.4.4. Covalent galectin-1 dimers kill activated splenocytes more efficiently 112 than the wild-type protein 7.4.3.

Covalent

than the

115

DISCUSSION

7.5.

120

GENERAL DISCUSSION

120

DENDRITIC CELLS AND AUTOIMMUNITY

8.

immunity:

DCs

provide

8.1.

Tolerance

8.2.

Role of DCs in the induction of

8.3.

DCs in various autoimmune disorders

8.4.

Therapeutic

versus

the

120

key

121

autoimmunity

122 123

outlooks

125

MOLECULAR MIMICRY AND AUTOIMMUNITY

9.

APLs

9.2.

Regulatory T

9.3.

Molecular

strength

125

autoimmunity prevention

127

mimicry in autoimmune immune regulation sin:

right

T CELLS AND AUTOIMMUNITY

or

disease

as

function of

wrong, who decides?

signal 128 128 130

the killers

130

GENERAL OUTLOOK

130

10.1. 11.

cells in

Original antigenic

9.4. 10.

and

as

mimicry

model for molecular

9.1.

Killing

Table of Content

IV

REFERENCES

134

ABBREVIATIONS

171

PUBLICATIONS

173

ACKNOWLEDGEMENTS

174

CURRICULUM VITAE

176

1

Summary

SUMMARY system is

The immune

a

tool to

powerful

efficiently recognize non-self antigens, of

resulting

also in auto-reactive

mechanisms to avoid

important checkpoint of T cells

immunity. Given

one was

specificity.

suppress this

performed [1], seeking

to the

leading

maturation factor,

applied

to

investigations

identified. Further

orchestrating

The T cell

receptor

allowing differentiation

thymus. This leads a

is

one

trigger

to

a

of

p33 antigen

analyzed.

Whereas in TCR

as

revealed almost

no

model

from the

of

mouse

islet cells of the pancreas,

Strikingly

after

were

potent DC

a

reveal

adaptive

repertoire,

novel role

a

importance

immune

of

during

maturation in the

such

p33

versus

virus fused to

repertoire of wild-type and A4Y-APLs

APLs. However, the

virus-dependent

viral

immunization induced

were

system.

was

efficiently

cross-reactivity

protection. Analyzing

p33

is

expressed by

autoimmunity

depletion of regulatory T cells, APLs

removed from the

mice

An in vivo killer assay

prevalence.

no

are

Using altered peptide ligands

lymphocytic choriomeningitis TCR

system

where self-reactive T cells

induce diabetes. Thus, cross-reactive T cells fail to mediate T cells

a

prevent autoimmune diseases

model for diabetes in which

p33-VLP

Using

molecules and the

findings

selection

transgenic mice, only p33-

sufficient to lead to dose- and

APL-VLPs failed.

these

molecules in the

antigens, the

cross-reactivity

transgenic

alphaviral Delphi

an

co-stimulatory

central tolerance.

mice showed

recognized, wild-type

key

undergo negative

as

T cell

autoimmunity.

restricted TCR

particles

immunity

for novel maturation factors.

between self and non-self. To

virus-like

regulatory

checkpoints. One

at various

revealed that CCL19 is indeed

upregulation

of the

process described

derived from the

a

system therefore developed

immune responses and demonstrate the

the T cells

self-reactivity,

APLs in

generated randomly,

DC-T-cell-co-culture, the chemokine CCL19

a

DCs in the balance of self-tolerance and

was

for

pro-inflammatory cytokines. Altogether

for CCL19 in

eliminated,

auto-reactivity

importance of DC maturation

the

format assay

gene/well

due to

The immune

are

is the interaction of T cells with dendritic cells, since activation

screen was

secretion of

antigen receptors

tremendous

a

immature DCs results in tolerance while mature DCs may

by

technology

or

system generates

the immune

the

specificities. However,

diversity

In order to

fight intruding pathogens.

the

the ß-

whereas the were

autoimmunity

able to

unless the

2

Summary

Using

the

antigenic sin" during

inducing

model

studied.

was

system of p33

and APLs, the

Original antigenic sin

phenomenon

describes the

strong response against the original virus, but

a

"original

called

concept

that

infection, arising escape mutants evade the immune system by

viral

a

against

same

infection with the

virus and later

original

only

a

weak response

immunization with APL-VLPs simulated initial

experiment,

themselves. In the

no or

immunization mimicked escape

p33-VLP

mutant infection. To characterize the effector function of induced T cell responses,

mice

vaccinated

Interestingly,

challenged

were

initial

APL-VLP

generated by subsequent p33 the

with

prevented

immunization

vaccinia-p33

recombinant

a

protective

a

vaccination. Hence the results

are

virus.

response

in accordance with

concept of the original antigenic sin. Auto-reactive

Therefore the

T

cells

regulation

are

or even

interfere with immune responses, lectin

galectin-1

making acts

as

it

a

in

key players

the

elimination of these T cells would be

especially self-destructing

is known to induce

apoptosis

thymocytes

in

a

possibility

homodimeric molecule,

galectin-1

need for dimerization, two covalent dimer and the

galectin-1

are

proliferating

and

required

of this

to

an

attractive

candidate

for

were

activity.

galectin-1

a

for

To circumvent the

genetically

molecule

new

structurally optimized form of galectin-1 exhibited it

T cells,

is monomeric at concentrations below

monomers

apoptotic activity

to

immune responses. The

candidate for the treatment of autoimmune diseases. But since

1uM, high concentrations of the protein

making

autoimmunity.

of

development

ten-fold

linked to form

was

evaluated. The

increased

therapeutic

a

activity,

intervention.

3

Zusammenfassung

ZUSAMMENFASSUNG Das

eine

riesige

Pathogène.

Es

effizient

erkennen. Da die

zu

mächtiges Werkzeug

ist ein

Immunsystem erzeugt

Diversität

Spezifitäten

von

zu

um

fremde

verhindern oder

das

entwickelte

unterdrücken,

zu

Spezifitäten,

Antigene

zufällig generiert werden, ergeben

aber

sich auch solche mit Selbst-Reaktivität. Um das

Reaktivität

Kampf gegen eindringende

im

um

die Selbst-

verschiedene

Immunsystem

Mechanismen. Ein solcher Mechanismus wirkt bei der Interaktion zwischen T-Zellen

und

Interaktion der

Zellen, denn abhängig

dendritischen zu

Toleranz

Wichtigkeit

DC-Reifung

der

Technologie-Screen identifizieren. Ein

führte

zur

zeigen

um

In weiteren

für DCs ist, der

DCs

zu

auf DC-T-Zell-Kulturen,

potenter T-Zell-Proliferation-

gezeigt werden,

Hochregulierung

dass CCL19

aktivierenden

von

entzündungsfördernden Zytokinen führt.

Rolle

von

CCL19 bei der Kontrolle

Wichtigkeit

von

DCs im

neue

auf und betonen die

zur

für

von

Absonderung

eine

konnte

führt die

In Anbetracht

Reifungsfaktoren

neue

Untersuchungen

DC

alphaviraler Delphi-

Immunität wurde ein

des Chemokins CCL19 als

Reifungsfaktor

Molekülen und

für die

der

(reife DCs).

„Ein-Gen/Well-Format-Assay", angewendet

Induzierungsfaktor. wirklich ein

oder T-Zell Immunität

durchgeführt,

[1]

Identifizierung

zur

Befunde

(unreife DCs)

Reifungsgrad

vom

Gleichgewicht

von

Diese

Immunantworten

zwischen Toleranz und

Autoimmunität.

Rezeptor

Der T-Zell

ermöglicht

zu

verhindern, die

einem

zu

Autoimmunität führen kann, unterziehen sich die T-Zellen der

Selektion während der

Dieser Zustand

Peptid Liganden (APLs)

Choriomeningitis TCR

nur

von

p33-

solche

als

aus

im

als zentrale Toleranz bezeichnet. die

gebunden

vom

an

p33 Antigen

um zu

p33

einem

und APLs

Während

Dosis- und

Virus-abhängigem

des

Lymphocytic

Trotzdem

in

TCR-transgenen

zeigen Wildtyp-Mäuse

/n-wVo-Killer-Assay gefunden.

Mit veränderten

virus-ähnliche Partikel, wurde das

und A4Y-APLs effizent erkannt wurden, In

zu

dem die selbst-reaktiven T-Zellen eliminiert

Modell-Antigene,

Prävalenz.

Selektion führt

Thymus. Negative

Wildtyp-Mäusen analysiert.

Kreuzreaktivität zwischen

ausreichend,

wird

Virus abstammen,

Repertoire

Mäusen keine

Reifung

begrenzten TCR Repertoire,

wurden.

Adaptiven Immunsystem.

das Unterscheiden zwischen Selbst und Fremd. Um Selbst-Reaktivität

Er

negativen

ist eines der Schlüsselmoleküle im

wurde

war

Viren-Schutz

nur

wenig

die Kreuzreaktivität zu

führen. In einem

4

Zusammenfassung

führte

p33-VLP Immunisierung

Immunisierung.

Induktion

regulatorischen

T-Zellen

Zellen

nicht

zur

Eliminierung

der

Mit

von

Diabetes mit APLs

möglich.

Induktion

Autoimmunität

zu

Deshalb kann

man

T Zellen

regulatorischen

aus

dem

antigenic sin"

Immunisierung

schwache Antwort gegen

eine

nur

simulierte die Infektion mit dem

Immunisierung imitierte eine Infektion

System.

Konzept der "original

das

verhinderte

Mäusen

eine

vorangegangene

APL-VLP

den

p33 Immunantwort,

schützenden

„original antigenic sin" Selbst-reaktive Autoimmunität. Die

Möglichkeit,

T-Zellen

Regulation

gezeigt,

Zellen induziert.

Eine

von

aktiv ist und

es

um

ein

zu

stabiles

was

in

Immunisierung

zehnmal

der induzierten T-

Übereinstimmung

Errichtung

die

mit dem

Schlüsselspieler

sind

oder gar die

dass

es

Fähigkeit,

Eliminierung

in

Apoptose

die

es

zu

Autoimmunerkrankungen

einer

Konzept

zu

Dimer

zu

höhere

therapeutische Eingriffe

der

von

dieser T Zellen wäre eine

verhindern. Für das Lektin und

potentiellen

proliferierenden

Kandidaten für die

macht. Aber weil Galectin-1

hauptsächlich

T-

nur

als Dimer

als Monomer

vorliegt,

nötig.

Um das Problem der

wurden zwei Galectin-1 Monomere

genetisch verbunden,

bilden

Aktivität bei

Entwicklung

der

Thymozyten

einem

bei Konzentration unter 1uM

umgehen,

in

und

die

Apoptose-Aktivität

Molekül wurde untersucht. Diese strukturell verbesserte Version eine

p33-

Interessanterweise,

charakterisiert.

sind hohe Konzentrationen des Proteins für die Aktivität

Dimerisierung

Die APL-

Virus und die

Schutzwirkung

selbstzerstörische Immunantworten

um

selbst auslösen.

steht.

Galectin-1 wurde

Behandlung

sich

aber

mit einer Viren-Mutante. Durch die Infektion mit

geimpften

in

Antwort

Immunsystem

originalen Virus,

ursprünglichen

einem rekombinanten Vaccinia-Stamm wurde die Zell

die

braucht zusätzlich

es

der

dass kreuzreaktive T-

folgern,

dadurch enfliehen, dass sie eine starke Antwort gegen den oder

Entfernung

Infektion auftreten, dem

Viren-Mutanten die während einer viralen

keine

APL-VLP

sin" beschreibt das Phänomen, dass die

„Original antigenic

untersucht.

zur

erst nach der

war

gleichen p33/APL-Modellsystem wurde

dem

Gegensatz

im

Autoimmunität reichen,

von

exprimieren p33),

Zellen des Pankreas

transgenen Diabetes-Mausmodell (ß-lnsel

auf

und

ist

deshalb

Autoimmunerkrankungen.

ein

von von

diesem

neuen

Galectin-1 weist

attraktives

Molekül

für

5

Introduction

INTRODUCTION 1.T CELLS T cells the

cells

B

subset of cells

are one

they allow the

immune

pathogens. Additionally, they allows the with the

organism

same

to mount

pathogen. The

constituting the adaptive immunity. Together with

are a

system to specifically respond to various

able to form

stronger

T cell

an

and faster response to

repertoire

can

memory, which

immunological a

second infection

be subdivided in different

subtypes

(Figure 1).

Figure 1. are

T cell

subtypes:

In the

thymus

T cells

develop either

further subdivided into CD4+ and CD8+ T cells. After

in the

periphery

into T

helper cells type

1

periphery into cytotoxic T cells (CTLs). Tregs of the

Tregs develop

in the

can

can

be made

which is the definitive T-cell

or

the





or

T cells. The



the CD4+ T cells

thymus

T cells

develop

type 2 (TH2). The CD8+ T cells develop in the

be of either of the different

thymus and others arise

A first differentiation

(TCR),

(THi)

leaving

into

in the

by

subtypes

of T cells. Some

periphery.

the

expression of the

lineage marker.

There

are

T cell

two defined

receptor

types of

Introduction

TCR:

6

is

one

a

[2,3].

subunit

complex,

heterodimer of

Both

receptors

and form the TCR

blood T cells and their T cells

comprise the

expression of CD4 immune

subset

positive,

is

lymphocytes (CTL). molecules

and

associated with

are

(90-95%).

largest part of

T

the



cytokine production.

according protein

4

to the

(CTLA-4).

Whereas

cells

are

(IFN-y) secretion,

responsible

the

cells

populations

expression of surface

or

a

are

cytotoxic

named

MHC class II

major

by

expressing

can

markers

T cells

are

be further or on

the

subdivided

cytotoxic T-lymphocyte associated on

CD4+ T cells delivers same

ligands

on

a co-

antigen

negative regulatory signal [6]. or

Th2 cells according to their pattern of

characterized

by interleukin-2 (IL-2)

and interferon-

whilst TH2 cells secret IL-4, IL-5, IL-6 and IL-10. THi cells

for cell-mediated

T

A small subset of the aß and

All these

aß TCR

their

second, CD8

The

presented

antigens [5].

expressing

mainly helping inducing

(TH).

cells

of CTLA-4, which binds the

subdivided into THi

cytokine expression. Tm Y

negative".

either CD28

(APCs), provides

The TH cells

by

are

of the

distinguished by

therefore

and

engagement of CD28

stimulatory signal, engagement presenting

helper

recognize

example,

For

expression of

T cells

class I molecules

"double

are

further

are

the CD3

portion (5-10%)

recognize antigen presented by

cells

subdivided into functional subsets basis of

expressing

The CD4+ T cells

histocompability complex (MHC) the

The aß T cells

therefore called T

CD8+

minor

are a

y and 5

a

polypeptides,

function is still controversial, aß TCR

predominantly cytotoxic

the

set of five

a

T cells

complex [4]. yö

CD8. The CD4

and

responses

and ß subunit and the other consists of

physiological

rest

or

a a

immunity,

whereas Th2

are

responsible

are

for extracellular

immunity [7]. An additional subset of T cells

much

debate, reintroduced

regulate

as

were

initially

regulatory

immune responses and may be

T

predominant TregS

co-receptor (CD25). They

mediate their

[8,9].

like

transforming growth

cells

important

be of either subset, but the

cytokines

named suppressor T cells and, after

are

to

(Treg).

These

CD4+ T cells

(TGF-ß)

negatively

prevent autoimmunity. Tregs

regulatory function

factor-ß

cells

or

by

expressing

via the

can

the IL-2

secretion of

direct cell-cell interaction

7

Introduction

1.1.

T cell

important feature

antigen presented

of the

recognition

The

receptor

antibodies the TCR does not to be

processed

similarities. each

to shorter

both

They

generated by

subunit

[12].

a

a

to the

disulphide-linked

the

aß [2] a

The structure of the TCR

comprises

with

short

solved

cytoplasmic

TCR

tail

[13].

variability of the

TCR resides in the N-terminal domains of the

region of

regions,

the

greatest variability corresponds

also known

antigen binding

site

on

an

transmembrane

assembly the



antibodies

CD3

do

[4].

not

are

associated

The CD3

Interestingly,

a

a

and ß

polypeptides.

which is

These

are

to the

analogues

comprise positively charged residues these

residues

are

important

in

for the

transport of the TCR complex [16]. Both the aß and

physically with

components show

no

a

series of

amino acid

called y, 5,

e

and

the

Z, [17-20].

polypeptides, collectively

variability

Functionally

following antigen recognition by

polypeptides,

by

[15].

generate additional diversity.

transduction invariant

region.

and the intracellular

TCR

membrane

immunoglobulin hypervariable

MHC-antigen binding site

An unusual feature is that both subunits

the

(35-47 kDa)

complementary-determining regions (CDRs) [14].

to form

together

clustered

as

to

ß

The aß TCR

The amino acid sequence

peptide

The

[3].

immunoglobulin-like

plasma

transmembrane

a

are

by X-ray crystallography

extracellular into the

receptors

germline genes [10].

