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Functional Avidity−Driven Activation-Induced Cell Death Shapes CTL Immunodominance This information is current as of June 15, 2017. Silvia Dalla Santa, Anna Merlo, Sara Bobisse, Elisa Ronconi, Daniela Boldrin, Gabriella Milan, Vito Barbieri, Oriano Marin, Antonella Facchinetti, Giovanni Biasi, Riccardo Dolcetti, Paola Zanovello and Antonio Rosato Supplementary Material References Subscription Permissions Email Alerts http://www.jimmunol.org/content/suppl/2014/09/22/jimmunol.130320 3.DCSupplemental This article cites 42 articles, 23 of which you can access for free at: http://www.jimmunol.org/content/193/9/4704.full#ref-list-1 Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2014 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 J Immunol 2014; 193:4704-4711; Prepublished online 22 September 2014; doi: 10.4049/jimmunol.1303203 http://www.jimmunol.org/content/193/9/4704 The Journal of Immunology Functional Avidity–Driven Activation-Induced Cell Death Shapes CTL Immunodominance Silvia Dalla Santa,* Anna Merlo,* Sara Bobisse,† Elisa Ronconi,‡ Daniela Boldrin,* Gabriella Milan,x Vito Barbieri,{ Oriano Marin,‖ Antonella Facchinetti,{ Giovanni Biasi,# Riccardo Dolcetti,** Paola Zanovello,*,{ and Antonio Rosato*,{ T he immune response usually focuses on one or just a few antigenic epitopes in a hierarchic and highly reproducible manner, a phenomenon termed “immunodominance” (ID) (1, 2). This can be influenced at every step of the immune response, ranging from epitope availability, as in the case of viral infections that produce antigenic epitopes with a specific timetable (3, 4), to Ag processing and presentation (5, 6), and, finally, to T–T (7) and T–APC interactions (8). An essential condition to enter the hierarchy is an efficient processing of the antigenic determinants by the immunoproteasome. This step depends on the epitope binding affinity for the transporter associated with Ag processing and has to achieve a well-defined processing threshold (1, 6). The subsequent assembly of peptide–MHC complexes is critically influenced by the epitope binding affinity to MHC, with the immunodominant determinants (IDDs) usually having a higher affinity for the complex (9) than the subdominant determinants (SDDs) (10). *Veneto Institute of Oncology, 35128 Padua, Italy; †Ludwig Center for Cancer Research, University of Lausanne, Biopôle III, 1066 Epalinges, Lausanne, Switzerland; ‡ Excellence Centre for Research, Transfer, and High Education, University of Florence, 50139 Florence, Italy; xDepartment of Medicine, University of Padua, 35128 Padua, Italy; {Department of Surgery, Oncology, and Gastroenterology, University of Padua, 35128 Padua, Italy; ‖Department of Biomedical Sciences, University of Padua, 35131 Padua, Italy; #Department of Molecular Pathology, University of Marche, 60126 Ancona, Italy; and **National Cancer Institute, 33081 Aviano, Italy Received for publication November 27, 2013. Accepted for publication August 21, 2014. This work was supported by the Italian Association for Cancer Research (IG-13121 and Special Program Molecular Clinical Oncology 5 per Mille ID 10016 [to A.R.] and IG-14287 [to R.D.]) and the University of Padua “Progetti Strategici di Ateneo 2011” (to A.R.). Address correspondence and reprint requests to Dr. Antonio Rosato, Department of Surgery, Oncology, and Gastroenterology, University of Padua, Via Gattamelata 64, I-35128 Padua, Italy. E-mail address: [email protected]. The online version of this article contains supplemental material. Abbreviations used in this article: ACT, adoptive cell therapy; AICD, activationinduced cell death; B6, C57BL/6; ID, immunodominance; IDD, immunodominant determinant; MLPC, mixed leukocyte peptide culture; Mo-MSV/Mo-MuLV, Moloney-murine sarcoma/leukemia virus; SDD, subdominant determinant; TIL, infiltrating T lymphocyte. Copyright Ó 2014 by The American Association of Immunologists, Inc. 0022-1767/14/$16.00 www.jimmunol.org/cgi/doi/10.4049/jimmunol.1303203 The frequency of responsive T cells with a TCR specific for a given peptide–MHC complex is another key point for ID. In fact, during a cellular immune response to a pathogen, the CD8+ T cell population undergoes a strong selection for a highly restricted TCR repertoire (11, 12), to limit potential autoimmune reactions (13). Then, the extent of recruitment, the length of the precursor expansion phase (14), and the proliferative potential of each specific CTL clone (13) are involved in the generation of