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Institute of Virology and Immunobiology, University of Würzburg, 97078 Würzburg, Germany
Address all correspondence and requests for reprints to: Holger M. Reichardt, Institute of Virology and Immunobiology, University of Würzburg, Versbacher Strasse 7, 97078 Würzburg, Germany. E-mail: holger.reichardt{at}mail.uni- wuerzburg.de.
| ABSTRACT |
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| INTRODUCTION |
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Although glucocorticoid-induced cell death was one of the first apoptotic processes to be recognized (3), it is still one of the least understood (4). Glucocorticoids (GCs) regulate gene expression by binding to the GC receptor (GR), a member of the nuclear receptor superfamily (5). Evidence that induction of thymocyte apoptosis strictly depends on transcriptional activation comes from the analysis of GR knock-in mice (6). A genetically engineered point mutation renders the GR unable to bind to DNA while retaining the ability to interact with other proteins. Thymocytes derived from these mutant mice are completely resistant to GC-induced apoptosis, indicating that activation of gene expression is the crucial step in GC-mediated cell death. However, although it is clear that transcriptional regulation is necessary for the induction of apoptosis, the genes responsible for initiating the cell death program still await identification. Concerning the execution phase of apoptosis, information is less scarce. It has been shown that GC-induced apoptosis proceeds via the mitochondrial pathway and that Bcl-2 family members are involved. Overexpression of the antiapoptotic Bcl-2 protein protects thymocytes from GC-induced apoptosis, whereas its disruption accelerates it (7, 8). In addition, mice doubly deficient for the proapoptotic proteins Bax and Bak were found to be completely resistant to GC-induced apoptosis (9). With regard to the role of caspases in GC-mediated apoptosis, controversial results were obtained. Although experiments with pharmacological inhibitors have implicated caspases 3, 8, and 9 (10, 11), none of the knockout mouse strains deficient for individual caspase enzymes shows any defect in this process (12, 13, 14). Thus, the contribution of these enzymes to GC-induced apoptosis is unclear. The current model of GC-induced cell death, therefore, is one in which the GR, in a DNA-binding-dependent manner, up- regulates the expression of undetermined proteins. This subsequently disturbs the balance of pro- and antiapoptotic Bcl-2 family members in the mitochondrial membrane, resulting in the release of apoptogenic factors and/or caspase activation. Cleavage of downstream substrates then leads to cell shrinkage, DNA fragmentation, and finally cell death.
Activation of mature T cells requires engagement of both the antigen-specific T cell receptor (TCR) and a costimulatory molecule such as CD28 (15). The finding that CD28 is expressed on thymocytes indicates that it may also play a role during T cell development (16). In rats and humans, CD28 is expressed at different levels on double-positive (DP) and single-positive (SP) thymocytes (16). Furthermore, the natural ligands of CD28, B7-1 (CD80), and B7-2 (CD86) are restricted to thymic epithelial and dendritic cells within the corticomedullary and the medullary region of the thymus (17). Together with the finding that expression of CD28 increases during the course of T cell maturation, it can be assumed that CD28 primarily plays a role in the more advanced stages of T cell development. With regard to thymocyte apoptosis, a cross-talk of GC signaling and the TCR complex has been described. Ashwell and colleagues (18) were the first to provide evidence that locally synthesized GCs could antagonize TCR-induced apoptosis in fetal thymus organ culture. Later, Wagner et al.(19) reported that immature CD3- thymocytes were protected from GC- induced apoptosis by CD28 signaling in the absence of TCR engagement. Although the latter study suggests that CD28 might play a role in thymocyte apoptosis, the physiological relevance of this study is disputable. In particular, immature CD3- thymocytes reside exclusively in the outer cortical regions of the thymus where no CD28 ligands are expressed (17). Furthermore, an analysis of CD28-deficient mice failed to provide any support for a role of CD28 in protecting immature thymocytes from GC-induced cell death (20). Therefore, an important function for CD28 in protecting the majority of DP thymocytes from GC- induced apoptosis appears unlikely. However, the role of CD28 in mature SP thymocytes that are in close contact to B-7-expressing medullary cells has not yet been investigated.