(40-50 kDa) and

was

two

clonally distributed;

And the

öy

and the

a

110 amino acids, anchored

domains of about

both

limited number of

a

heterodimer of

polypeptide chain

Each

are

specificity.

own

has

to the TCR.

Ig superfamily. They

receptor with its

antigen

antibodies and TCRs share many

Antigen recognition,

types of TCRs exist,

(Figure 2) [11].

and furthermore the

recognize free antigen

somatic recombination from

Two different

comprises

belong

has

lymphocyte

immune response. In contrast to

specific

a

peptides prior presentation

this difference in

Despite

guarantee

of T cells to

MHC class molecules is the most

on

CD3 TCR.

on

is

different T cells and

important

CD3

called

for

comprises

signal of four

8

Introduction

antigen binding

site

T T

Figure

chain of the T cell receptor and the each

variable and

a

antigen.

Furthermore

a

constant

they

contain

proteins

chains. The CD3 y, 5 and

e

negatively charged

proteins

region.

for the interaction with the

is the

chains

a

from the CD3

The variant

of the CD3 are

transmembrane domain and

each. The ITAM motifs contain

leading

to

a

signal

tyrosine

£

complex is composed of

and two

products of

sequences

only

can

be

a

5, two

£

important and two

TCR, and

small extracellular

an

ITAM

part, also

phosphorylated by specific

Ç

feature

part containing three ITAM

three

[23]. They

domain followed

by

a

closely

are

one

aß heterodimer,

Ç polypeptide chains. The CD3

heterodimers of Y£ and 5e and are

residues which

which is

one

interacts with the

intracellular

long

y,

site for the

binding

primary sequence. An important

chains contain a

and the ß chain contains

segment, one

5)

y and

(or

a

motifs

kinases

transduction to the nucleus.

The CD3-TCR chain and two

Ç

which

a

build up the

consists of

related in their

segment,

The

transmembrane

complex. CD3

closely

transmembrane

complex.

regions together

positively charged

sequence in the intracellular domain. The CD3

negatively charged

the a and the ß

receptor: The T cell receptor complex consist of

2. The T cell

a

homodimer linked

ÇÇ [21,22].

genes

members of the

which

chains

one are

y and

organized

The CD3 y, 5 and

are

related

in

their

Ig superfamily, each containing

transmembrane domain and

a

an

£

5

one

as

chains

primary external

highly conserved cytoplasmic

9

Introduction

tail. The transmembrane domains contain

important for

vitro mutation of these

complex [16]. tyrosine

The

The CD3

Ç

cytoplasmic

a

a

containing

tail

major difference

recognition

are



than

generally

MHC molecules at all

1.1.1.

The



impaired

Genes

not

Mutation

amino

are

experiments

essential for T-cell

are

antigen-MHC,

a

these motifs become

encoding

resistance to

to

such



TCR. The

as

epidermis,

intestinal

a

are

different

genetically

deficient

infections

to be

antigen

recognize

T cells

some

require antigens

the genes for the a,

mouse

chain locus. The

segments leading

epithelia,

T



bearing

are

peripheral

[32,33]. Some

presented by

classical

the T cell receptor

immunoglobulin heavy

segments [37]. In the

aß counterpart [30].

[34,35].

The diversication of the TCR gene

a

only

there may

Furthermore differences in function and

a

ß

ß,

y and Ö chains of the TCR is very

(Figure 3) [36].

chain

sets of V genes and J genes while the

of the

tyrosines

T cells showed that animals which

have

arrangement of

similar to the

the

Research to clear whether

suggest that yö cells do

studies

[24]. Altogether

TCR is similar to that of its

tongue [31].

proposed.

antigen

cells

negatively charged

three ITAMs

especially

abundant in various

are

uterus and



with

is their distinct anatomical locations. 95% of the

epithelium,

in

Ç

majority of the TCR-expressing thymocytes

T cells

classes of

chains consist of

The

within minutes.

The overall structure of the

yö TCR

[26].

segment,

After the TCR is bound to the

[28,29].

cells and the

immuno-receptor

present in the CD3 complex. The tyrosine residues in these motifs

phosporylated

The

one

assembly of the

different chromosome than the other CD3

transmembrane

have shown that the ITAMs and activation

a

phosphorylation by specific protein kinases [27].

for

target

part,

on

unrelated to them

large cytoplasmic

be 10 ITAMS a

the

prevents

(ITAMs) [24,25].

structurally

small extracellular

are

amino acids from the TCR. In

tail of each of the chains carries

gene is encoded

subunits and it is

amino acids

negatively charged

activation motif

acids and

positively charged

the interaction with the

amino acids which

negatively charged

The

a

and y chain have

and 5 loci have sets of V, D and J genes.

occurs

by

recombination between V, D and J

the 5 chain locus is embedded between the V and J loci chain locus carries about 100 different V and also J

great diversity.

The

ß

chain locus and ö chain locus contain

Introduction

10

joins.

segments, which allow

D

additionally

The fact that the D

diversity.

some more

segments

a

are

V-D-J

but also V-J

arrangement

used in all three different

The y chain locus is

arranged similar

locus, with four C genes, each associated with

V-D-D-J

frames adds

antibody light

to the

J gene, and

one

reading

or

one

chain

to four V genes

[38]. mouse

TCR a-chain and 5-cham DNA

LVa1

LVa2

LV„n

{chromosome 14)

LV„1

L

Vgrt //

mouse

v

=

=

Figure

TCR

ß-cham

Il

H

C6

3. Genes

ß

encoding the

T cell

and 5 chain DNA. The

a

chain

(also

recombination to build the variable

V-D-D-J-C

V(D)J

3.

on

join.

region

the surface. The

region.

ß

has sets of V and J genes, which

y)

the

chain

The

(or 5)

product

The locus for the 5 chain is embedded in the

recombination

is

tightly

in

regulated

the recombination at TCR and of

rearrangement

example,

limited

is

are

limited

regulated temporally

TCRß

rearrangement

rearrangement, which one

loci is mediated

TCRs

rearrangements of Ig genes recombination is

Ig

of two alleles

allelic exclusion

occurs

in DP

to

and in

occurs

B a

in

T

a

the cell

can

same

cells,

functional

V-D-J-C,

a

V-J-C

recombinase

whereas

[39].

lymphocyte

specificity. Although

the

complex, complete

Within the cell

stage-dependent DN

a

of

sets of D genes,

of

context

and allele

the

be

are

chain locus.

the

cells

additionally

manner

in

a

lineage,

[40].

before

thymocytes

thymocytes. Moreover,

usually undergoes

(Figure 4) [39].

to

by

on

has

are

product

of the a chain. T cells express the

development, exhibiting lineage, developmental stage,

as

t

receptor: (adapted from Immunology, Janis Kuby) Shown

which allows further variation of the variable

only

C„

Jan

Jn1J„2

DM H-a

6)

functional V-J-C recombination

the

V55

L

enhancer

rearranged by

or a

Jb1 J52

pseudogene

the TCR a,

a

DNA (chromosome

Da1D„2

For

TCRa

given lymphocyte,

rearrangement,

a

process known

Introduction

11

LV„1 German» »chain DNA

LVan

LV51

LVj»

Dj-ID^

Js1 J«2

HJM~4JBHflH{HHHI

5'

Ca

Vs5

L

Cn

J„n

Ja1Ja2

H"HHMHH—1

WÊt~

3'

^ L

Rearranged

Protein

L

V„1

V„2

L

V„

J„

J„r>

C,

a-chain DNA

product aß heterodimer

Cfi2

L

Germ-Hneß-chamDNA

Janis

4. Gene

Kuby)

L VRn

VR1

rearrangement yielding a

-JH1-

Dpi

Cp1

chain

undergoes

Added to the V-J is the C

region joinings: First

a

a

D to J

and

possible.

The

functional

variable V-J

segment building

a

the V to

recombinations

are

tightly regulated

in the context of T cell



TCR

rearrangement

Or is

a

as

diversity

chain. The

ß

mentioned

dependent

development, lineage

is achieved

to the variant

on

cells. However, the

are

different

rejected owing

2.9x1020 possible in

a

life-time of

L V„14

to

are

coding

[41].

two variable-

also VJ

VDDJ

or

products

and is

specificity.

and allele

provides additional immunoglobulin

only by rearrangement

of TCR genes. This may

recognition of MHC by T was

estimated that about

possible. And assuming that 99 % of the sequences

for

auto-antigens

or

other defects, this would still

murine TCRs, and this with less than

a mouse

Immunology,

of the a chain.

undergoes

the RAG gene

generated diversity is tremendous. It

aß TCRs

chain

from

region

alternatively

be linked with the need to maintain tolerance to self and

2.9x1022

C„2

receptor:(adapted

joining, leading

complete DJ.

T cell

In contrast to B cells where somatic mutation

diversity,

-J«2-

Dp2

^M'~-\W^^MmM-m^Hm¥m-^t^Ê-

,

The

VB14

-ö»-iJHIr-E3HHr

Rearranged ß-chain DNA

Figure

L

109

T cells

leaving

the

give

thymus

12

Introduction

1.2.

T cell

development

Lymphoid progenitors (BM)

via the blood to the

migrate

and

for B cell

[42-44]

negative (DN;

no

arise from

further subdivided

CD8),

according

thymus they

In the

thymus.

and natural-killer-cell

CD4 and

stem cells in the bone

hematopoietic

loose the

development [45]. The result is

committed T cell precursor. DN

to their surface

expression of

marrow

potential a

thymocytes

double can

be

CD44 and CD25: DN1,

CD44+CD25-; DN2, CD44+CD25+; DN3, CD44-CD25+; and DN4, CD44-CD25-

(Figure 5) [46]. T cells

can

either express the

starts from DN3 cells

encoded of

a

by

a

and

a

or

aß TCR. The aß is the

DNA-rearrangements,

RAG2) dependent [50,51].

associated with

proximal signal

a

collection of

transduction

development [53].

chain

pre-TCR-a

non-rearranging locus, pairs

set of somatic

(RAG1

expressing



[47-49].

more

The Pre-TCR-a chain,

with the TCR ß chain, which is the which

are

Recombination

Active

At the T cell surface the

signaling

is

required

product

Activating genes

proteins (the CD3/Ç complex) that is

[52].

dominant and

pre-TCR-aß

is

involved in the

for further

thymocyte

Introduction

Figure

5. T cell

progenitors

development

from the bone

marrow

TCR, CD4 and CD8, and

thymocytes

can

in the

are

thymus: (adapted

arrive in the thymus.

be further subdivided into four and

Early

no

CD4 and

of differentiation

stages

[54])

Committed

committed T cells lack

negative (DN;

termed double

CD44+CD25+, DN3, CD44-CD25+;

from Gemain et al

lymphoid

expression of

CD8) thymocytes.

the DN

(DN1, CD44+CD25-; DN2,

DN4, CD44-CD25-). During the progression from DN2 to

DN4, the cells express the pre-TCR, which is composed of the non-rearranging pre-Ta chain and

rearranged

TCR

positive state, yields a

a

ß-chain. After successful pre-TCR

with

replacement

complete aß TCR.

high density

pre-TCR a-chain

The double

positives

with

then interact with cortical

peptides ligands. selection

the

signaling

induced

Insufficient

signaling

results in death

by

on

acute

apoptosis.

(positive selection). Thymocytes

a

TCR

CD4+ T cells. These cells then are

exported

T cells that emerge from

to the

chain, which

cells that express fate of the DP

the TCR with the

MHC-self-

signaling

antigen

in

a

initiates effective maturation

in MHC class I context become MHC class II context

develop

to

peripheral lymphoid sites.

ß selection

recombination at the TCR-a locus

epithelial

a

by neglect. Too much signaling promotes

binding antigen

CD8+ T cells, whereas those that express TCRs that bind

progress to the double

self-peptides. The

by the interaction of

Intermediate level of

that express

the cells

newly rearranged TCR

a

of MHC class I and II molecules associated with

thymocytes depends

negative

of the

expression,

a

undergo

they express the

some

cell divisions and after

mature aß TCR.

They

also start

14

Introduction

to express the

CD4+CD8+

co-receptor molecules

(DP; double-positive)

constitutes 90% of the T cells

positive

T

lymphocytes

are

death

(death by neglect,

molecules survive CD8 cells

migrate

cells. In the

[55].

to

epithelial

cells),

on

whether

into the medulla of the

In the medulla,

they bind

reactive T

lymphocytes

responsiveness

or

during

normal

cells

are

T cell other cell

or

are

to

these double-

programmed

single-positive

class I,

cell

CD4

respectively),

or

and

self-antigens

are

thymus (due

usually anergized

or

thymus

organs and wait for their

with

not

high affinity

cell death

programmed

not deleted in the

in the presence

auto-antigens

cryptic antigens, i.e., self-antigens

secondary lymphatic

1.3.

into either

exposed

via TCR-mediated

development)

thymus,

deleted via

are

MHC class II

tissues. The mature T cells leave the

lymphoid the

to

that

of the

population

thymus [56].

single-positive

(negative selection)

population of

whereas T cells that bind to self-MHC

of self-MHC molecules. Those T cells that bind deleted

a

cells that express MHC class I and II

(positive selection), differentiate

(depending

into

this immature T cell

region

recognize self-MHC

~90 % of the

developing

thymus

In the cortical

exposed

molecules. T cells that do not

CD4 and CD8

to low

present

suppressed

[57].

are

Auto¬

affinity binding in the

in the

thymus

peripheral

via the bloodstream and enter

appointment

with the DCs.

T cell activation

signaling

uses

the

types, including

signal

transduction

B cells. A

pathways

key principle

is the

that

are common

clustering

of

to many

receptors upon

ligand binding. This leads to activation of the associated tyrosine kinases which

phosphorylate tyrosine followed a

by

tails of the clustered

cytoplasmic

the recruitment of additional kinases and

cascade of activated kinases. These

transcription factors in

residues in the

signaling

which lead to the induction of

[58], [59] and [60]).

receptors,

signaling molecules, resulting

in

cascades result in activation of

specific

gene

expression (reviewed

Introduction

Figure

15

6. TCR-mediated

signaling: After ligation

of the TCR with

antigen-MHC complex,

kinase LCK gets activated and starts to phosphorylate the ITAM domains in the CD3

phosphorylation

of the ITAM allows other kinases like ZAP-70 the

phosphorylation

events these kinases

the linker for activated T cells

proteins, which leads

bisphosphate (PIP2)

into

factor

NF-AT.

transcription.

Simultaneously

C

(PKC),

transcription. converts

The

to AP-1

which

DAG

inositol

allows

initiates

activates

the

By

complex. trans-

or

The

auto-

molecules like

of SH2 motif

cleaves

tyrosine

containing

phosphatidylinositol

trisphosphate (IP3). Additionally

LAT

IP3 releases Ca2+ from intracellular stores leading to

NF-AT the

regulation inducing

co-stimulatory

after activation

events.

binding

(PLC-y). PLC-y

enzymes like calcineurin, which

phosphorylation

upregulation, leading kinase

reorganization

and

C

to them.

phosphorylate adapter

LAT allows the

phospholipase

diacylglycerol (DAG)

Ca2+- dependent

The

activated and start to

(LAT). Phosporylated

to the activation of

activation leads to actin the activation of

are

binding

the

to

enter

the

phosphorylates nucleus

Ras/Raf/MAPK

IL-2

pathway

to

transcription

turn

leading

to

on

gene

Jun/Fos

production. Additionally DAG activates protein

transcription factor NF-kB.

molecule CD28 is associated with the

phosphadtidylinositol (PI)

and

the

into

NF-kB

also

turns

phospinositide-3

on

gene

kinase which

phosphatidylinositol 3-phosphate (PIP),

a

16

Introduction

of PIP2. All the

preliminary stage with IL-2

of the most

as one

events end up in the nucleus

signaling

important gene products leading

The TCR is associated with the CD3 an

antigen-MHC complex by

involving tyrosine

kinases of the Src

and CD4

ligation

shown in

Figure

6.

kinases

including

phosphorylation [62,63]. activated T cells of Src

binding

which

then

and

Ç

chains of the CD3

steps schematically

series of

a

gets

by

activated

The

trans-

auto-

or

the linker for

phosphorylation of LAT allows

and a'so leads to actin

the

which leads to the

(SH2) containing proteins,

2

(PLC-y)

C

£

phosphorylates adapter proteins like

homology region

molecules

of the ITAMS allows the association with other

(LAT) (reviewed in) [64].

phospholipase

activation of

the ITAMS initiates

ZAP-70

of

with CD4 and

family, particularly Lck associated

Phosphorylation ZAP-70,

co-stimulatory

of

CD8, and fyn which phosphorylate the ITAMs in the y, Ö,

complex [61]. Phoshorylation of

Recognition

CD8.

or

comprise tyrosine phosphorylation,

events. The earliest events

signaling

initiates the

to auto-activation.

complex

the TCR and

inducing gene transcription,

reorganization

events

[65].