the response hierarchy. In turn, all of these factors potentially can be influenced by the functional avidity of Ag-specific T cells, a parameter that describes how well a T cell responds to Ag stimulation (15, 16). Finally, the interactions of Ag-specific T cells with APCs or other T cell subpopulations also can contribute to the establishment of ID hierarchies. In this regard, the immunodomination phenomenon describes the T–T cell competition for access to the same APC (8), which leads to the inhibition or the suppression of the T cell response to a given Ag by other T cells and may occur when they share the same APC and the APCs are scarce (8). In this study, we describe a novel mechanism of ID that characterizes the immune response to a retroviral complex (Moloneymurine sarcoma/leukemia virus [Mo-MSV/Mo-MuLV]), which gives rise to sarcomas rapidly undergoing spontaneous regression mediated by virus-specific CTLs (17). Previously, we identified the apparent IDD and SDD antigenic determinants in Gag85–93 and Env189–196 epitopes, respectively, in the H-2b mouse strain (18). We now report that, both in vitro and in vivo, SDD-specific CTLs exhibit a much greater Ag avidity than do the IDD-recognizing counterparts, and they undergo apoptosis due to Ag overload and supraoptimal TCR engagement. These features prevent their expansion, ultimately allowing ID of the less-avid Gag-specific population. Therefore, we propose avidity-dependent hyperactivation-induced cell death as a novel mechanism in the establishment of the ID hierarchy of CD8+ T cells. Materials and Methods Mice Six- to eight-week-old female C57BL/6 (B6) mice (H-2b) (Charles River Laboratories) were housed in a specific pathogen free animal facility. Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 Immunodominance is a complex phenomenon that relies on a mere numerical concept, while being potentially influenced at every step of the immune response. We investigated the mechanisms leading to the establishment of CTL immunodominance in a retroviral model and found that the previously defined subdominant Env-specific CD8+ T cells are endowed with an unexpectedly higher functional avidity than is the immunodominant Gag-recognizing counterpart. This high avidity, along with the Env Ag overload, results in a supraoptimal TCR engagement. The overstimulation makes Env-specific T lymphocytes more susceptible to apoptosis, thus hampering their expansion and leading to an unintentional “immune kamikazing.” Therefore, Ag-dependent, hyperactivation-induced cell death can be regarded as a novel mechanism in the establishment of the immunodominance that restrains and opposes the expansion of high-avidity T cells in favor of lower-affinity populations. The Journal of Immunology, 2014, 193: 4704–4711. The Journal of Immunology Procedures involving animals and their care conformed with institutional guidelines (D.L. 116/92 and subsequent implementing notes), and experimental protocols (1186/05; 1130/08) were approved by the Italian Ministry of Health. Virus preparation and administration The Mo-MSV/Mo-MuLV cell extract was prepared as previously described (18). Adult B6 mice were injected i.m. in the hind region with 150 ml cellfree preparation. Synthetic peptides and preparation/synthesis of MHC–peptide tetrameric complexes Gag85–93 [H-2Db–restricted, CCLCLTVFL (18)] and Env189–196 [H-2Kb– restricted, SSWDFITV (18)] peptides and the relative controls (NP366–374 from the influenza A virus, H-2Db restricted, ASNENMETM and b-gal96–103, H-2Kb restricted, DAPIYTNV) were obtained from Tecnogen. A Gagmodified peptide (19) was used only for tetramer preparation and was synthesized at the Centro Ricerca Interdipartimentale Biotecnologie Innovative of Padua University. Soluble tetramers were produced as previously described (20). Tumor cell lines CTL clones, mixed leukocyte peptide cultures, and infiltrating T lymphocyte isolation CTL clones and mixed leukocyte peptide cultures (MLPCs) were obtained as previously described (18). Infiltrating T lymphocytes (TILs) were isolated from tumor masses as reported (21), without Ficoll-Paque (GE Healthcare) treatment. and FITC-conjugated annexin (Annexin-V-FLUOS Staining Kit; Roche). Data analysis was carried out using Cell Quest (BD) and FlowJo (TreeStar) software. Peptide-dependent MHC-stabilization and -dissociation assays These assays were performed, as reported (26), using test peptides at 1 mM. RMA-S cells were primarily stained with the anti-Db/Ld mAb (HB-27) or the anti-Kb mAb (HB-176; both from American Type Culture Collection). Cells were secondarily stained with FITC-conjugated Rabbit Anti-Mouse Ig (F0313; DakoCytomation). For MHC-dissociation assays, cells were preincubated for 1 h at 37˚C with peptides, washed twice, reincubated without peptides, and stained as described above. For a zero time point determination, cells were pelleted immediately before (stabilization assay) or after (dissociation assay) the incubation with peptide. Analysis of viral transcripts RNA was extracted from homogenized tumor samples stored in RNAlater stabilization solution (Applied Biosystems) and from splenocytes following the TRIzol protocol (Invitrogen). cDNA was synthesized using 5 mg RNA with M-MuLV Reverse Transcriptase (Invitrogen). Quantitative PCR was performed with an ABI 7900HT (Applied Biosystems) equipped with SDS 2.3 software. Primers and probes for viral transcripts were designed with File Builder Software 3.1 and synthesized as Custom TaqMan Genomic Assays (Applied Biosystems) using Gag forward primer, 59-CCGATCGTTTTGGACTCTTTGGT-39; Gag reverse primer, 59-TGTTTTAGGTTCTCGTCTCCTACCA-39; Gag probe, 59-CCCCTTAGAGGAGGGATAT-39; Env forward primer, 59-ACTCAAGCTAGACCAGACAACTCAT-39; Env reverse primer, 59-CCCCCACATGACTTGGATTCTC-39; and Env probe, 59-ATGAGGGATTTTATGTTTGCCC-39. Absolute quantification of Gag and Env mRNAs was normalized to GAPDH mRNA (Mm99999915_g1; Applied Biosystems) and expressed as copy number using a plasmid standard curve (18). Adoptive-transfer experiments Statistical analysis Mice received total body gamma radiation (6 Gy) and were inoculated i.m. with 150 ml the retroviral complex at day 0; the day after, mice received a single i.v. administration of CTL clones (20 3 106 cells/mouse). For homing experiments, equal numbers (10 3 106 cells/each) of Env- and Gag-specific CTL clones were cotransferred in mice ∼12 d after radiation and virus challenge. Tumor masses were processed 18–24 h later to recover infiltrating lymphocytes. Mean values, SEM, Student t test, Mann–Whitney rank sum test, and paired-samples Wilcoxon signed-rank test were calculated using MedCalc software v11.3.1.0. A p value , 0.05 was considered statistically significant. Cytolytic assays In vitro cytotoxic activity was measured in a [51Cr]-release assay, as previously described (20), and data were calculated as the percentage of lysis or as lytic units 30 (22). Functional avidity of CTLs was determined using target cells pulsed with 3-fold dilutions of peptides (1025–10210 M for Gag85–93 and 1028–10214 for Env189–196) and calculated as the peptide concentration that resulted in 50% of maximal target cell–specific lysis (23). In vivo cytotoxicity was measured as reported (24), with some modifications. B6 splenocytes (107/ml) were labeled with three concentrations (5, 0.8, and 0.2 mM) of CFSE (Invitrogen), according to the manufacturer’s indications. Thereafter, cells were pulsed with Gag85–93 or Env189–196 peptides (1 mM) or left unpulsed. After washing, cell populations were mixed (10 3 106/each) and resuspended in PBS before i.v. injection. Eighteen hours later, blood, spleen, and lymph node cell suspensions were analyzed with a FACSCalibur flow cytometer (Becton Dickinson), and data were evaluated with Cell Quest software (Becton Dickinson). Specific cytolytic activity was calculated as the difference between the percentages of CFSEGag or CFSEEnv cells in control and virusinjected mice after normalization with CFSEunpulsed cell numbers. Esterase activity assay N-a-Benzyloxycarbonyl-L-lysin thiobenzyl–esterase secretion was evaluated as previously described (25). Gag- and Env-specific CTL clones (105) were seeded in assay medium alone for spontaneous release or with 0.3 3 106 MBL-2 or with specific/control tetramers (1 mg/ml). Cell staining and flow cytometry analysis Stainings were carried out with the following: FITC-conjugated anti-CD44 mAb (clone IM7; BD Pharmingen), anti-CD49d mAb (VLA-4; clone R1-2; BioLegend), anti-CD11a mAb (LFA-1; clone 2D7; BD Pharmingen) and anti-CD8 mAb (CT-CD8a; Caltag); allophycocyanin-conjugated antiCD8a mAb (CT-CD8a; Caltag); PE-conjugated tetramers; CFSE (1 mM); Results IDD- and SDD-specific CTL clones disclose wide differences in therapeutic efficacy and Ag avidity Our previous characterization of T cell responses against the transforming Mo-MSV/Mo-MuLV retroviral complex (18) demonstrated that virus-specific CTLs were primarily directed to the Gag85–93/Db epitope, whereas a minority targeted the Env189–196/Kb peptide, leading