PLC-y signaling

initiates the

by

intracellular

(ER)

Calcineurin

phoshorylates

(NF-AT)

which

stores to activate

causes

the

transcription

jun,

which

immediate

acts with

early

complex,

which also

stimulatory

on

be initiated

can

get

[69,70].

such

transcription

factor NF-kB to the

it to

as

from

calcineurin.

[66]. Additionally

transcription

the

IL-2

by growth

activated

by

gene factor

[67]. Alternatively

the

receptor-bound protein

kinase

(PI-3K),

signals, specifically by

which

on

of fos

promoter AP-1 Ras/Raf/MAPK 2

association with the LAT molecule

molecule CD28, when cross-linked with B7 molecules

Phosphoinositide-3

Ca2+

releases

factor nuclear factor of activated T cells

pathway leading

the APC, also adds additional activation

converting

IP3

into

(PIP2)

bisphosphate

genes for cell division, and activation of the

NF-AT

pathway

downstream

its translocation to the nucleus. Meanwhile DAG activates

DAG also activates the Ras/Raf/MAPK and

further

to

calcium-dependent enzymes

kinase C, which then activates the

protein

leading

trisphosphate (IP3).

inositol

and

both

phosphatidylinositol

of

cleavage

diacylglycerol (DAG)

pathways

distinct

two

(Grb2)-SOS [68].

The

co-

the surface of

the activation of

a

phosphorylates phosphatidylinositol (PI)

phosphatidylinositol 3-phosphate (PIP),

a

preliminary stage of PIP2

17

Introduction

most

activated is IL-2. This allows the T cells to remain activated

important gene

autocrine stimulation since IL-2 receptor activation

is also induced upon T cell

get activation upon antigen recognition

in order to

requirements

still under debate.

it is known that

Although

single TCR-MHC/antigen

a

are

interaction is

sufficient, the exact amount of TCRs necessary to be triggered in order to

activate the T cell is unknown. The

were

classifiable in

virus

(LCMV),

properties

on

against pathogens, modern medicine

they

example after

myeloid

cells

are

important

also

on a

agonistic

an

essential defense

antagonistic

against intracellular pathogens, played

also very

responsible

important for

allogenic

for the destruction of Natural

in the defense

the clearance of tumor cells. In

killer

tissue

cells and also

(NK)

Most CTLs

are

recognize

CD8+ and

recognize antigen presented

peptides after

infection.

and

molecules

on

some

the

them

recognition by

by

cell

CTLs. For

of MHC class I molecules in infected cells,

T cells

lysis.

as

antigen

cytotoxic

T

class II molecules. The most

the surface and

on

Antigen specific CD8+

eliminate

mechanisms to avoid

I

grafts,

cytotoxicity. CTLs recognize specific antigens

role of CTLs is the elimination of virus infected cells.

cells

or

MHC class I molecule, but about 10% of MHC-restricted

CD4+ and

to activate

ability

[73,74].

mediate

MHC class

[75].

their

on

antigens

T cells,

lymphocytic choriomeningitis for

analyzed

were

transplantation.

cells express

these

is

MHC molecules.

presented by presented

organ

can

are

are

from

study of

bacteria. Besides the central role

some

CTLs

the

lymphocytes (CTL)

T

cytotoxicity

viruses and

including

T cells

Cytotoxic

p33 peptide

the

thereof

variants

and

Cell-mediated

cells

Especially

p33-specific

1.4.

requirements. By

antagonists, depending

and

agonists

T cell clones.

specific

story is further complicated by the fact that other

may influence the

stimulatory signals

for

expression

by

[71,72].

The exact

not

of genes in the nucleus. The

transcription

events induce the

signaling

All the

are

Several

Virtually

all nucleated

start to

present viral

then able to viruses

recognize

have

evolved

example, they reduce the expression

shown for the human

cytomegalovirus

18

Introduction

Figure 7.Cytotoxic antigen

on

T cell mediated

the surface of

perforin/granzyme pathway: the content of the vesicles

Ca2+-dependent

manner

a

killing: After

target cell,

it

can

cytotoxic

initiate

leading

to pores in the

target cell

apoptosis program

damage and impairs the repair mechanisms which lead caspase 8 induces the caspase cascade on

killing by

(CTL) two

has

recognized

and

the CTL and binds to Fas

leading

on

to

to

apoptosis

apoptosis.

the surface of the

non-self 1.

The

After activation,

perforin.

polymerizes

in

a

Through

these pores the

Granzyme

A leads to DNA

membrane.

in the cell.

a

pathways.

different

released into the cleft between the two cells. Perforin

granzymes enter the cell and start the

upregulated

T cell

containing granzymes

CTL carry vesicles

are

a

and the granzyme B, similar to

2. The Fas

-FasL-pathway:

FasL is

target cell. This initiates trimerization of

which Fas, allowing the association of transducing molecules like FADD. FADD recruits caspase 8,

gets activated by cleavage

and initiates the caspase cascade

The CTLs have evolved several different

target cells (reviewed in) [76]. Cells

Apoptosis

systematically

is

a

can

leading

pathways

die in two ways

-

to

by necrosis

highly ordered, physiological process,

cytoplasm [77].

of the

or

apoptosis.

in which the cells

are

integrity and cytochrome

Then the nuclear DNA is cleaved into

endonucleases. The cells detach from their

target cell.

to induce cell death in the

disassembled. Mitochondria lose membrane

C leaks into the

apoptosis

fragments by

neighbors and the cytoplasm

and the

19

Introduction

nucleus condense.

fragments

into condensed

phagocytes

and

phagolysomes.

the cell

Finally,

Most

apoptotic

rapidly

are

are a

side of

aspartate residue. They

an

by cleavage

into two

forming

caspase cascade

[78]. Therefore apoptosis

by cleavage

activated In

present in

are

caspases

comparison

or

leading

apoptosis

produced

are

broken

and

in cells

in

the caspases.

on

the C-terminal

proenzyme form and become

a

to the destruction of the cell in

extremely fast

synergistically

necrosis is

a

on

to

apoptotic

an

are

way

then the

need to be

they just

the destruction of the cell.

dying

less ordered event, in which

thereby leading

together

target cell,

in the

inactive proenzyme form, and

an

in

down

are

three subunits. Several caspases

be induced

can

to act

their contents,

releasing

by phagocytosis

up

proteases, which cleave their substrates

activated a

cells attract mononuclear

Apoptotic

for mediation of

Caspases

group of

bodies.

taken

important

blebs and the cell

membrane starts to form

cells fall

apart

macrophage

activation and inflammation

CTLs is the

perforin/granzyme pathway

[79]. pathway

One

(Figure 7,

upper

structurally

and

Granzymes

are a

that

cytotoxicity

of

panel). Perforin

functionally

as

is

related

a

to

pore-forming protein

monomeric the

and

DNA

on

intracellular

degradation [83-85]. Granzyme

the caspases. In order to activate the

granzymes need to enter the cell. This is the

apoptotic pathway

point

where the

released into the cleft between the two cells. Perforin

incorporated channels

into the

target

[86], through

cell membrane and

which granzymes enter the

Granzyme

B

initiates

caspase-independent

a

triggers apoptosis by

[88,89]. Interestingly, despite

or

caspase

cell

death

target

by cathepsin

B which

was

cells the

monomers are

to form transmembrane

cleavage [87],

whereas

apoptosis.

Granzyme

A

the

DNA

target cell, perforin

does

pathway, causing

explained by proteoglycan

same

target

cell and induce

the close contact of CTL and

not affect the CTL. This may be

through binding

polymerize

a

pathways

CTL, perforin and

granzymes

recognition by

in

is

[80-82].

perforin and

synergistically. Upon target

cell

that

B has the

granzymes act are

C9

complement component

collection of serine esterases, which act

trigger apoptosis

specificity

by

used

nicks

in

which inactivates

found to inactivate

perforin

perforin by cleavage

[90,91].

Additionally factor

CTLs may induce

apoptosis through

(TNF) receptor family (Figure 7,

lower

panel).

members of the tumor necrosis

The

ligand

of Fas

(FasL),

one

20

Introduction

member of this group, activation

[92]. Ligation

is

expressed

on

CD4+

mature

and

CD8+ T cells after

of Fas induces trimerization of the Fas molecules

the cell

on

surface, followed by association with adaptor proteins, like FADD which recruits and activates caspases 8 and 10

TNF and on

lymphotoxin,

Fas but

on

which

TNFR-1

[93-96].

can

be released

(CD120a). They

adaptor protein (TRADD, FADD, caspases activation. These which

are

important for the

1.5.

THi

versus

Naive TH cells an

can

immune response

Most CD8+ T cells have vesicles

RIP

on

target cells and act similar

cause

and

immunity,

addition to

RAIDD) recruitment, which

adaptor proteins carry

recruitment of caspases

important opsonizing

in the

so

and

[5]. THi cells,

called death domains

(DD)

(reviewed in) [97].

first characterized

are

class

complement

and TH2

responsible

for cell-

are

responsible for extracellular immunity. In

TNF-ß

[7].

switching. Tm promote

the

fixing

during

by IFN-y secretion,

and IL-2

cells also secrete

antibodies.

macrophage activation, antibody-dependent type hypersensitivity [100].

to

initiates

differentiate into at least two functional classes of cells

antibody

FasL

TH2

whereas Th2 cells

IFN-y, thi

as

receptor trimerization leading

cells, which secrete IL-4 (reviewed in [98,99]). THi cells mediated

containing

The TH cells

production

Furthermore,

cell-mediated

of

they

cytotoxicity

are

and

also

lgG2a,

promote

delayed-

21

Introduction

macrophages

NKT

DCs

mast cells

basophils

IgE lgG1

extracellular immunity

lgG2a

intracellular pathogens

organ-specific autoimmunity

Figure

8. Schematic

[101])

from Liew et al

representation of A precursor

TH

can

induction and

differentiate into THi

cytokine environment, lnterleukin-12 (IL-12) ligation of

the

transcription TH2 program initiates

4

IL-12

and the molecule T-box

with IL-4

as

an

autocrine Tm

autocrine TH2

expressed

promotion

promotion

IL-4, IL-5, IL-6, IL-9, IL-10

IL-13. THi cells induce

defence

against

or

intracellular

pathogens.

TH2 cells induce IgE and lgG1 Associated with TH2 response is

are

allergy.

over

signal

on

the

and

transducer and activator of

(T-bet),

in T cells

is initiated. IL-4 induces

down-regulation of

IL-4 and

IL-4

production

and

IFN-y block THi respectively TH2

lgG2a isotype

Associated with

isotype switch

TH2 cells depending primarily

IL-2 and TNF-ß. The

IFN-y,

THi responses

(adapted

factor. On the other hand GATA3 induces the

factor.

responses. Main mediators of

or

and TH2 cells:

Tm cells, whereas IL-4 promotes TH2 cells. By

STAT6 and GATA3. T-bet induces the

IFN-y production,

opposite,

drives

receptors the Tm program, leading

(STAT4)

over

regulation of THi

typical TH2 cytokines

switch and

are

are

important for the

THi response is organ-specific autoimmunity.

are

important

in

the

extracellular

immunity.

22

Introduction

Th2 cells

characterized

are

by

the

commonly produced [102].

IO and IL-13 also

stimulation of mast cell and

of IL-4 and IL-5 with IL-6, IL-9, IL¬

These cells

and

including lgG1

humoral immune response,

immunity,

production

provide optimal help

and mucosal

IgE isotype switching

eosinophil growth

for

and differentiation and

IgA

synthesis [100]. implicated

Both subsets of Th cells have been cells the

organ-specific autoimmunity

mediate

can

and Th2 cells have been

allergy [103]. Considering

of asthma and

pathogenesis

pathological responses. THi

in

that Tm

implicated

cytokines

versa, the immune response tends to settle either into a

TH2 cells and vice

Tm

in

inhibit or

TH2

type of response. and

Thi

Th2

further

can

be

distinguished by surface marker expression.

Chemokine receptors CXCR3 and CCR5

[104,105] are

[105,106].

Several factors influence the decision whether

Th2- Dependent

on

provided [107,108], affinity,

a

THi

or

the site of

by

the

co-stimulatory

the

the

develops

peptide-density

TH2 response is induced. Furthermore it may depend

For

antigen.

on

cytokine profile

the

With defined in vitro culture either Tm

or

IL-12

APCs

molecules

and on

balance of was

or

binding

the host

cytokines shown to

systems and T cells from TCR transgenic mice, the

TH2 cells

was

on

into THi

[109].

was

extensively

found to be essential for the induction of Th2 cells from

right panel) [110,111],

and

example, high peptide density

favor Thi and low densities favor Th2 responses

development of

CD4+ T cell

antigen presentation,

genetic background and finally evoked

a

properties of the immunogen,

the

Tm cells

on

receptors CXCR4, CCR3, CCR4 CCR7 and CCR8

and whilst chemokine

associated with TH2 cells

preferentially expressed

are

shown to

play

the

studied. Whereas IL-4 naive

same

precursors

role in the

was

(Figure 8,

development of

Tm cells (Figure 8, left panel) [112,113]. IL-12 and IL-4 originate both from the innate immune response. NKT cells, mast cells

macrophages IL-12

and DCs

produce

IL-12

or

basophils

[117-119].

secrete IL-4

[114-116]

In THi differentiation,

and

signaling by

receptor leads to activation of STAT4 (signal transducer and activator of

transcription 4) [120] and induction of

(T-box expressed and IL-5

in T

expression.

cells) [121],

a

which

unique THi transcription factor called T-bet

upregulates IFN-y

In contrast IL-4 induces TH2-cell

and

downregulates

IL-4

development through STAT6

23

Introduction

which activates GATA3

and down

regulation of IFN-y expression.

However, although to be

mixture of both, Tm and Th2-

a

T cells

Regulatory

1.6.

undergo

As mentioned earlier, T cells

high avidity for self-antigens

cells with

complete.

For

that the

postulated

was

guarantee

a

complete

price, namely,

important

responses. One very What

are

regulatory

Although they and

usage and

to

are

not

mechanisms

an

uniform

which

T cells

exported

TNF-receptor family

prevent

of

a

to

high

immune

by Tregs-

to the

related

can

grouped

be

natural

The

periphery,

[128].

where

The

they

thymus

adaptive

into

Treg

cells

Once

generated

have been

postulated

Tregs

induced

express CTLA-4 and GITR

are

Tregs

maintain

CD4+

(glucocorticoid-

protein) [128,129]. Unlike conventional

CD25 upon activation, the

are

show divers TCR

recognizing self-antigens [127].

expression

T cells,

of CD25

peripheral murine CD4+

[130].