to the definition of these Ags as IDD and SDD, respectively. To address the potential and relative therapeutic efficacy of the two T cell subsets, we compared CTL clones recognizing either specificity in adoptive cell therapy (ACT) experiments (Fig. 1A). Daily monitoring revealed that only Gag-specific CTL clones exerted complete protection against virus-induced tumors, whereas clones directed to Env Ag were characterized by reduced or no therapeutic efficacy. To unveil the reasons for such differences, we investigated phenotypic and functional properties of the different CTL clones. CTL clones of either specificity efficiently recognized and specifically killed target cells in cytotoxicity assays (Fig. 1B). Degranulation capacity also was similar, as assessed by N-aBenzyloxycarbonyl-L-lysin thiobenzyl–esterase activity assays (Supplemental Fig. 1A). Moreover, analysis of adhesion molecules potentially involved in T cell recirculation and homing showed that the expression of CD44, VLA-4, and LFA-1 did not vary substantially (Supplemental Fig. 1B). More importantly, additional ACT experiments carried out in mice bearing advanced tumors provided evidence that cotransferred CTL clones could be retrieved in equal amounts at the tumor site (Gag/Env ratio, mean 1.11 6 1.19; Supplemental Fig. 1C). Conversely, peptide-titration Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 MBL-2, 293Db, and 293Kb cell lines (18) and the RMA-S cell line were used. VAR-2 (H-2b) is an MBL-2 variant not expressing viral Ags that was obtained in our laboratory. 4705 4706 FUNCTIONAL AVIDITY AND AICD SHAPE IMMUNODOMINANCE experiments (Fig. 1C) disclosed that Env-specific clones recognized the Ag with an extremely high avidity (exceeding by 4 logs that displayed by Gag-specific clones). Thus, a very high Ag avidity is not intrinsically associated with CTL therapeutic efficacy upon adoptive transfer. In vivo clonal dynamics of Gag- and Env-specific T cell responses The results reported above involved clonal populations that were expanded in vitro and administered at the same amounts, which likely do not reproduce the physiological development of antiviral immune responses. Moreover, the higher TCR avidity of Envspecific CTLs apparently is in contrast with their previously reported subdominant role (18). Therefore, we examined the generation kinetics of virus-specific CTLs during the course of the immune response and tumor growth (Supplemental Fig. 2A, 2B). After day 10, the percentage of Gagspecific TILs was higher than that of the Env-recognizing counterpart (Fig. 2A, Supplemental Fig. 2C). The difference between Gag- and Env-specific T cells likely could not be ascribed to a differential capacity to reach the tumor site, because they displayed an overlapping expression profile of the adhesion molecules that were tested (Supplemental Fig. 2D). These results endorse the concept of ID of the Gag85–93 epitope, even though the Env189–196-specific CTL population turned out to be more represented than expected from previous results (18). A wide avidity difference characterizes Gag- and Env-specific CTLs induced in vivo Using an in vivo cytotoxicity assay (24), a striking lytic activity was evident for the Gag specificity, being maximal when the overall number of CTLs just started to decrease and the tumor was shrinking (Fig. 2B). A relevant Env recognition also was detected, even though it had a slightly retarded emergence, minor amplitude, and a faster disappearance. The delay in appearance of an Env-specific cytotoxicity in vivo reflected the corresponding delay in the amplification of the CTL subset found in tumor (Fig. 2A). To study the effector abilities of TILs, tumors were collected at the peak of the immune response. The strong activation of the infiltrating population led to a cytotoxic activity that was detectable directly ex vivo. Again, Gag-specific lytic activity was relatively more pronounced than was that of the Env counterpart, at least when the whole population was considered (Fig. 2C). However, when considering the relative percentages of the two CTL specificities (Fig. 2A) and extrapolating the real E/T ratios, the Envspecific TILs were significantly more cytotoxic than the Gagspecific CTLs (Fig. 2D). Finally, when assayed for Ag avidity, the Env-recognizing TIL population was at least four orders of magnitude more avid (mean EC50 = 1.3 3 10211 6 6.1 3 10212 M) than the Gag-specific TIL subset (mean EC50 = 2.3 3 1028 6 6.4 3 1029 M), fully reproducing what was seen with the CTL clones (twotailed p = 0.0037, Fig. 2E). Because of the higher avidity, Envspecific TILs turned out to be less CD8 dependent for their activity compared with Gag-specific CTLs (Supplemental Fig. 2E). T cell avidity is directly linked to a dose-dependent proliferative block and apoptosis induction following Ag in vitro restimulation In vivo, CD8+ T cells are susceptible to proliferative inhibition by high-dose peptide Ag, with an inverse correlation between the concentration of Ag required for growth inhibition and CTL functional avidity (27). Accordingly, in MLPCs, CTL expansion was dose dependent for both Ags, even though the optimal concentration for Gag was 10–100-fold higher than that required for Env (Fig. 3A), in line with the better MHC class I stabilization of the latter (Supplemental Fig. 3). Nonetheless, even at the optimal Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 FIGURE 1. Adoptively transferred high-avidity T cell clones exert a reduced or no therapeutic efficacy against virus-induced tumors. (A) Therapeutic activity of adoptively transferred CTL clones directed against immunodominant (Gag, clones 48 and 76) or subdominant (Env, clones 123 and 167) epitopes in sublethally irradiated B6 mice injected with Mo-MSV/Mo-MuLV retroviral complex. As control, mice received naive syngeneic splenocytes or an anti– H-2d allogeneic CTL clone. Number of mice tested is shown in parentheses; arrows indicate the day of CTL transfer. Data are mean 6 SD of virus-induced tumor dimensions. (B) In vitro cytotoxicity of CTL clones. Lytic activity was evaluated against 51Cr-labeled Mo-MuLV–transformed MBL-2 cells and the virus-negative VAR-2 variant loaded with viral or control peptides. The number of independent experiments carried out for each clone is shown in parentheses. (C) Functional avidity of Gag- and Env-specific CTL clones. 293Db and 293Kb cells pulsed with different concentrations of Gag85–93 and Env189–196 peptides, respectively, were used as targets in [51Cr]-release assays. The E/T ratio was fixed at 10:1. One of three independent experiments is shown. The Journal of Immunology 4707 A higher avidity is also associated with a higher TCR expression, described as cytofluorimetric brightness (15, 29), which, in turn, is linked to a higher proneness to cell death. Accordingly, in all cell cultures tested, both TCR brightness and annexin positivity of Env-specific CTLs were significantly higher than the values detected in the Gag population (Fig. 3D, 3E). Notably, a direct correlation between TCR brightness and annexin positivity also was evident within each Gag- or Env-specific T cell subpopulation (Fig. 3F, 3G). Such behavior likely depended on activationinduced cell death (AICD) that was directly related to the level of T cell avidity and peptide concentration. Ag load and avidity of responding T cells influence in vivo AICD susceptibility and lead to establishment of the immunodominant and subdominant CTL responses concentrations, Gag-specific CTL expansion overcame that detected for the Env counterpart. In this regard, CFSE-labeled CTLs restimulated with optimal Gag or Env doses showed that proliferation of these two antiviral CTL populations largely differed in size and timing (Fig. 3B). Moreover, high-avidity CTLs have a greater sensitivity to Aginduced cell death (23, 27, 28). Accordingly, the Env-specific CTL subset exhibited a significantly higher apoptotic index than Gag-recognizing CTLs (Fig. 3C). In particular, the optimal Ag dose was associated with the lowest annexin profile and with maximal proliferation, whereas supraoptimal Ag concentrations were associated with more pronounced apoptosis rates (Supplemental Fig. 4). Therefore, a combination of delayed growth and high apoptosis index characterizes the high-avidity Env-specific T cell population and hampers its expansion. In contrast, loweravidity Gag-specific CTLs are less affected by these phenomena and, ultimately, can continue their growth. Discussion In this study, we challenge the current dogma that immunodominant T cells are endowed with high functional avidity, a feature that is generally associated with a more favorable immune response in terms of magnitude, frequency, and efficacy (1, 2, 15, 23, 30, 31). In particular, this study discloses a novel mechanism leading to the establishment of ID in CTL immune responses. The analysis was carried out using the Mo-MSV/Mo-MuLV retroviral model. This viral complex induces sarcomas that undergo spontaneous regression as a result of the