T cells,

potent regulatory activity in vitro [9,131] and in vivo [8,132]. They show

partially anergic phenotype, they proliferate poorly growth

includes

auto-reactive

thymus [126]. They

CD4+CD25+ T cells, which constitute -10% of possess

important

To avoid this, the immune

(Figure 9).

in the

development

activation of self-reactive T cells

upregulate

to

is

tolerance

incompleteness

population they

typically CD25+, additionally they

induced

The

mechanism is mediated

potentially capable are

of central

thymus,

cannot be eliminated.

self-antigens

for these

in the

present

not

are

T cells?

the T cell

thymic Treg cells

prevent

and

are

exist which

develop autoimmunity.

naturally occurring regulatory

generated during

the

to

this process

autoimmunity. However,

repertoire [125].

additional

developed

system

of

incompleteness

immune

potential

the

specific

selection process where T

intrathymic

eliminated. This process called central

are

example, self-antigens

hence self-reactive T cell clones It

an

development

tolerance is crucial to avoid the is not

of IL-4 and IL-5

is found in vitro, in vivo responses tend

strong polarization

a

upregulation

to the

[124], leading

[122,123],

is

dependent

on

exogenous IL-2

inhibit autoimmune diabetes in mice

[128]

[133].

upon TCR stimulation and their

CD4+CD25+ T cells

and rats

a

[134].

are

The stimuli that

shown to

are

required

24

Introduction

for

the

of

generation

natural

the

thymus

in

TregS

incompletely defined.

are

Nevertheless, CD28 ligation [135] and strong antigenic signals [136]

shown to

were

be necessary.

natural

adaptive Tregs

Tregs

i

IL-10

IL-4

IL-10

TGF-ß

IL-4

IFN-y

IL-10

T cell subsets:

Figure 9. Regulatory

regulatory

adaptive Tregs. The natural Tr6gs arise during

Negative regulation by GITR.

Adaptive TregS

natural

can

Tregs

T cell

is transduced

be of different

development

in the

by cell-contact

origin. Described

and

thymus,

over

are

and



immune reactions

regulate T cells

are

found to mediate immune

Adaptive regulatory from classical T cell

variable, depending

exert

their

T cells

molecules like CTLA-4 and

in the literature are

THi

or

TH2 cell, which

disease

Tregs

or

are

additional

subtypes. But

or

also CD8+ T cells

from the

natural

setting

Tregs-

and

thymus and

can

be either derived

The level of CD25

the site of

expression

mainly

in

a

cytokine

is

regulatory activity [137].

mediate their function via cell-cell contact, the

function

Tr1 cells

regulation.

originate

populations on

Whereas the natural

Tregs

by IL-10 secretion

and

CD4+CD25+.

regulate immune responses. Furthermore TH3 cells which mediate regulation by TGF-ß, which

TregS

T cells can be subdivided into natural

dependent

manner

adaptive

[138-140].

Furthermore, in contrast to the natural Tregs, they need further antigen exposureinduced differentiation in the

regulatory

T

cells

are

THi

encephalomyelitis (EAE) by

periphery

to be active

which

cells,

secretion of

prevent

[141]. Examples experimental

IFN-y and avoiding

a

of

adaptive

autoimmune

TH2 response [142]. Or

TH2 cells, which suppress THi mediated induction of diabetes by the secretion of IL-4

[143].

The CD4+ TH3 cells suppress induction of

TGF-ß [144].

Other

adaptive Tregs

are

autoimmunity by

the secretion of

CD4+TM (IL-10 mediated) [145,146], CD8+ T

25

Introduction

(by

cells

IL-10

is to inhibit

important feature

regulatory cytokines

or

by



CD8+

or

gets quite obvious that there is

From this list it most

secretion) [147,148]

IL-4

or

T cells

uniform

no

(IL-10 mediated) [149].

population

ongoing immune responses by

of

Tregs-

Their

the secretion of

direct cell-cell interaction.

2. DENDRITIC CELLS

DCs

are

They were

named based

mature DCs. Like

immune

system

their dendrite-like cellular branches, which

on

macrophages

adaptive

response.

Whilst

developed

in

invertebrate

evolutionary relative

is

system

developed during

link between the two branches of the immune

immune

system,

as

disposition already

found in invertebrate

several

defense

evolutionary

system

immunoreactions and

as

to

pathogens,

like as

infections with the innate immune

infection.

possibility

same or a

system

Together

are

with the

to clear its

capturing

of

worms

adaptive

there

immune

developed

adaptive

immune

and

are

strong immune and

old

already

system

[153 649]:

development of

was

is

self-

able to

the

adaptive

allowing

specific

memory. For the

respond specifically

protection against repetitive

The defense mechanisms of the

against pathogens early

system

it

gives

with the DCs

the

after

the vertebrates the

as

an

important key

so, several different

mechanisms and

to the cells of the

system

a

and inducible antimicrobial

receptors

memory allowed

pathogen.

are

parts of the immune system. To do

of DCs

of the innate

and insects has at its

immunological

crucial for the defense

pathogen, presenting

activation of the

system

body from pathogens,

mediator between the two

specialized subtypes

similar

the

antigen

consequence thereof the

immunological

and the

during

of

first time in evolution the vertebrate immune

for

system in vertebrates. The innate

mechanism,

invention

the

were

typical

vertebrate evolution. DCs evolved

recognition, phagocytic cells, encapsulation mechanisms

immune

are

immune

adaptive

the

organisms

factors. The main innovations in vertebrates

part

system [150].

capture antigens, process and present

organisms [151,152], and

new

are

system thereby inducing

immune

immune

innate

the

DCs

phagocytes,

and other

and their main function is to

them to the cells of the

as

APCs found in the immune

potent professional

the most

pathways

of

adaptive immune system and

very diverse.

26

Introduction

DCs

occur

origin,

origin

but evidences

leading

[157,158]. After

produce

the final surface

origin.

criteria

subpopulations. cell

splenic

all the

phenotype of

DCs in the

[167,168].

In the

lymph

can

tissue

DCs, which isoform

are

of CD45,

lymphoid organs

the

potential

[171].

Besides

described in

these

specific

main

by

concept

was

produced thymic

myeloid

cytokines

murine

an

DCs

or

and each

lymphoid

and express

a

into

main

six

CD8- and CD8+

additional DC

population

plasmacytoid DCs, to

produce large

may be derived from cells

which

In addition these cells have been

populations

of

or

are

amounts of

by inducing

that

population

[170]. Finally expression

from dermal of B220,

an

in

all

found

type I interferon

proposed

to be

the differentiation of

Tregs

DCs, additional subsets have been

organs of the mouse; however, their

remains to be determined.

its

epidermal langerhans

involved in the maintenance of T-cell tolerance

[172].

myeloid-restricted

subtypes [159-161]. Therefore

be subdivided into

This DC

in the skin

characterizes the

in response to viral infection

can

[169].

populations,

and have the

with

to derive from

produce DCs,

different

of

nodes there exists

exclusively found

development

be further divided in CD4-CD8- and CD4+CD8-

expresses intermediate levels of CD8 of two other main DC

DC

require

classification

lymphoid

CD8- DCs

myeloid

support this concept [162-165]. Phenotypic and

allowed

have

population [166].

subsets

one

thymic

and

DCs is not determined

factors may

transcription

functional

thought

DCs. But this

"myeloid"

shown that both could

was

The fact that CD8- and CD8+ DCs

different

were

a

myeloid-restricted and lymphoid-restricted

the isolation of

precursors from the BM it precursor could

DCs

Mutant mice, which cannot form T cells, still

recently challenged. CD8+ DCs

and

from

thymus shared early precursors

mouse

"lymphoid"

of

early steps

and all CD8- DCs to derive from

to the terms

develop

all

believed to be of

are

DCs shared

the CD8+ DCs of the

lymphoid-restricted precursors precursors,

Most DCs

some

findings all CD8+

this

lymphoid cells, they

and

(Figure 10).

found that

were

[154,155] and

[156]. After

T cells

myeloid

with the

stem cell in the BM

with B cells

origins.

in different subsets, with different functions and also different

DCs share their

pluripotent

development

Dendritic cell

2.1.

physiological significance

27

Introduction

erythrocyte/ megacaryocyte precursor

granulocyte precursor

myeloid

granulocyte/monocyte

monocyte precursor

precursor

precursor

common

myeloid

monocyte

Wrv-

denved DC precursor

»DC

'DC

Pre-DC

myeloid/lymphoid precursor

rDC

lymphoid derived DC precursorr

'DC

Î B cell precursor common

lymphoid

lymphoid denved thymic DC precursor

precursor

NK cell precursor

Thymic/lympoid precursor

Figure

[173])

10. Theoretical model of the

The differentiation of DCs has been

also

pre-stages leading

the

a

to DCs. On the

thymic lymphoid precursor,

DCs

are

common

myeloid

to DCs. The

monocyte precursor leading

2.2.

proposed

through circulating

derived precursors, and other

development of

which

can

to

(Adapted

from Ardavin et al

proceed directly through myeloid

DC precursors

side there

lymphoid

develop

dendritic cells.

t cell precursor

are a

(pre-DCs). Additionally,

myeloid derived

side offers

and

a

lymphoid

lymphoid there

are

DC precursor and

derived precursor and

into DCs.

DC function involved

in

many

differentiation states, immature main function is to

or

different mature

processes.

(Figure 11).

capture antigens, process

They exist

in

two

major

In the immature state their

them into small

peptides and

to load

I

28

Introduction

them

on

MHC

I

undergo maturation DCs start to molecules

II

or

if induced

migrate

are

molecules. After

to the

up-regulated

has reached the

lymphoid

antigen presenter for

antigen capturing

by appropriate

lymphoid

T and B cells

(imDC) ongoing

During the migration, co-stimulatory

and the secretion of

fully

DCs

factors. Whilst maturation is

tissues.

organs, it has

immature

cytokines

is induced. Once the DC

matured and has become

an

efficient

[174-176].

pathogens (TLR ligands)

cytokines (IL-1p, TNF-a) T cells

maturation

mature DC

immature DC

stimulation of T cell

capture of antigens -

-

-

adsorptive uptake

-

macropinocytosis

-CCR7

phagocytosis: microbes, dying cells

-IL-12, IL-1,TNF-a -

Figure

11. Immature and Mature DC: DCs

are

or

phagocytosis.

capturing

After activation

of

antigen.

and the

upregulation

of

pro-inflammatory cytokines.

co-stimulatory

This is done

by danger signals

T cells, the immature DC mature. Mature DCs stimulate T cell

antigen of

or

high MHC-peptide

found in two different functional states: immature and

mature. The main function of immature DCs is the

uptake, macropinocytosis

immunity

CD40, CD80, CD86, CD54

like

pathogens, cytokines

immunity by

the

molecules like CD40, CD80 and CD86

Furthermore CCR7,

an

by adsorptive

presentation or

of

the secretion

important receptor for migration is upregulated.

29

Introduction

ImDCs have been for

body

long regarded Recent

intruders.

sentinels of the immune

as

studies

tolerance to

self-antigens [177].

imDCs

efficiently capture apoptotic

can

[177]. Second, body, they

as

imDCs

imDCs

patrol

the

actively maintain

present self-antigens to T cells

cells and

continuously produced

are

also

which

Three features of imDCs led to this conclusion. First,

different

constantly sample

can

that

suggest

system,

and

self-antigens

distributed in the

widely

present them

and

to T cells.

Third, imDCs do not undergo maturation when they capture self-antigen under

physiological capacity

conditions.

T

regulatory/suppressor

After infection

uptake

or

recognition receptors, allow them to

such

recognize

findings suggest

as

expression of MHC

class I

imDCs

antigen,

have

the

naïve T cells into IL-10

undergo rapid

maturation. Pattern

the Toll like

receptors (TLR), expressed by imDCs

antigens,

which induces the maturation program

rapidly

DCs

the surface

of

imDCs

that

[178,179].

cells

microbial

[180,181]. Maturing

regulate

recent

peripheral self-tolerance by promoting

to induce

producing

Indeed

and

endocytotic activity and

lose

increase

surface

ll-peptide complexes [182]. Additionally they up

expression of

co-stimulatory

adhesion and

molecules

(CD40,

CD54, CD80 and CD86) [183-185], and secrete pro-inflammatory cytokines like IL-1, IL-12

or

[186],

which drives their

TNF-a

the CCR7 screen

for

responses

[118]. Maturing

migration

ligands CCL21

into the

and CCL19

antigen-specific

lymphatics

[187].

In the

and to the

lymphoid

naïve T cells and induce

primary

lymph

nodes

through

tissue the mature DCs

T cell mediated immune

[188].

2.2.1.

Capturing

of the

antigen

ImDCs residue somewhere in the

antigen coming from bacteria, above, they

consume

virus

apoptotic self

or

body

as

possible pathways

to take up

phagocytosis [189]

similar to

to take up small vesicle

For

waiting

to

capture foreign

alternatively,

as

mentioned

cells to establish self-tolerance. The first

pathogens

or

are

therefore

equipped

droplets coming from apoptotic

example antibody

or

step

to

with different

apoptotic cells. They capture antigen by

macrophages, by macropinocytosis [190],

endocytosis [191]. Especially endocytosis, antigen.

sentinels

other invaders. Or,

fulfill their function is antigen-uptake. ImDCs

defined

receptor CCR7

DCs start to express the chemokine

allows

cells

or

which allows

by receptor-mediated

imDCs, to specifically take up

complement opsonized

bacteria

can

be

30

Introduction

actively

taken up

[192].

of imDC

type lectins,

[193,194]. imDCs

by endocytosis

Other

via the Fc

or

complement receptors

the surface

on

proteins important for receptor-mediated endocytosis specific binding of

which allow sugar

Furthermore microbial

lipopeptides

can

bacteria and

be taken up

by

are

the C-

subsequent uptake TLRs

expressed

on

(TLR1, TLR2) [195,196].

2.2.2.

Processing

of the

antigen

and

loading

to the MHC class

on

molecules

After uptake, the

adaptive

immune

antigen

present I

on

virtually

molecules

pathological antigens killing

are

also

of the

peptides

infected

an

presented

to the cells of the

MHC class I

on

ancient

proteins

from the

presentation CTLs.

of

are

cytosol

are

passed

found

in

developmental history [201,202]. incorporated types

of

into the

able to process

of

a

hollow

some

MHC

and the

as

IFN-y. Recently

immunoproteasome

[205,206].

are

important

was

of the

in

are

to

proteasome

the

which

proteolytic

the

subunits of the

indicating

a

close

region

MHC

are

IFN-y [203,204]. Thus, are

expressed

expressed

shown

for the

The

pieces by

cellular stimulation with

immunoproteasomes, which

such

tumor

proteins targeted

cylinder through

genes,

The subunits encoded

proteasome after

cytokines

subunits in the response

in

and cut in smaller

to

or

In the

route starts with the

I

proteasomes exist, the constitutive proteasomes, which

all somatic cells, influence

resulting

vicinity

close

are

foreign antigen, usually leads

The class

protein machinery

units each,

II

body. Peptides presented by MHC class

proteasome [200]. Interestingly

inside the

proteasome

seven

or

MHC class I molecules

[197,198],

endogenously produced proteins.

by specific

cells

presented

degradation by ubiquitinylation (see Figure 12, left side) [199].

activity

two

CD1

are

to be

derived from viruses, intracellular bacteria

The

presented.

consist of four stacks of the

on

derived from

normally

situation

are

presented

peptides

all nucleated cells in the

proteasome, which is for

are

get processed

Whereas

system.

molecules, glycolipids

has to

that the

specificity of

in

under the additional

the immune

31

Introduction

exogenous

antigen

Exogenous pathway (class II MHC)

Endogenous pathway (class I MHC)

Figure

12. Model of

antigens: (adapted

separate antigen presenting pathways for endogenous and exogenous

from

Immunology,

proteasome, the peptide transported molecules.

By vesicle transport

they present its load

phagocytosis. II molecule

transported

And the

gets

to the ER

by

the TAP

peptide-loaded

CD8+ T cells.

antigen gets

Kuby) Endogenous antigen

In

the

cleaved in the

is

transporter, and loaded

MHC class I molecules

exogenous

get

processed by on

endocytic compartments,

exchange

with

peptide,

molecule reaches the cell surface and

a

to the surface, where

pathway, the antigen is taken up by

endocytic compartments. Meanwhile

where the invariant chain

reaction

catalyzed by

presents the antigen

the

the MHC class I

the MHC class

build in the ER and associated with the invariable chain. Then the MHC class II

to the

associated until

to

the

Janis

gets cleaved

to

gets

CLIP, staying

HLA-DM. The loaded MHC class II

to CD4+ T cells.

32

Introduction

majority of antigenic peptides originate

The

The

209].

proteasome is the enzyme complex that generates the

terminus of the MHC class I as

molecules

positively

one

C

termini

[210],

cytosolic

a

leucine

peptidases

TAP1 and TAP2

cytosol

into

transporting manner

(for

multistep followed

a

see) [220].

[221].