generation of a strong CTL response recognizing viral Ags as tumor-associated Ags. Previously, we (18) identified its apparent immunodominant and subdominant antigenic determinants in the Gag85–93 and Env189–196 epitopes, respectively, based on the analytical tools Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 FIGURE 2. The in vivo subdominant antiviral CTL response is characterized by a higher functional avidity than that of the dominant counterpart. (A) Whole expansion kinetics of CD8+/tet+ T cells determined in tumor, spleen, and tumor-draining lymph node. Data are mean 6 SD of four independent experiments that were carried out using 5–10 pooled mice/time point in each experiment. (B) In vivo cytofluorimetric cytotoxicity assay in blood, spleen and tumor-draining lymph node at different time points after virus injection. Peptide-pulsed, CFSE-labeled syngeneic splenocytes were inoculated i.v. and used as target cells. (C) Ex vivo lytic activity of TILs isolated at the peak of the immune response against 51Crlabeled Mo-MuLV–negative VAR-2 cells loaded with specific or control peptides. Data are mean 6 SD of four independent experiments carried out with pools of TILs from 7–10 mice. (D) Cytotoxic activity of Ag-specific TILs calculated according to the percentages of CD8+/tetramer-specific T lymphocytes within the whole population. (E) Functional avidity of TILs. VAR-2 cells pulsed with different concentrations of relevant peptides were used as targets in [51Cr]-release assays. The E/T ratio was fixed at 400:1. A representative experiment is shown; the gray bars illustrate mean 6 SD from three independent tests. *p , 0.05, **p , 0.01, Mann–Whitney rank sum test (A, B, and D), Student t test (E). To analyze whether the link between T cell avidity and AICD also was operative in vivo, we quantified viral Ag load in tumor and spleen and verified the proneness to apoptosis in the responding T cell populations. Detectable levels of viral mRNA were found from days 3 to 20 (Fig. 4A, data not shown); tumor mass accounted for the highest levels of viral transcripts of both specificities, even though Env mRNA was much more abundant than the Gag counterpart. The maximal peak of production of transcripts was coincident with the appearance of the CD8+ CTL response, and transcript clearance was inversely correlated with TIL expansion. Levels of viral transcripts were measurable, but almost negligible, in spleen compared with tumors. Moreover, a detectable difference between Gag and Env TCR brightness was observable in TILs but not in splenocytes (Fig. 4B); specifically, Envrecognizing TILs showed a TCR brightness that was significantly higher than that of the Gag-specific subset (Fig. 4C). Next, we assessed apoptosis in Gag- and Env-specific CTLs (Fig. 4D). In tumor, Env-reactive T cells were more prone to death than was the Gag counterpart on any day tested; the difference was more pronounced earlier, at the peak of viral transcripts, and subsequently faded when transcripts were nearly undetectable. In spleen, the differences in annexin positivity between the two CTL subsets were not significant. Notably, in accordance with in vitro results, the greater TCR brightness found in Env-specific TILs directly correlated with a greater tendency to undergo apoptosis (Fig. 4E). Overall, the present data support a link among Ag load, TCR brightness, and susceptibility to apoptosis of the responding T cells. Moreover, these features are strictly correlated with the different CTL Ag avidity. Therefore, the Env-specific CTL population undergoes a continuous loss that compromises its expansion. In contrast, these phenomena affect Gag-specific T cells to a minor extent, leading to the expansion of this population and ultimately being responsible for its apparent ID. 4708 FUNCTIONAL AVIDITY AND AICD SHAPE IMMUNODOMINANCE Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 FIGURE 3. In vitro, antiviral CTL proliferation and apoptosis are a function of the Ag dose and the T cell Ag avidity. In all experiments shown, splenocytes were collected at the peak of the immune response and restimulated with different peptide concentrations in MLPCs. (A) In vitro expansion of Gag- and Env-specific CTLs was monitored daily by flow cytometry with specific tetramers and anti-CD8 mAb. Gag-specific CTLs did not expand at peptide concentrations , 0.1 mM, and the corresponding curves are not shown. Data are mean 6 SD of five independent experiments; each culture was set up by pooling cells from at least five mice. (B) FlowJo proliferation analysis of CFSE-labeled, Gag- and Env-specific CTLs during in vitro restimulation with the optimal peptide concentration. The red peak identifies undivided parental cells. The percentage of divided parental cells is reported in the upper right corner of each panel. A representative of three independent experiments is shown. (C) Kinetics of annexin profiles on CD8+/tetramer-specific CTLs. Each graph compares annexin profiles of Gag- and Env-specific CTLs cultured with their optimal peptide concentration (1 and 0.1 mM for Gag and Env peptides, respectively). Numbers in the upper left corner indicate the geometric mean of annexin staining. A representative of three independent experiments is shown; each culture was set up by pooling splenocytes from five to seven mice. (D) Comparison of TCR brightness between Gag- and Envspecific CTLs at day 5 of restimulation in culture. Symbols represent individual cultures set up with pooled splenocytes at different peptide concentrations (10, 1, or 0.1 mM for Gag peptide; 1, 0.1, 0.01, or 0.001 mM for Env peptide); experiments were repeated three times. (E) Comparison of annexin positivity between Gag- and Env-specific CTLs; culture conditions as in (D). (F) Correlation of geometric mean values between annexin staining and TCR expression levels (high or low intensity) in Gag-specific CTLs. (G) The same analysis in Env-recognizing CTLs. Coupled dots in (F) and (G) refer to paired subsets within single cultures set up as in (D) and (E). **p , 0.01, Mann–Whitney rank sum test (D and E), Wilcoxon test for paired samples (F and G). available at that time: a limiting-dilution analysis of CTL response. The concept of ID and subdominance of Gag- or Envresponding CTLs was simply based on their relative numbers at the end of a complex phase of tumor initiation, growth, and regression. This satisfied the current definition of ID as an immune response centered on one or just a few antigenic epitopes and organized in a hierarchic and highly reproducible manner. However, no information was available on how such a hierarchy could evolve during the interaction between the immune system and the pathogen/tumor. The Journal of Immunology 4709 The most important observations that we made are the following. On the Ag side, Gag transcript was much less represented than the Env counterpart during the course of viral infection, and the derived “immunodominant” Gag85–93 epitope stabilized its MHCrestriction element less efficiently than did the apparent “subdominant” Env189–196 peptide; such features appear exactly the opposite from what is expected for a typical IDD. On the T cell side, a difference in Gag- and Env-specific CTL precursors did not account for the establishment of the ID hierarchy, because they were equally represented in all immune districts analyzed, at least when they started to be detectable; thereafter, Gag-specific CTLs were more abundant than Env-specific T cells, resulting in their “numerical ID.” Surprisingly, the so called “subdominant” Envspecific CD8+ T cells were endowed with a very high functional avidity for the cognate Ag, exceeding by four logs that for the immunodominant counterpart. In this regard, it was reported previously that T cells with high functional avidity are particularly sensitive to a supraoptimal antigenic stimulation, with the consequent induction of AICD (27). In agreement with these observations, we demonstrated in vitro that, in our model, the Ag load also influenced the expansion rate and the AICD, based on the functional avidity of responding T cells. These features are likely exacerbated by the superior stability of Env–MHC complexes, which results in higher TCR occupancy and, in turn, potentially Downloaded from http://www.jimmunol.org/ by guest on June 15, 2017 FIGURE 4. A higher Ag avidity in conjunction with Ag overload in vivo leads to a greater apoptosis rate in anti-Env TILs. (A) Relative expression of viral transcripts was determined by real-time RT-PCR in tumor (left panel) and spleen (right panel) at different time points after viral complex injection. GAPDH was used as the housekeeping gene to normalize the experimental variability. Data (mean 6 SD) are a representative of three independent experiments carried out with five to seven mice for each time point. (B and C) Comparative analysis of TCR brightness between Gag- and Env-specific CTLs during the clearance of virus infection. (B) Representative ex vivo tetramer-staining profiles of tetramer-specific CTLs