In

a

The

a

also

large

a

across

reorganization triggers

proteins belong

Both

number of membrane

membranes in

the

proteins,

ATP-dependent

an

step, the peptide binds

complex [223]. hydrolysis

ATP

to

the TAP heterodimer is

peptide transport by

fast association

peptides from

the

to TAP

It has been

and

a

[222],

suggested

peptide translocation

the membrane.

In the ER the

peptides

I molecule is first

are

complexed

loaded

with

by chaperones, tapasin guides proteasome

MHC

class

I

are

directly

molecule

on

the MHC class I molecules. The MHC class

chaperones,

beta2-microglobulin [224]. After the

the

which is able to cleave

transport of

for the

[218,219].

slow isomerization of the TAP

that this structural

the

ER

transporters, comprising

review

a

of the

lumen

example

For

peptide [211]. Additionally,

precursor

by

trimming

[211-214].

in the ER

or

responsible

are

amino-terminal

or

[215-217].

diverse set of molecules

process

by

described

proteins

the

of ABC

superfamily

were

generated

generally possess hydrophobic

aminopeptidase, a

are

that bind to MHC

optimal peptides

and

cytosol

carboxyl

correct

antigenic peptides

they require

residue from the amino terminus of

ER luminal

across

long

located either in the

report describes

single

by

However many

8-10 residues

are

charged

aminopeptidases

the

ligands.

amino-terminal-extended precursors. Since

class I

newly synthesized proteins [207-

from

which allows

MHC class I molecule is

it to the TAP

transporter,

a

were

the

ER

in

micro vesicles

apparatus and reach the surface of the cell [228], where they TCR of CD8+ T cells, which may be activated to kill the The most

important antigen presenting pathway

Normally, peptides molecules molecules

derived from exogenous

[229,230]. are

and load them

In

contrast

exclusively present on

in the endosome

MHC class II or

to on

MHC

proteins class

APCs. APCs

I

peptides processed

phagosome.

Then

they

are

[225-227].

through

can

the

Then

golgi

interact with the

target cell. in DCs is the class II route.

are

presented by

molecules

actively

(Figure 12, right side).

to the

and stabilized

completed

bound to the MHC class I molecule

leaves the

binding

proper

The

the

take up

MHC class II

MHC

antigens,

class

II

process

antigens get encapsulated

processed

and

degraded

in the late

33

Introduction

endosome

liposome [231].

or

enzymes like

endopeptidases

This

and

performed by pH dependent proteolytic

is

exopeptidases,

MHC class II molecules arrive in the vesicles the

containing

Later the

cathepsins [232].

like the

the

processed peptides

from

pathogens [233]. The MHC class II molecules

transmembrane chains

(alpha

beta)

and

the

binding cleft of

the

proteasome and actively transported

establishment of

processed

to

MHC.

the

as a

mentioned

molecule

of

The

on

is

with beta2 in

are

built

microglobulin

third

a

and

by

an

enzymes into

alpha

and

CLIP,

a

peptide

that

exchanged against

This

a

step is catalyzed and

homologues

to MHC class II

presentation. Namely

of on

chain

the

the class l-like MHC called

homologues

to MHC class I,

class I

complete antigen presenting

to the

lymphatic organs

In order to exert their function, DCs have to

tissue

peptides

to CD4+ T cells.

pathway

a

gets

loaded MHC class II molecule then

glycolipids

to form

for the

important

[243]).

Migration

present their antigen

be

such

The invariant chain

[237,238].

peptide

the MHC

the MHC class II molecule. The

removed

presents the peptide

hydrophobic peptides

(reviewed

2.2.3.

CLIP is then

above there

CD1. CD1 MHC molecules

pairs

then loaded

chaperone [239-242].

on

to the late endosome where the

in the late endosome

reaches the cell surface and

which

are

covers

pathway. However,

to

[235,236].

another molecule called HLA-DM, which is

supported by

presentation

postulated

CTL response

transport from the ER which

being loaded

to the ER from

and

which

[234]

prevents peptides processed by

mixture of the class I and II

reported

been

pathogen-derived peptide

As

invariant chain

an

gets first processed by proteolytic

bound

and acts

a

protective

a

generated,

invariant chain remains

has

later in the

have been

and

the MHC class II molecule and

class II molecule. This avoids

cross-presentation

in the ER out of three chains. Two

synthesized

are

migrate

to the

lymphoid

tissue to

to T and B cells. DCs find their way from the BM to the

by the guidance of chemokines. ImDCs express

a

variety

specific

of chemokine

receptors, including CCR1 [244], CCR5 [245], CCR6 [246,247] and CXCR1 [248], which

may

Differential

participate

in

expression may

the different organs

the

recruitment of DCs

to

the

inflamed

tissue

[249].

also contribute to the selective recruitment of imDCs to

(Figure 13).

34

Introduction

Mlf>-3a secretion CCR6 dowft

^

regulation

c^^—r—~c~ -—-—*—~~

CCR7 up regulation

Figure

13.

Trafficking

blood to tissue

migration, for

of DCs:

(adapted

(here lung) by cytokines

the DCs

capture antigen, get

from

Bleijs

[250])

et al

and chemokines

DC precursors

are

attracted from

(here MIP-3a). Following transendothelial

activated and start to mature.

During maturation

the

receptor

MIP-3a, CCR6 gets down-regulated, and the receptor for CCL19 and CCL21, CCR7 gets

upregulated.

To attract further

DCs, the mature DC starts to secrete MIP-3a. The secretion of the

chemokine renders the mature DC follow the CCL19, CCL21

presents antigen

to T cells

unresponsive

gradient guiding

for the

them to the

inducing proliferation

of

lung homing chemokine

lymph

node. Arrived

antigen specific

T cells.

in

the

and allows the DC to

Lymph

node the DC

35

Introduction

example, CCR6,

For

imDCs in the the

[253].

chemokines is turned

on

yet

-

lymphoid organs. Therefore, unresponsive

chemokines

up-regulation

migration

to the

[252],

areas

and

areas

of

migration [260,264]

[251,252,265,266]. found

[256,257],

maturing DCs migrate

procedures

affects the

back-draft

(HEV)

in

on

for this

tissue-driving

start to secrete these

they

potentating

lymph

mature

the recruitment of

lymphoid and

they

tissue are

pit mice,

node

[264].

found to

CCL21 is

(LN)

as

Both

and

expressed by

were

levels

high

at

stromal cells in T cell

found to be

DCs to the

migration driving a

to the

responsive

CCL19 is secreted

guide

which carry

of CCL21

expression

DCs is crucial for their

which renders them

Peyer's patches [261-263].

with

the

for

receptors

Second

[259,260].

For CCL21 the function

by experiments

mutation

as

receptor

and CCL21

[258]

spleen

of DCs in T cell cell

to make

[255].

tissue

endothelial venules

of LNs,

which acts

of the CCR7

lymphoid

chemokines CCL19

chemokine

the

unresponsive [254].

them

making

imDCs to the inflamed tissue

by high

pathways

there have to be

draining

from the tissue into

emigrate

to these recruitment chemokines, in order to enable them to

chemokines themselves

The

of MIP-3a in

of additional

expression

inflammation

the mature DCs

they down-regulate

First

task:

During

the stream. Indeed, the DCs have evolved two different

against

on

Several organs express different chemokines for the

recruitment of imDCs.

steady-state

expression

In line with this is constitutive

lung [251,252].

and in the liver

lung

receptor of MIP-3a, is expressed at high levels

the

by

a

subset

important

in T

lymphatic organs

force for DCs

was

defect in the CCL21 gene. This

and also

negatively regulates

CCL19

expression [267,268]. After the DCs left the inflamed tissue and enter the follow the CCL21 and CCL19 arrived there,

they

enter the organs

tether to the endothelium

leukocyte

adhesion

[271]

(Figure 14). P-,

E-

or

system, they

lymphatic organs.

Once

L-selectins allow the DCs to

by

antigen-1 (LFA-1)

and very late activation

antigen

4

which bind to the vascular cell adhesion molecules intracellular

molecule-1

(ICAM-1)

and final extravasation

activation of

them to the

vessel

which is essential for the later firm adhesion

[269],

function-associated

(VLA-4) [182,270],

gradient guiding

lymph

specific

and vascular cell adhesion

[272].

T cells starts

In the

[273].

lymphatic organs

molecule-1 the

(VCAM-1)

presentation

and

36

Introduction

3. extravasation

Figure roll

14. Extravasation of DCs into tissue:

along

the endothelia of the tissue. The

CD34 and L-selectin. Later

DC extravasates

2.2.4. The DCs

lymphoid

through

a

J

v.

2. adhesion

(adapted

rolling

firm adhesion takes

from

is initiated

[250])

First the DCs start to

by weak binding

interactions between

Bleijs

et al

place by LFA-1-ICAM-1

interactions. And

finally the

to T cells in

draining

the endothelia into the tissue.

Interaction with T cells

display

the

organs. The TCR

specific recognition Additional molecules

of

captured a

and

processed antigen

and ß chain dimer

peptide presented by

are

enhancing

this

complex of

MHC class I

specific

interaction

T cells is or

responsible

II molecules

(Figure 15).

on

for

DCs.

37

Introduction

DC-SIGN

-^OOcgg^

ICAM-1

TCR

MHC class I

or

II

CD4

or

CD8

CD2

CD28

'«ggai

15.

naive

cell

Tcell

(adapted

from

T cells is activated and allows

cells

further

is

mediates

a

signal

interaction induces activation of the

or

inhibitory

ß2-integrin

specific

adhesion

LFA-1

on

Especially

The transient

complexes

on

cells.

T

on

T cells and ICAM-1

binding

high affinity

Similarly

the CD40-CD40L

by adhesion molecules

[274]. Recently,

[275]

to ICAM-2

allows the T cells to encounter

different APCs. In the absence of

were

MHC molecule is

leading

DCs

on

ICAM-3 is important in the initiation of

DC to the next

cells and DCs

The Interaction of the two

a

novel DC-

receptor (DC-SIGN: DC-specific ICAM-3 grabbing non-integrin)

short-lived and the T cells one

thereby allowing

DC, leading to cytokine secretion.

been identified, which binds with cells.

the DCs

CD80/CD86-CD28/CTLA4 interaction

The

The initial contact between T cell and DCs is mediated like the

lymph nodes

with the MHC molecules, LFA-1

high affinity ICAM-1-LFA-1 interaction.

stimulatory

either

(CTLA-4)

DC-SIGN-ICAM-3 interactions,

mediated

by LFA-3-CD2 interactions.

stabilized

second

a

i IL-2

In the

[250])

et al

Bleijs

subsequent ICAM-1-LFA-1 interactions. After full ligation of the TCR on

(CD 28)

LFA-1

First adhesion is

interact with T cells.

}

T IL-2

active

dendritic

DC-T cell interaction:

CTLA-4

CO40L

ICAM-1

Figure

or

was

migrate

recognized by

to the formation of

an

a

in

lymph

a

recent

immune response

specific interaction

on

the contact is

wandering of the

[278].

the TCR of the T cell,

synapse

T

[277].

T cells from

study, where the movements of

node in situ

immunological

[276]

large number of MHC/peptide

a

to the next DC. This

nicely shown

measured in

a

an

and ICAM-3

has

a

But if the

specific

[279].

peptide

on

T

the

contact is formed

The TCR-MHC

complex,

38

Introduction

together

with CD2-LFA-3 interactions is situated in the center of the synapse and

LFA-1-ICAM-1 interactions LFA-1

are

forming

enhancing

T cells is activated

on

CD2-LFA-3 interactions

bind

superfamily

and

delivering

activation

an

ligand expressed

CD28

to or

tolerance

showed that CD28 Other

ligand

[289].

triggering

B7

molecules CD86

on

are

members

are

or

molecules, is

efficiently

Ig

the

of

lymphocytes [283], thereby

T

CD28 is the main

co-stimulatory

cytokines [287,288].

of IL-2 and other

obligatory,

as

they

may substitute the

OX40/OX40L an

a

the members of the

an

an

This

effective immune response

But studies with CD28 knock-out

is not

like ICOS/ICOSL

for the

CTLA-4

Additionally

DCs is needed to

on

important for induction of

co-stimulatory signals

by CD28/B7

and

CD28 stimulation has been shown to lead to

[286].

interaction is believed to be

preventing

molecules

inhibitory signal [284,285].

T cells

on

and

prolonged expression

increased and

[290].

not sufficient to activate T cells.

[282]. CD80 and

CD86

and

ICAM-1. This

high avidity LFA-1-ICAM-1

the

potent co-stimulatory

activate the T cell. The most

and

are

signal transmitted by co-stimulatory

B7-family, CD80

of the TCR,

[280,281].

However, these interactions second

to interact with

ability

its

immunological junction through

stabilizes the

ring. Following ligation

the outer

are

(KO)

mice

responding

still

to

clearly

antigen

co-stimulatory signal delivered

[291,292]. CTLA-4,

inhibitory receptor, leading

the alternative IL-2

to reduced

production [293]. surface

Other molecules

molecules

by the TCR

CTLs express CD4

complex.

of the MHC in

(reviewed

or

[294]).

are

important

in

major

CD4 and CD8. The two

CD8, respectively. They act

as

that

Molecules

lymphocytes [295].

signal

on

or

co-receptors in the recognition

CD8 interacts with MHC class I and CD4 with MHC class II activate

receptor superfamily. Its ligand, CD40L,

activation

MHC-peptide

the

subsets of T cells, TH

DCs

upon

important. CD40, which is the best described example, is

activated T

of

recognition

the

engagement a

is

expressed

The CD40-CD40L interaction initiates

DCs which leads to the

Furthermore the secretion of

up-regulation

cytokines

a

or

IL-12

on

retrograde

of CD80 and CD86

like IL-1, TNF-a

also

member of the TNF

TNF-a like molecule,

a

are

[296].

by the DCs is

induced, supporting the activation of T cells and guiding their development [297-300]. IL-1 is

a

pluripotent immunomodulatory cytokine

and humoral

immunity

in the

periphery [301].

that has

an

initiating

role in cellular

IL-1 consists of two molecular

species,

39

Introduction

IL-1a

IL-1ß,

and

through

biological

functions

chains,

p40 protein

a

Mouse DCs immune

are

of which

both

and

a

the

exert

similar, but not completely overlapping,

IL-1-type

p35 protein,

I

receptor [302]. IL-12 consists of

which

known to secrete functional IL-12.

response

towards

Tm

a

type [119,298].

receptors play key roles in the development of

regulation, inflammation induce the

production

macrophages starts the

it is

adaptive

and

immune

The

cytokine

to an efficient Th

TNF-a

or

and

ability

[305].

its

immune

ability of TNF-a

and the

the process of inflammation

system, leading

activity [303].

system and in

Due to the

inflammatory cytokines

important during

for

IL-12 is believed to bias the

the immune

autoimmunity [304].

of other

required

both

are

two

to

to activate

This

altogether

CTL response.

40

Introduction

3. AUTOIMMUNITY The immune

system evolved in order to protect higher organisms from infection

tremendous

with

a

and

fungi.

cancer.

of

variety

the innate immune

Additionally,

system also disposes apoptotic cells

waste from the normal cellular household. to

protect the organism,

massive

damage

system,

instead of

Although

the immune

In these

organism by self-destruction.

fighting against pathogens, develops

Paul Ehrlich at the

Autoimmune disorders diseases

Organ-specific leading

massive

to

cytokines such

as

of the last

beginning can are

organ

IL-2 and

organ-specific

characterized

by cell-mediated

destruction.

disorders

are

important

and IL-10 and

by

complex deposition.

antibody

followed

example

for

patients

have

an

organ-specific

to

highly

erythematosus (SLE), body,

nucleus components But

why

or

is there

a

systemic

diseases.

immune

reactions

In contrast

Tissue

cell and

by opsonization

lysis [306].

Some

autoimmune disease is Hashimoto's

systemic disease,

the

from

A classical

repertoire

of

our

These

patients

systemic lupus

react with many

against

[308,309]. in the

with

which react with the

In contrast in the

sera

and

autoimmune

thyroiditis.

of the dominant antibodies is directed

self-reactivity

via cell-

IL-4, IL-5,

as

systemic components.

[307].

Tm

autoimmune

systemic

cytokines such

initiated

is

damage

organ-specific

one

occur

are

widespread circulation of auto-antibodies

localized lesions

since

called

through IgG and IgM

developed auto-antibodies against thyroglobulin

thyroid leading

tissues in the

are

by complement-mediated

demonstrate both

CTLs

killing by

elevated levels of Th2

features

immune

syndromes

as

was

of disease

Important mediators

receptor-mediated killing.

characterized

and

the effector responses tend to

IFN-y and

it

as

by the

century, is real.

be classified in

mediated immune responses such antibodies directed Fc

organism,

to

the immune

cases

to the worst foe itself

induction of autoimmunity. The "horror autotoxicus" of the

by

designed

is

system

other

or

gets beyond control leading

under certain circumstances it

to the

worms

prevent the development of

mechanisms evolved which

Furthermore

protists,

like bacteria, viruses,

microorganisms

immune

system?

cell

41

Introduction

recognize

system requires

immune

Because the

immune

adaptive

the

pathogens,

the different

diversity for

wide

a

This

receptors, leading

to

and T cells constitute

the immune

self-reactivity,

self-tolerance.

immunologic

part of

system

Therefore

tolerance.

pathways

prevention

small number of auto-reactive B

in normal

pool,

since the

production

of

induction

is

self-tolerance

of autoimmune disease and nature

important

an

developed several

to establish and maintain self-tolerance. Tolerance can be

peripheral

broadly

tolerance.

Central Tolerance

Central tolerance refers to the clonal deletion of self-reactive B and T cells their maturation in the BM upper

(B cells) [310,311]

or

during

thymus (T cells) (Figure 15,

the

panel) [55,312-315].

Auto-reactive B cells

already

express

are

eliminated at the stage of immature B cells, when they

antigen specific

an

extracellular molecules and initiate the BCR does not bind

released in the

antigen,

BCR

[316-318]. Functional BCRs bind

the

signaling stays

on

and the B cell will be blocked from further

responded

to

an

ligands

that mimic

development [323,324]. However,

Clonal deletion of

forced to

potentially

auto-antigens [326].

selection for B cells is much less

lines of evidence

can

antigen

auto-antigen

autoreactive B cell clones escape deletion and enter the circulation in cells

be activated with

an

some

anergic

pathogen-derived

It has to be admitted that the

stringent than

If

basal level and the B cell is

If the immature B cell encounters

its BCR, this indicates that it

[325]. Such anergic

to

antigen specific cytoplasmic signaling [319-322].

peripheral circulation.

capable of crosslinking

state

as

direct result from the breakdown of

a

are

of

healthy individuals. To avoid

evolved several mechanisms summarized

classified in two groups: central tolerance and

3.1.

a

the immune cell

Autoimmune disorders

mechanism for the different

normal

somatic

even

danger of auto-reactive antigen

the

actually

frequently observed

auto-antibodies is also this

And

self-reactivity. a

raises

diversity

tremendous

or

to

B cell

system generates

receptors (BCRs) and TCRs randomly by gene rearrangement mutation.

receptors

its

negative

for T cells.

self-reacting T cells has been extensively investigated. Several

suggest

that T

lymphocytes

undergo apoptosis during

that bear

receptors

the maturation in the

for

thymus,

self-antigens a

are

process called

42

Introduction

negative thymus

can

development of the T cells

of the

recapitulation

selection. Detailed

in the

be found in the T cell section.

However the mechanisms

compromise

the immune

leading

to central tolerance

system takes

to assure

a

are

leaky. This is due

complete repertoire of

cells. To further reduce the risk of self destruction the immune mechanism of

peripheral

to

a

B and T

system evolved the

tolerance.

Central bone marrow

thymus

^^^3l0P Antigen JKÊ^k B ce" receptor

£Jr

^^^B

cell

aHHK

B cell

receptor -> mature B cell

^8^8 cell *• mature T cell

Periphery regulatory

clonal deletion

clonal anergy

T cells

FasL« Tcell

receptor Antigen

T cell

immature DC

no

Figure

16. Central and

and B cells the

thymus

cells that

Apoptosis

co-stimulation

peripheral

undergo positive

and

Tolerance. Mechanisms

negative selection

T cells where tested for their

recognize

negative regulation

the MHC molecule

ability are

to

in the

leading

to tolerance: Central tolerance: T

thymus respectively in the bone

recognize antigen presented

rescued

(positive selection);

on

marrow.

In

MHC molecules. T

T cells that

recognize

self-

43

Introduction

antigen presented by MHC molecules are

tested for their self

binding

In the bone

(negative selection). antigen

to

marrow

deleted.

are

specific

T cells become

anergic. Clonal deletion: Selfsurface, which binds to

the Fas molecule on the

constantly activated, upregulate

FasL, leading to induction of apoptosis. Regulatory T cells: regulatory T cells activation of self-reactive T cells by the secretion of contact

with

(for example

lower

extended period of time in

submitogenic provided by

exposure to

and

an

state.

present auto-antigens

to T cells

class I and II molecules and

induction. PD-1 is

mention CTLA-4 and PD-1

Ligation of

CTLA-4

highly expressed

antigens

on

tolerance to self encounters

Hence,

APCs.

an

down-regulated

Fas.

It is

antigen

antigen

non-professional

can no

longer

DCs which

[328,329], display

co-stimulatory

B7

low

proteins

mediators of anergy

for anergy in vivo

Moreover

although

APCs

are

[332]

all cells

be activated

present

is restricted to of

important mediators

is also observed for B cells. If T

and

help,

the

a

B cell

antigen-receptor

is

[334].

by activation-induced cell death (AICD): Pathway of T cell

that

as

on

APCs do not

immature

involving upregulation of Fas ligand that binds

serve

co-stimulatory signal

a

important

as

specific

by

be induced

[179,182,330,331].

required

[333].

can

expression of co-stimulatory molecules

in the absence of

and the cell

postulated

may

T cells

antigens. Clonal anergy

2. Clonal deletion

suicide often

shown to be

anergic

on

their surface the

professional

was

but remains alive

[289,327].

Especially

to

and therefore induce tolerance to self-reactive T cells

publications

cells

antigen-presenting

is

lymphocyte

co-stimulatory receptors

between

activation.

expression of MHC

Other

Anergy

in the absence of

by interactions

on

antigen encounter,

hyporesponsive

a

prior

molecules

continuously sample surface

or

counter-receptors these

upregulate

direct cell-cell

mechanism in which the

a

peptide antigen

cytokines

soluble

T cells and

by

or

panel).

intrinsically functionally inactivated following an

TGF-ß

by several different pathways

tolerance is induced

1. Clonal anergy: T cell anergy is

for

or

influence the

Tolerance

peripheral

As outlined below,

(Figure 15,

like IL-10

cytokines

can

CTLA-4).

Peripheral

3.2.

the B cells

further mechanisms maintain tolerance: Clonal anergy: If self-

immature DCs, the

antigen is presented by reactive T cells,

periphery

In the

Peripheral tolerance:

B cells

specificity,

deleted

are

repetitive

trigger

TCR

for AICD

engagement

[335-342].

All

to the death

receptor

specific

for self-

in T cells

Lymphocytes express

Fas

44

Introduction

(CD95),

homologues to TNF, is expressed

receptor-ligand pair,

the

importance of

by

on

a

[344]

and both

Interestingly

SLE.

also IL-2

cells from mice that lack IL-2

induction of the

IL-2

or

receptor fail

ligand [346]. Consistent

Fas

Peripheral suppression by

postulated to be

to be transmitted

implicated

well. For

as

or

mice

Lpr

to

crucial role in AICD,

as

example

some

T

undergo Fas-mediated AICD

was

with

a

linked to STAT5-mediated

role

a

peripheral

in

of IL-2

show autoimmunity

[347,348].

T cells: A subset of T cells called suppressor

mainly by cytokines,

[127,132].

or

This inhibition has been

however surface

Tregs constitutively

receptors appear

express CTLA-4

signal transmitted by CD28 [6].

which counteracts the activation

Whereas

autoimmune disease

a severe

play

signaling

to inhibit T cell responses

ability

have the

Tregs

highlighted

mice carry mutations in the FasL gene

shown to

was

tolerance, mice deficient in IL-2 production 3.

naturally deleted.

promote apoptosis

of IL-2 to

ability

The

is

spontaneously develop

strains

mouse

pathway

[343], gld

mutation in the Fas gene

have

[338,345].

in activated T cells. The

apoptosis

this mechanism for the elimination of self-reactive T cells is

two mouse strains were Fas-FasL

resembling

lymphocytes. This co-expression of

activated T

leads to Fas mediated

ligand (FasL), structurally

Fas

TNF-receptor-family.

of the

member

a

[349],

Others secrete the

the role of inhibitory cytokines TGF-ß and IL-10 [350,351]. Further evidence for

inhibitory cytokines KO

mice

which

peripheral

in

tolerance arise from observations made in TGF-ß

display inflammatory lesions

similar

to

those

seen

in

some

[352].

autoimmune diseases

Also Th cells have been shown to be

implicated

in the

of

regulation

peripheral

tolerance. For

example, Th2 cells have been implicated in mediating self-tolerance by

the

pathogenic function of self-specific Tm cells. Certainly, cytokines

regulating

produced by Th2 Considering

cells

can

down-regulate Tm responses

how vital the

prevention

of

and vice

autoimmunity

mechanisms evolved to prevent it. Like T helper cells

are

versa

[353-356].

is for survival, several

important regulators

of

humoral and cellular immunity, tolerance of self-reactive T cells is crucial for the

prevention can

T

of autoimmune diseases. However, under certain conditions, tolerance

be broken and

lymphocytes

spontaneous

are

an

autoimmune pathology may result. It has been

the

primary players

in the initiation and

and chemical-induced autoimmune diseases

shown in animal models in which

autoimmunity

suggested

perpetuation

[357,358].

that

of both

This has been

could be transferred

by adoptive

45

Introduction

autoimmunity

transfer. Moreover the transferred

depletion

specific antibodies

of Th cells with

leading

Mechanism

3.3.

Several different mechanisms autoimmune disease is not other factors such

complement [359-361].

autoimmunity.

lead to

only dependent

viral, bacterial,

as

or

Although

events.

leading

mechanisms

to

peripheral

early stages

generally specific

have

tissues

development

of T-cell

for

following availability Induction of

and

isolated

antigen

or

an

or

absent in the

thymic

deletion. These

humans who

thyroglobulin)

stimulatory

in

where vascular and/or

as

in

the

following

access

of

damage

such

and these infections also

immune

response.

develop diabetes after

that results in the

as

availability

viruses may induce similar

provide

the additional stimulus

co-stimulatory molecules important

This

is

best

of

following vasectomy

of orchiditis

case

tissue-tropic pathogens

tissue trauma have been

in the

exemplified in rodents and

[364].

infection with Coxsackie B viruses

Breakdown of T cell anergy

Self-reactive T cells which escape clonal deletion in the if

antigens

anatomically sequestered

are

effective barrier that prevents

via tissue

of soluble mediators and

of the

perpetuation

anergic

thymus during

may lead to the induction of autoimmune diseases.

occur

antigens,

phenomenon,

production

3.3.2.

levels

autoimmune diseases

likely

Infection with

autoimmune of the

of

organ-specific

frequently reported

[362,363].

the

to auto-reactive T cells. Destruction of these basement membranes and

antigen

previously

combination of several

autoimmunity bypass

to

self-antigens

(e.g., myelin basic protein

cellular basement membranes constitute the

self-reactivity.

circumvent the central tolerance.

some

may escape

circulating

low

relatively

a

but

auto-antigens

specificity

Auto-reactive T cells with the

tolerance

Release of isolated

3.3.1.

development of

chemical insult may lead to

pathways leading

most

The

permissive genetic background

on a

Often development of autoimmune disease results from different

the selective

by

autoimmunity

to

can

or

could be reversed

they

meet their

molecules

or

specific antigen

cytokines.

without

thymus

additional

are

rendered

activation

by

co-

broken

by

the

But T cell tolerance may be

46

Introduction

delivery

of

a

co-stimulatory signal.

This may

occur

of B7.1 molecules could be detected in the central

rheumatoid

transgenic a

viral

as

arthritis mouse

peptide

autoimmunity, broken and

be

but if B7.1 is

co-expressed

these

the ß-islet cells,

on

do

mice

a

In this model

the control of the insulin

[367]. Normally,

cells

not

peripheral

promoter develop

tolerance is

deleted.

Self-Peptides

Chemical Alteration of

lymphocytes

periphery.

ß

in

made

were

autoimmunity develops [368].

3.3.3. T

islet

expressed under

with

synovium of patients

insulin-dependent (typel) diabetes mellitus.

model of

on

system of patients [365].

observations

similar

Finally,

(RA) [366].

from the LCMV is

transgene

a

nervous

has been observed in the

induction of B7.1

in tissue

multiple sclerosis (MS) up-regulation

necrosis and local inflammation. For example in

Similarly

resulting

after infections

that bind with low

affinity

However, these T cells

But responses to and

are

to

self-antigens in

thymus

the

may not in

normally functionally anergized

presentation

of these

self-peptides

can

the

be enhanced

under certain conditions. Some metals induce autoimmune disease via the creation

of

new

high-affinity binding

sites for

MHC

molecules

on

self-

chemical-bound

peptides, allowing activation of previously anergized T cells [369]. Expression of appears to be

important step

altered nucleolar

proteins

mercuric chloride

(HgCI2)-induced autoimmunity

an

in

a

in the

development

of

[370].

In

rodent model of SLE

addition, many drugs induce autoimmunity via formation of hapten-induced auto¬ antibodies. For example halothane induce reactions in which

provide help

to

antibody-producing

the native form of the

3.3.4.

B cells that

Defective Activation-Induced cell death

undergo apoptosis

by persistent activation. Therefore,

reactive T cells which then induce

hapten

but not

autoimmunity

mutations in the Fas

or

(AICD)

a

as

pathway

may

pathway

rescue

auto¬

described for the spontaneous

similar

FasL gene

Fas-FasL

via the

defects in this

KO mice for these two molecules, which have

patients rarely

the modified

T cells

self-protein [371-373].

In AICD auto-reactive T cells

induced

recognize

hapten-specific

phenotype are

to the SLE. In SLE

observed, however other

defects in AICD may contribute to human autoimmune diseases. For

report shows that T cells from Lupus patients become resistant

to

example

one

apoptosis through

47

Introduction

region

on

autoimmune T-cell

pathogenic

of

production

In animal models the loss of the The idea that

regulatory

was

model

suppress the

[375].

can

to treat autoimmune diseases

patients.

At least in animal models this

allergic pathogenesis

gives

rise to

of CD4+ T cells in response to

a

in

of cells, which use

autoimmunity.

by generation

approach

was

prevent autoimmune colitis

TregS

with low

low levels of IL-2 and

levels of IL-10,

generated Tregs

the successful

by causing

limit the function of auto-reactive T and B cells is

from

peripheral

in

In

can

be

easily

of these cells

as a

But

a

proliferative IL-4, which

prevent colitis second

study

naïve CD4+ T cells and showed that

murine asthma model

lungs [376].

no

and

antigen

by pathogenic CD4+CD45RB(high) T cells.

transfer of these cells in

population

were

The authors show that chronic activation of both human and

proliferation

induced in SCID mice the authors

auto-antibodies to DNA

shown that these cells where able to

capacity, producing high

prevented

Tregs

defined

are

house dust mite-induced

not

representing

by unique surface

a

uniform

markers. Therefore

tool to treat autoimmune diseases still needs

improvement.

3.3.6.

Molecular

Mimicry

Many peptide fragments perhaps

induce

of infectious

organ-specific

agents

found that

a

membrane

protein

are

homologous

autoimmune responses.

rheumatic heart disease sometimes follows was

lupus-susceptibility

lead to the induction of

can

murine CD4+ T cells in the presence of IL-10

and

a

suppression

Tregs

possibility

of such cells to

application

successful. It

T cells

It offers the

quite attractive.

further

in

apoptosis [374].

Defective T cell-mediated

3.3.5.

a mouse

inhibitor of the Fas-FasL

chromosome 1. Further the authors could show that COX-2 inhibitors

able to suppress the

and

an

is located

encoding COX-2

the gene

pathway. Notably,

a

which is

upregulation of cyclooxygenase-2 (COX-2),

the

on

the

a

streptococcal

with host

proteins

It is well known that

infection. And indeed it

ß-hemolytic streptococcus

bacterium has

high degree of homology with cardiac myosin, and antibodies that target the

bacterium also cross-react with cardiac muscle and induce rheumatic fever Yersinia

enterocolitica,

a

bacterium

normally associated

with

food

[377,378]. poisoning

outbreaks, has also been associated with various autoimmune diseases. Increased

48

Introduction

patients

levels of antibodies to Yersinia have been demonstrated in disease

or

variety of thyroid antigens [381,382]. concept

more

even

with MS. There, it

patients

derived from

strongly

myelin

peptides

with viral

basic

peptides derived from

a

this

T cell clones,

protein-reactive

found that T cell clones

was

than

supporting

data

compelling

most

The

from studies with

coming

are

These antibodies cross-react with

thyroiditis [379,380].

autoimmune

with Graves

seem

the

to react

myelin

basic

protein [383].