from tumor and spleen. Colored lines and numbers in the upper left corner of each panel refer to the geometric mean of Gag-specific (black) and Env-recognizing (red) CTLs. In (C), summarized data refer to TILs obtained in two different kinetics experiments in which five to seven animals were pooled at each time point. Coupled dots refer to paired Ag-specific CTLs isolated at the same time point (days 11–14) and belonging to the same pool. (D and E) Comparative analysis of annexin staining between Ag-specific Gag- and Env-specific CTLs during the virus clearance. (D) Annexin profiles of the tetramer-specific CTLs analyzed in (B). (E) Annexin geometric mean data of tetramer-specific TILs summarized from the two kinetics shown in (C). In (B) and (D), each sample is a pool of cells from five to seven animals; data are representative of two independent experiments. Again, in (B) and (D), data acquisition in the two anatomical sites requires different cytofluorimetric compensations that preclude a direct comparison of fluorescence intensity between them. *p , 0.05, **p , 0.01, Wilcoxon test for paired samples. 4710 FUNCTIONAL AVIDITY AND AICD SHAPE IMMUNODOMINANCE In conclusion, the reciprocal influence between the Ags and the responding T cells, rather than their biochemical and functional properties per se, defines the fate of T cells, their ID hierarchy, and, ultimately, the efficacy of the immune response. For these reasons, the characteristics of one universally efficient T cell cannot be generalized; only a comprehensive knowledge of the entire system can allow the identification of the best TCR and the best CTL population to be used in immunotherapeutic approaches. Acknowledgments We thank Dr. M. Bellone, Dr. V. Coppola, Dr. F. Dazzi, and Dr. F. Ronchese for critical reading of the manuscript. 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This allows the exclusion of functional exhaustion as a determinant in the establishment of the ID hierarchy, which is different from what is observed during lymphocytic choriomeningitis virus (3) and HIV infection (16). Most importantly, the role of Ag load, functional avidity, and AICD as a conceptual link in the determinism of ID also was demonstrated clearly in vivo. Indeed, we showed that the more avid Env-specific TILs face a higher Ag load and, hence, undergo a more pronounced AICD, allowing the final fictitious ID of Gag-specific T cells. Conversely, in vivo, splenocytes of both specificities displayed a similar TCR affinity/brightness and an equal susceptibility to cell death, because they encounter a similar Ag load that is considerably lower than in the tumor. These data can shed some light on the therapeutic failure of Env-specific T cell clones in ACT. Indeed, the impressive functional avidity of these effectors and the higher Ag burden likely condemned Env-specific clones to a premature and severe AICD, before they could perform any evident therapeutic activity. Overall, we demonstrated a physiological and elegant process capable of shaping the immune response. Although the reciprocal influence between the Ag dose and the functional avidity of a responding T cell population is in line with other reports (33–35), we propose the existence of an AICD-driven inverse correlation between functional avidity and the establishment of the ID hierarchy. Therefore, this novel mechanism in the establishment of the ID restrains and opposes the expansion of high-avidity T cells in favor of lower-affinity populations. Our results provide a mechanistic insight about several previously reported observations, in particular in infectious diseases but also in cancer. Lichterfeld et al. (36) showed that, during the course of HIV infection, the virus-responding higher-avidity CD8+ T cells are selectively lost, leaving CTLs with lower functional avidity to become immunodominant. They proposed, but did not demonstrate, that the former CTLs should undergo AICD, particularly in the presence of persistent high-level viremia. In contrast, Molldrem et al. (37) reported that, in chronic myelogenous leukemia, the high tumor burden led to the selective deletion of high-avidity T cells specific for a leukemic tumor Ag in a sort of reverse immunoediting. Therefore, the Ag load can selectively shape the overall functional avidity of a T cell population by expanding and/or deleting distinct cell subsets that are characterized by the best-fitting or higher functional avidity CTLs, respectively. 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