Polyclonal Activators

3.3.7.

Superantigens

activate T cells

trough

This distinctive mode of T cell activation, bind to of T

a

wide

with the

together

MHC/peptide specificity [384].

of their

superantigen stimulates cytokine production

expression

in human T cell lines

associated

TCR-ß

[385] In

[386].

chains

unspecific activation of contribute to the

3.3.8.

B cells

antigen-specific

rodent

a

of

type

large numbers

Mycoplasma

The

regulates MHC

lymphocytes

model,

to

class II

with arthritis-

Mycoplasma

arthritidis

polyclonal B-cell activation and/or

in

[387]. Thus, autoimmunity

may result from

superantigens. Such

mechanism may

T and/or B cells via

pathogenesis

and up

and stimulates T

superantigen stimulated Th cells, resulting differentiation of

ability of superantigens

MHC class II molecules, leads to activation of

irrespective

cells

arthritidis

variety of

the variable domain of the TCR ß chain.

I diabetes in

some cases

a

[388].

Exposure of Cryptic Self and epitope spreading

During the past years it got obvious that molecular sequestration of antigens is much

more

antigenic

common

than the anatomic

determinants

are

sequestration.

effectively processed

development the T cells specific for self-antigens the T cells for

antigens

are

cryptic self-antigens

presented

in

an

optimal

induced. But the mechanisms for are

not well understood

rendering

to T cells.

either deleted

immune response

an a

are

presented

or

if the

against self

cryptic antigen optimal

few

During

anergized.

get deleted. Therefore

did not way,

and

protein just

For each

for

But

cryptic can

be

presentation

[389].

Another mechanism

important

epitope spreading. During

the

for the

exaggeration

development of

an

of autoimmune diseases is

autoimmune disease

a

shift

can

be

49

Introduction

observed from the also start to

antigenic epitope originally inducing autoimmunity

trigger autoimmunity.

response shifted from the tissue

As shown for EAE in mice, where the autoimmune

original antigen

to

epitopes released

immunopathogenesis

due to the

damage

to others which

of

relapsing

result of acute

as a

clinical

episodes [390].

Genetic Factors

3.3.9.

Familial studies

suggest

clear association between

a

diseases, particularly those with

an

genetics and

autoimmune

organ-specific pathology [391]. Further, although

concordance rates between identical twins

can

be

relatively

low

depending

on

the

disease, this may be explained by non-identity in immune repertoires because of TCR and

Ig gene recombination,

mutation of B-cell

to

tend

are

no

and

clinical

also

with

complex. Certain haplotypes (HLA-B8, certain

non-MHC

of

arises from studies of

TCR-ß

haplotypes

at

in

[394,395]).

sibling pairs a

(reviewed

in

development of

haplotypes

genes

have examined the

certain autoimmune diseases in the human

(reviewed

DR2-

found

in

contribute

to

are

of disease.

number

a

diseases

is not sufficient for

autoimmunity-associated

signs

autoimmunity. Many studies

for the TCR

autoimmune

specific MHC haplotype

a

disease,

individuals with There

the MHC gene

associated

be

[392,393]). However, autoimmune

receptor assembly, and somatic

in

receptors. The most clearly established genetic association is with

specific alleles within DR5)

variations

frequency

The

with

possibility

population strongest

higher

may

that

segregation [396]. TCR-gene polymorphisms

disease

susceptibility [397].

germline

genes

evidence for TCR involvement MS.

They shared specific

than would be

random

predisposition for

may lie in the

recurrent/relapsing

much

that

expected

based

on

have also been associated with

50

Results

RESULTS 4. EXPRESSION

CHEMOKINE

CLONING CCL19

AS

POTENT

CC-

THE

IDENTIFIES

ACTIVATOR

OF

Lässing1,

Roger

DENDRITIC CELLS

Patrick

Bättig1,

Beerii1,

Klaus

Monika

Bauer1,

Dietmeier1,

Kopf3, Philippe Saudan1

Urs

Lidia

Eriksson2,

Ivanova1,

and Martin F.

1Cytos Biotechnology AG, Wagistr 25, department

Christiane

Thomas

Ruedl1,

Pfister1,

Ute

Lorenz

Vogt1,

Manfred

Bachmann1

8952 Zurich-Schlieren, Switzerland

of Research and Medicine,

University Hospital, Petersgraben 4,

CH-

4031 Basel, Switzerland

3Molecular Biomedicine, Department Institute of

Technology,

of

Environmental

CH-8092 Zurich, Switzerland

Keywords: DCs, Cytokines, CCL19, Autoimmunity

Sciences,

Swiss

Federal

51

Results

Abstract

4.1.

(DCs)

Dendritic cells

are

key regulators

They capture antigen, process where T cell

priming

the identification of

system,

proteins

isolated

we

production of

the

DCs

autoimmune as

an

migrate

chemokine CCL19

a

in

were

up-regulation

potent

only

highly immunogenic if

pulsed

natural

with

adjuvant

orchestrate DC

to

lymphoid

organs

alpha-viral expression cloning technology proliferation as

of

in

in

a

DC-T cell co-culture

proliferation by inducing molecules and the

co-stimulatory

vivo

IL-12 and

and were

myosin-derived peptides.

Our

TNF-a.

able

but also

regulate

to

CCL19cause

findings suggest

for the activation of DCs, and

migration

for

potent inducer of proliferation.

pro-inflammatory cytokines IL-1ß,

myocarditis

chemokines not

potential.

Using

that enhance T cell

resulting

maturation of DCs,

CCL19

the

it and, upon activation,

studies showed that CCL19 enhanced T cell

Subsequent

stimulated

occurs.

for the induction of immune responses.

their

suggest

that

immunogenic

52

Results

Introduction

4.2.

Dendritic cells

They

are

(DCs)

are

key

initiators of innate and

potent antigen processing and presenting cells

their

target tissues, taking up that is

residence at sites of

is

[182,401], antigen

processed

and

I

or

the

change

tissue and to

peripheral

during

of

regions

migrate

II

to

specific CTLs and Th cells

receptor-mediated endocytosis

via

DCs

molecules

via

on

After

[402].

the cell

receiving

inflammatory stimuli,

a

migration [187,404].

them to leave

Arrived in the T

induce both activation and

can

presentation

of

immunogenic peptides

respectively [270,399].

cellular immune response to

cancer

in association

Besides

protection and

regulation, maturation, [405,406].

of

proliferation

In contrast, in the

activation stimulus, DCs induce T cell tolerance rather than activation

[177,178,407,408]. Thus, regulation protective

presented

are

DCs appear to be central to the

against pathogens,

an

of

uptake

draining lymphoid organs [403]. Upregulation

with self-MHC class I and II molecules,

absence of

a

maturation renders DCs sensitive to two chemoattractants, MIP-

lymphoid organs,

maintenance of

After

expression pattern of chemokine receptors, allowing

3b/CCL19 and 6kine/CCL21, which direct the

of

via

inducing signals either directly from pathogens or

maturation

of CCR7

or

in

potential pathogen entry

peptides thereof

surface associated with the MHC class

cell

immune reactions

antigen capture [273].

for

specialized

antigen by phagocytosis, macropinocytosis

the

to

Immature DC precursors exit the BM and circulate via the bloodstream to reach

physiological stage

DCs

unique ability

with the

boosting secondary

stimulate primary immune responses and

[400].

adaptive immunity [398,399].

T cell responses

Pathogen-mediated

as

APC

well

of DC-activation is central for the establishment as

for the maintenance of T cell tolerance is

activation

usually transduced

via

the

[409]. like

Toll

with receptor (TLR) family [410-412]. TLR recognize invariable patterns associated

pathogens

like LPS

(TLR5) [416]

or

(TLR4) [413,414], double-stranded

bacterial DNA

(TLR9) [417,418].

RNA

(TLR3) [415], flagellin

But APC activation is also induced

by pro-inflammatory cytokines like TNF-a [419], IL-1ß [420,421] secreted from the

particular CD40L

surrounding and

inflamed tissue. Members of the TNF

Trance/RANKL

are

maturation of DCs both in vitro and in vivo

additional

and

or

IL-7

[422]

superfamily,

potent stimuli for

in

the

[423-425]. Recently, chemokine receptors

53

Results

been

have

can

shown

Specifically, ligation

to

in

protective

T cell responses is

CD86 level,

leading

measles virus engages the CD46 molecule

on

generation

of

viruses interfere with

by lowering

to reduced T cell co-stimulation

production

led to

for the

highlighted by the fact that several

activation of DCs. Poxviruses inhibit DCs maturation

DC-maturation.

of

induction

in

of DC-maturation

importance

The

of IL-12

directly involved

by toxoplasmosis-derived cyclophilin

of CCR5

[426].

DCs

be

expression of

the

[427]. Along

similar line,

a

DCs, inhibiting the expression of IL-12

[428]. To

DCs,

identify

we

novel

performed

Sindbis virus

as

splenocytes

and

single-stranded

proteins capable an

RNA virus with

of interest

plus

replication competent encoding genes

for DCs and demonstrate that CCL19

autoimmune disease in

induction of DC maturation chemokines may not their

ability

to

prime

is

a

an

the viral

or even

report here the identification of

We used naive

to

alphavirus

replicase,

it is

genus.

proteins

possible

to

is

a

Using

and the

generate

libraries of interest.

mouse

can

activation of

protein library [1]. Sindbis

RNA molecule encodes the structural

protein

an

a

positive polarity belonging

other encodes the

by

splenocytes normalized against

infection of BHK cells

generated by

one

in vivo

T cell responses

expression cloning campaign.

carrier of cDNA from activated

where

We

regulating

based

alphavirus

bipartite system,

a

of

CCL19

as a

potent maturation

be used to activate DCs

myocarditis

model. These

ex

factor

vivo to induce

findings

indicate that

important property of CCL19 and suggest that

only organize

T cell responses.

the

migration

of DCs but also

directly regulate

54

Results

Material and Methods

4.3.

Mice

4.3.1.

Netherlands)

mice

C57BL/6

and

BALB/c

purchased

were

and used at the age of 8-14 wk. DO11.10

TCR-transgenic

obtained from the breeding colony at the Institut für Labortierkunde

Zurich, Zurich, Switzerland). Animals

produced from polyA+

was

[429]. Photobiotinylated polyA+

RNA from

the normalization. Therefore 10 mg RNA

irradiated for 20 minutes using

photobiotin

biotinylated and

was

resuspended

polyA+

hybridization

in

was

The

mediated in RNA

2 mg tester cDNA

oligo-dT (20mer),

an

hamster

used

as

driver for

photobiotin

acetate

Phillips Reflector Floodlamp.

buffer

was

ethanol

was

precipitated, 25 mM

carried out in

an

step, nucleic acid

initial denaturation

for 16 hours at 42 °C.

Free

mixed with 2 mg

(80% formaldehyde,

EDTA). Hybridization

(Roche)

library plasmid with

vitro transcription was

was

mixed with 30 mg

driver RNA. Double-stranded cDNA

pDelSfi.

the

Unhybridized single-

purified by streptavidin-mediated removal of RNA/DNA hybrids

pDHEB [430] linearized

Baby

was

After

proceed

the restriction endonuclease Sfi1

Library

splenocytes

formaldehyde hybridization

allowed to

was

naive

300W

a

250 mM NaCI, 5 mM

stranded cDNA

vector

of

template switch protocol

using

RNA and 0.2 mg

Eppendorf Mastercycler personal.

excess

(University

of C57BL/6 mice.

splenocytes

mouse

RNA

hybridization,

removed. For

driver

Hepes pH 7.5,

and

were

kept under SPF conditions.

were

isolated from LCMV-activated

was

Tester cDNA

and

mice

Construction of normalized cDNA libraries

4.3.2.

RNA

The

(Horst,

Harlan

from

produced by PCR, digested

and cloned into the

linearized with Notl

EcoRI

were

using

co-electroporated

kidney (BHK)

was

with

the an

cells. 18 hours

harvested and the viral titers determined.

or

subjected

alphaviral expression

Pad and the to

helper plasmid

RNA

SP6

mMessage mMachineTM equimolar

amount of

post transfection,

with

helper

cell

polymerasekit

(Ambion).

RNA into

supernatants

107

were

55

Results

Generation of

4.3.3.

BHK cells

protein library

infected with the normalized viral library at

were

infection of 0.1. Two hours later, cells

presence of

infection cells

were

incubated for 3 with 50

plate

stored

at

to avoid

detached and stained for the

expression of Sindbis

pi supernatant containing replication competent °C.

-80

The

remaining supernatants

shown in

schematically

Immature

lymph

mouse

nodes of

with 4nM

using

Biotec). marrow

MACS

Bone

of

CD4+-T cells

were

isolated from

in

assay. The

order to

procedure

spleens and mesenteric

[431]. Purified DCs

pulsed

were

BALB/c mice

or

LPS

ug/ml). Alternatively

to

instructions of the

the

(BM-DCs)

described elsewhere

as

were

pulsed

for 4h

(0.1 ug/ml; Sigma-Aldrich; BD

these

PharMingen)

samples

45 min at 37°C in DPBS

were

of naïve DO11.10

spleens

isolated from

were

derived dendritic cells

(clone3/23, 5ug/ml;

Alrich) for

made and

was

irradiated

proliferation

described

as

according

beads

marrow

naive

systems)

CD40

(DC)

BALB/c mice

For DC maturation, cultures R&D

then

OVA-peptide (Ovalbumin (OVA) 323-339; ISQAVHAAHAEINEAGR).

of

OVA-peptide-specific mice

were

of dendritic cells and T-cells

dendritic cells

naive

proteins

virus

1A.

Figure

Preparation

4.3.4.

viruses

UV

were

inactivate viruses and then used for the DC-T cell is

post¬

°C, until full cytopathic effect had developed. A master

at 37

days

8 hours

superinfection.

plate containing BHK cells. Plates

cell sorted into 96-well

single

and

washed and further incubated in the

were

neutralizing anti-Sindbis antibody

a

multiplicity of

a

or

supplier (Miltenyi

prepared

from bone

18h with TNF-a

(50 ng/ml;

were

[432]. or

E. coli,

with

026:B6)

FLAG-CCL19

treated with 10

without anti-

or

(0.33 ug/ml

ug/ml proteinase

K

or

0.99

(Sigma-

(containing Ca2+ and Mg2+) and afterwards boiled

at95°Cfor10min.

Functional expression screening of DC maturation factors

4.3.5.

Maturation of dendritic cells

proliferation

in the presence of

pulsed dendritic cells/well irradiated viral

spleen library

were

was

specific antigen. Briefly,

added

and

capacity

the

one

protein

plates

were

to induce T cell

30000 naïve

seeded in 96-well round bottom

supernatant containing was

determined via their

OVA-peptide

plates.

50ul of UV-

of the normalized activated

mouse

incubated at 37°C. As controls

56

Results

supernatants containing virally expressed TNF-a BHK cells

plates

added to each well and the

(1mCi/well)

harvester

multiple-well scintillation

resulting second

counter.

high

in

was

rescue

performed

on

SUPERSCRIPTTM II RNase H-

Complementary amplified by

were

a

dendritic cells in

reanalysed

a

supernatants from wells which showed increased RNA

RNA

PCR

supernatant using

using

cDNA

into

transcribed

was

the

transcriptase (Invitrogen Life Technologies).

reverse

removed

was

isolated from

was

RNA

(Qiagen).

Kit

RNA

Viral

of

a

positive supernatants

of

rates. Therefore viral

proliferation

into CD4+ cells

in

determined

was

maturation

to

3H-thymidine

assay for confirmation.

RT-PCR

RT-PCR

supernatants leading

Viral

were

harvested using

were

3H-thymidine incorporation

and

3H-thymidine incorporation

proliferation

4.3.6.

QIAmp

added for the final 14 h of culture. Cells

was

days.

further incubated for 2.5

were

CD4+ cells

OVA-specific

used. After 18-20 hours 50000 naïve

were

from SR5-infected

supernatants

or

by

genes

were

System (Roche) and

PCR

using Expand High Fidelity

The

treatment.

H

RNase

then

sequenced. Further

subcloning of CCL19 bearing

primers

into

a

pCEP-N-FLAG-C

atcgcgGATCCCGGTGCTAATGATGCGGAAGA-3')

and

(5'-ctatactagctagctcaAGACACAGGGCTCCTTCTGG-3') construct

was

then used for

Expression

4.3.7.

293-EBNA cells

were

were

Nhel-site at the C-terminus

and

purification of the recombinant proteins

seeded at

then transfected with

selection. The resistant

supernatants

were

Agarose-sepharose

This

performed.

was

a

density

of

4x106 cells/

lipofectamine

90mm

day prior

1

2000

collected

Affinity

population

and

Gel

an

then further

was

in DMEM

to the

(Invitrogen) according

affinity purification

(SIGMA)

manufactuers manual. For elution the

was

plate

to transfection. The

manufacturer's recommendation. One day after transfection cells

puromycin

(5'-

protein production.

(GIBCO BRL) containing 10% FCS (GIBCO BRL) cells

a

specific

N-terminus

at

BamHI-site

a

vector with gene

were

passed

expanded.

with

performed

under

Serum-free

ANTI-FLAG®

M2-

to

the

according

Flag-tagged protein FLAG peptide (Asp-Tyr-

57

Results

100

Lys-Asp-Asp-Asp-Asp-Lys) the

against PBS,

determined

were

were

CFSE

was

as

PBS

used. After extensive

was

stored in PBS at 4°C. The

protein concentrations

proliferation

assay

(Eugene, OR). BM-DCs

from Molecular Probes

purchased

of at least 90%. The T cells

labelling,

days incubation

pg/ml; FACS

BD

were

the cells

cells

subsequently

a

were

purity

at 37°C for 10

washed with PBS at 4°C. After four

harvested, stained with PE labelled anti-CD4 mab (0.1

were

and the

PharMingen)

by incubation

labelled 0.5 uM CSFE

were

were

transgenic CD4+ T cells

described above for 4h. Then DO11.10

added, obtained by positive MACS MicroBeads isolation (Miltenyi Biotec) with

min. After

dialysis

by Bradford (Biorad).

CFSE in vitro

4.3.8.

activated

proteins

in

ug/ml

CD4+ T cells

were

analysed

staining by

for CSFE

analysis.

Staining

4.3.9.

for FCM and ELISA

following antibodies

The

staining: FITC-conjugated anti-CD86,

used for

were

FITC-conjugated anti-CD80, PE-conjugated anti-CD11c, allophycocyanin-conjugated BD anti-TNF-a, biotin-conjugated anti-IL-1ß, biotin-conjugated anti-IL-12 Abs (all Dead cells

Pharmingen), ALEXA633-conjugated Streptactin (IBA). PI

and

gated

standard

Intracellular

out.

cytokine stainings

performed according

to

protocols. produced

For detection of IL-1 ß and IL-12 18h with indicated stimuli. Then the for IL-1 ß

were

stained with

were

(R&D Systems) (both

1ß and IL-12

R&D

systems)

Induction of

4.3.10.

BM-DCs

were

cultures

experimental

supernatants

as

were

heart muscle

specific peptide derived

subsequently

with different stimuli

cultured for

analyzed by sandwich ELISA As standards recombinant IL-

autoimmune

[432].

myocarditis,

from

a-myosin

including

0.1

myocarditis

In order to minimize

supplemented

autoimmune

were

used.

described

were

were

(BD PharMingen).

experimental

generated

maturation of DCs, Induction of

and IL-12

from BM-DCs, cells

with

IL-10

DCs

were

H chain

For the

(10 ng/ml). a

murine

were

treated

loaded with

[433].

ug/ml LPS plus

spontaneous

5

DCs

pg/ml anti-CD40

ab

58

Results

or

0.33

ug/ml Flag-CCL19

for 4 h and

2 and 4. Non-stimulated DCs

sacrificed and the hearts

were

were

injected i.p.

injected

as

(2x105 cells/mouse)

negative control.

removed and the

grade

of

On

on

day

myocarditis

days 0

10 mice

was

and

were

determined

by histology. A vague

diagnosis. Myocarditis to 4

(0,

myocytes

was

scored

cellularity

on a

was

considered

not

inflammatory

inflammatory

cells

or

cells

involving

involved; and 4, >30% of

a

surrounding >30

individual

cross-section

cells

a

0

between

myocytes; 2, larger foci of

myocytes; 3, >10% of

myocardial

sufficient for

semi-quantitative scale using grades from

inflammatory infiltrates; 1, small foci of inflammatory

no or

in interstitial

increase

>100

myocardial cross-section

involved).

59

Results

Results

4.4.

Functional

4.4.1.

cloning

of CCL19

as

inducer of T cell

in

proliferation

DC-T cell mixed culture assays As DCs

crucial for the induction of immune responses,

are

novel DC maturation factors We an

generated

using

an

alphaviral expression

vector.

spleen

Originally

cDNA

the RNA

library and transferred

a

as

viral

described in Materials and Methods. The cDNA library

library by

in vitro

transcription

and

it into

spleens of

extracted from

was

LCMV-infected BALB/c mice, transcribed in cDNA and normalized RNA

identify

alphaviral screening technology.

normalized activated

a

set out to

we

against splenocyte

was

electroporation together

transformed into

with

a

viral

helper

construct.

Following of 0.1 and This

the

single infected

led to the

cells

were

generation of the

expression

of

to

supernatants

were

harvested and

derived DCs

were

treated with the

The next

sorted

one

remaining

were

within

3

protein.

over

T cells

The

protein containing

night

were

plate

were

shown in

genes in total

Figure

1B.

by UV-light. Spleen pulsed

and

with OVA

added. Proliferation

was

calculated and every well which showed

the virus recovered and the cDNA sequence determined

was

plates.

where each well

virus inactivated

supernatants

MOI

days,

count/min value two standard deviations above the average

assay. CCL19

an

3H-Thymidine incorporation.

The average counts per

library 10000

infected with

subconfluent BHKs in 96 well

on

different

day OVA-specific CD4+

assessed 2.5 days later by

1A BHK cells

protein library

a

corresponds

peptide.

Figure

shown in

protocol

were

plate

were

further evaluated,

was

(Figure 1B). Out

of the

proliferation

in the

tested for induction of T cell

identified two times. One

a

CCL19

was

identified is

60

Results

BHK cells infected with

Sindbis virus genes from

encoding library

AMS

an

UV treatment

Sorting

of

infected

Transfer of

3

days propagation

cells

e

"10°

10'

10!

10'

supernatant

->

ï

10'

Transfer of

supernatant to OVA-pulsed

Addition of

imDcs

e *§

0

specific

Activation

OVA

of DCs

CD4+ T cells

0

Antigen specific °

Proliferation of T cells

B 64000

®

48000



.IV*-,*...*.* .***....

......... *

H

.

32000 3

s

*C

%

*....*..

w

^v~*

.

*



«

O

.*.

*

Ü

16000

24

12

Outline of the

Figure 1(17). campaign: activated one

A. BHK cells were infected with

mouse

cell/well

on

infected wells DCs. After

screening strategy and CCL19

spleen library.

Infected cells

BHK cells seeded in 96 well

were

over

a

CD4+

(stained plates.

with anti-sindbis

on

were one

(encircled point).

well showed

on

the

RNA from the

the 96 well

plate.

an

sorted

were

supernatant of

the

OVA-peptide pulsed spleen-derived

H3-thymidine

into

T cells

were

proliferating

added

T cells.

substantially increased proliferation of OVA-specific

positive

well

was

step into DNA and sequenced. The virus encoded gene turned axis location

specific antibody)

night treatment OVA-specific MACS-beads purified CD4+ D011.10 incorporation of

screening

encoding genes from

days propagation

After 3

harvested, UV treated and transferred

plate is shown

T cells

of the results of the

MOI of 0.1 with Sindbis virus

to the wells. Read-out for activation of DCs was

B. A 96 well

as one

96

84

72

60

48

36

extracted, transcribed by

out to be CCL19. Y-axis

Pointed line indicates counts/min average of the

plate.

a

RT-PCR

counts/min, X-

61

Results

CCL19 induces maturation of dendritic cells

4.4.2.

To reconfirm that CCL19 is

system, the RNA from the virus cloned into the the

supernatant

factors, the

alphaviral

we

not

was

shown).

was

recovered, transcribed in DNA and the sequence

vector. Virus

a

possible

tested directly

From this

was

(Figure 2A).

retested

wanted to exclude

supernatant

(Data

was

we

in the DC-T cell co-culture

inducing proliferation

on

BHK cells

generated, As

we were

showing

infected and

interested in DC activation

direct effect of CCL19

T cells

were

no

on

effect

T cells. Therefore

on

the

proliferation

concluded that CCL19 influences DCs directly. To

test, whether CCL19 may enhance T cell proliferation by activating DCs,

spleen

derived DCs with the

expression of CD86

are

CD40 and CD86

both

supernatants

treated with

Therefore

a

over

night

by FACS staining

important molecules

DC maturation. We found with

supernatants

with

and

analyzed

treated

them for surface

specific antibodies. CD40 and

for T cell activation and

significantly higher part

we

are

up-regulated

upon

of mature DCs in cultures treated

from SR-CCL19 infected BHK cells

compared

to DC cultures

supernatants from empty virus infected BHK cells (Figure 2B and 2C).

we

conclude that CCL19 indeed induces maturation in DCs.

62

Results

B

SR5

15000

E 10000 c 3

O

Ü 5000

SR5-TNF-Q

SR5-

SR5-TNF

SR5

CCL19

10u

10'

10'

10°

1. o

40

o

&

20

t

Immunization

Peptide

p33

A4Y

V4Y

G4Y

P33

A4Y

V4Y

G4Y

on

target cells



o

2L

Immunization

p33

p33

p33

p33

p33

p33

p33

A4Y

V4Y

G4Y

S4Y

Peptide on target cells

p33

A4Y

V4Y

G4Y

p33

S4Y

p33

p33

p33

p33

p33

Figure 2(23). Induction of peptide-specific cytotoxic variants-VLP: C57BL/6 mice VLP with 20 nmol later

CpGs.

As

were a

control mice

samples

were

CD8+ T cells

used per group,

were

efficiency of

with PBS and 20 nmol

induced CTL responses

stained with APL-tetramers and anti-CD8

percentage peptide specific Four mice

the

injected

were

error

are

bars

shown

on

represent

by immunization

with

the

antibody

and

error

were

S4Y-

determined. A.

analysed by FACS.

of the

to naïve CD8+ T cells

or

CpGs. Eight days

Y-axis, and the peptide

the standard

and

p33-

G4Y-

30ug of p33-, A4Y-, V4Y-,

immunized i.v. with either

frequencies of specific T-cells and

Blood

T cells

(data

on

mean.

not

The

the X-axis.

The different

shown).

B. and

tetramers showed less than 0.2 %

unspecific binding

C. A 1:1 mixture of CFSE labelled,

peptide pulsed splenocytes (CSFEhigh) and unpulsed splenocytes

(CFSElow) and

were

spleen and

injected

LN

response of each determined

(C).

are

as

target cells. After 4 h the mice

were

killed

analyzed for the presence CSFEhigh (pulsed) and CFSElow (unpulsed) cells. peptide against itself (B) and

In vivo

specific lysis is shown target cells

i.v. into the immunized mice

cytotoxicity on

the

was

determined

as

cross

reactivity of

the different

peptides

were

described in material and methods. Percentage

Y-axis, the VLPs used for immunisation and the peptides loaded

shown on the X-axis. Circles

lysis in each group. Three mice

the

The

were

represent

individual mice and lines show average

used per group. One of two

comparable experiments

on

specific

is shown.

81

Results

The

ability

next. Mice

and 9

were

were

primed

with

challenged

challenged naive

for the

with

mice

more

a

peptides

under less

was

able to confer

results

were

stringent conditions,

reduced viral dose,

(Figure 3B).

assessed

CpG oligonuleotides

expressing

p33-VLPs efficiently controlled viral replication (Figure

leading

from

(not shown).

mice

were

immunized and

A4Y and

complete protection

partial protection

was seen

with the other

V4Y

(Figure 3B). Protection

from LCMV infection followed

Whereas

p33,

A4Y and V4Y induced

good protection, G4Y and

do

so

(Figure 3C). Thus,

albeit with limited

variant

efficiency.

peptides

were

In order to

agonistic peptide pattern.

high

to 100-fold lower viral titers in ovaries

Under these circumstances,

strongly cross-reactive peptide

protection

obtained if the VLPs

into mice in the presence of anti-CD40 antibodies

protection

was

with recombinant vaccinia virus

challenge (Figure 3A). Similar

test anti-viral

of

mice

In contrast, none of the variant

injected

protection

immunized with the various VLPs together with

days later,

dose virus

T cells

of cross-reactive T cells to mediate anti-viral

LCMV-GP. Mice

3).

protection by cross-reactive

Anti-viral

5.4.3.

are

a

similar

S4Y failed to

able to mediate anti-viral

protection

82

Results

Vaccinia: high titer

0

©•

Ä

•e-

T7

0

I

o

o

O) o

e-

G4Y

V4Y

A4Y

p33

Immunization: PBS

Vaccinia: low titer

B

o. U)

o

Immunization: PBS

p33

A4Y

V4Y

G4Y

S4Y

2.

£

LCMV

XX O

°

o

a

o

Immunization: PBS

Figure 3(24). Pathogen and

Groups of

three C57BL/6 mice

S4Y-VLP and 20 nmol

priming

mice

were

(B) of Vacc-GP were

dose

or

CpGs.

a

*

£

p33

A4Y

V4Y

G4Y

dependent protection after

were

As

&

.,

j

S4Y

A4Y- and V4Y-VLP immunization:

immunized i.v. with either 30 ug of

p33-, A4Y-, V4Y-,

control mice received PBS and 20 nmol

challenged i.p. either

with

i.v. with 200 PFU LCMV

a

high

(C).

isolated, and viral titers in the organs

lines show average viral titers in each group.

dose 1.5

Five

were

x

106

days later

PFU

ovaries

determined. Circles

(A)

CpGs.

or a

Nine

low dose 3

(Vacc-GP)

or

G4Y-

or

days after x

104

PFU

spleens (LCMV)

represent individual

mice and

83

Results

Induction of autoimmunity

5.4.4.

expressing LCMV-GP under

mice

Transgenic

first set of

experiments,

presented by

activated DCs

diabetes if

given

alone

[460]. Thus,

In addition,

(Figure 4).

peptides

as

A4Y

or

V4Y,

(Figure 4). Thus,

no

rat

insulin

[367].

even

autoimmunity could

responses

were

induced with

days

were

an

In

for

failed to induce

injected together

onset between d-7

(not shown).

later

unless

heavily infiltrated early

fused to VLPs failed to induce diabetes also if

anti-CD40 antibodies such

few

a

cell

T

p33-VLPs

islet cells

pancreatic

after onset of diabetes and virtually absent variant

if

rapidly

was

poor

expected, p33-VLPs

as

(not shown). However,

with anti-CD40 antibodies, diabetes and d-13

induce

p33-VLPs

p33-VLPs.

with

of the

tested whether RIP-GP mice develop diabetes upon

we

immunization

control

diabetes upon infection with LCMV

promoter (RIP-GP) develop autoimmune a

the

In contrast,

applied together

with

strongly cross-reactive peptides,

be induced.

600,

,

500

|

400

.§.

300

I

2M 100

|

„] 5

,

,

,

,

7

9

11

13

—A—P33

15

-1-A4Y -0-V4Y -K-G4Y -»-S4Y

time

(days)

but not by Figure 4(25). Induction of increased blood glucose level and autoimmunity by p33 variant

peptides: RIP-GP mice

were

immunized i.v. with either 100 ug of

S4Y-VLP and 100 ug anti-CD40 antibodies. Blood different intervals

starting

but not the variant

5

glucose

days after immunization.

peptides induced diabetes

and

p33-, A4Y-, V4Y-,

G4Y-

or

levels in these mice were monitored at

Three animals

were

used per group. P33-VLPs

significant elevation of blood glucose levels

(p

H-*

«?,

'/5

'/*

o„

o

*