Although the TCR and CD28 are known to cooperate in T cell activation, their shared and individual signaling pathways are unknown (15). Unfortunately, conventional
CD28 antibodies do not elicit a response in T cells without TCR costimulation, making it difficult to dissect the two signaling pathways. However, a novel so-called "superagonistic"
CD28 rat monoclonal antibody (JJ316) was recently developed and stimulates T cells through CD28 in the absence of TCR ligation (21). This antibody was shown to activate the protein kinase C
-NF-
B pathway in a manner indistinguishable from TCR/CD28 costimulation. In contrast, inducible tyrosine phosphorylation of ZAP-70 and TCR
, both hallmarks of TCR-mediated signaling, is not detectable after treatment with the "superagonistic"
CD28 antibody (22). JJ316 is therefore a useful tool to study selectively downstream events of CD28 signaling in cell culture. Using this novel antibody we found that CD28 engagement rescues SP thymocytes from GC-induced cell death by regulating expression of apoptosis-related genes. Thus, CD28 signaling provides a convincing explanation for the finding that mature thymocytes residing in the medulla of the thymus are protected from GC-induced cell death, whereas DP cells in the cortex readily undergo apoptosis under the same conditions.
| RESULTS AND DISCUSSION |
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CD4 and
CD8 antibodies. Binding of annexin V to phosphatidylserine, a membrane lipid that becomes externalized during the early events of programmed cell death, can be demonstrated by fluorescence-activated cell sorting (FACS) and is widely considered to be a reliable indicator of apoptosis. Similar to the in vivo experiment, dex treatment of cultured thymocytes led to a strong reduction in the absolute number of live cells in a dose-dependent manner (Fig. 1C
CD28 Signaling Protects SP Thymocytes from GC-Induced Apoptosis
Signaling through the TCR as well as CD28 was previously shown to antagonize GC-mediated apoptosis (18, 19). Therefore, we wondered whether one of these pathways might rescue SP thymocytes from GC- induced apoptosis in cell culture. To separate the effects elicited via the two cell surface molecules, we used a series of monoclonal antibodies. Engagement of the
ßTCR alone was achieved with the antibody R73, whereas for costimulation the conventional
CD28 antibody JJ319 was used together with R73. Treatment with the superagonistic
CD28 antibody JJ316 allowed us to elicit CD28 signaling in the absence of TCR engagement and stimulation with JJ319 alone served as a control, because this antibody is unable to signal via CD28 by itself (21).
Thymocytes were stimulated for 20 h using the aforementioned antibodies, and cell survival was determined by staining with annexin V. TCR engagement as well as costimulation induced massive apoptosis (Fig. 2A
). In contrast, stimulation with the
CD28 antibodies JJ316 and JJ319 alone did not result in enhanced cell death (Fig. 2A
). Next, we cultured thymocytes in the presence of 10-8 M dex. As shown before, this treatment induces apoptosis in the vast majority of thymocytes. However, after costimulation and in the presence of the superagonistic
CD28 antibody JJ316, a small but statistically significant fraction (P < 0.001 for costimulation and P < 0.05 for JJ316) of the cells was rescued from apoptosis (Fig. 2A
). This finding was obtained irrespective of the dex concentration used (10-9 to 10-7 M, data not shown). In the case of JJ316 treatment, the number of live cells was almost 3-fold higher than controls. In contrast, neither TCR signaling alone nor the presence of the control
CD28 antibody JJ319 had any effect on dex-induced thymocyte apoptosis. Taken together, this suggests that whereas signaling via
ßTCR induces cell death in thymocytes, engagement of CD28 can protect a small subpopulation from GC-induced apoptosis.
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CD28 antibody JJ316, 10-8 M dex or a combination of both. Cell death in DP cells was assessed flow cytometrically by staining with annexin V,
CD4, and
CD8 followed by gating. As shown in Fig. 2B
CD28 Signaling Prevents the Loss of Bcl-XL in CD4 SP Thymocytes during Culture
In search of the potential mechanism by which CD28 signaling interferes with GC-induced apoptosis, we studied the expression of several anti- and proapoptotic Bcl-2 family members (9, 25, 26). First, we compared the protein levels between freshly isolated DP and CD4 SP thymocytes as well as CD4 SP cells cultured in the presence or absence of the
CD28 antibody JJ316. Bcl-2 expression is low in DP cells, becomes up-regulated in SP cells, and remains largely unchanged during culture (Fig. 3A
). In contrast, Bcl-XL is expressed at high levels in DP cells and becomes slightly down-regulated after maturation (Fig. 3A
). However, after 20 h of cell culture, Bcl-XL expression is completely lost from CD4 SP thymocytes. Importantly, this down-regulation of Bcl-XL is prevented by CD28 signaling as elicited by JJ316 (Fig. 3A
). With regard to proapoptotic proteins, we found comparable expression of Bax in all samples. In contrast, Bak was expressed at higher levels in CD4 SP as compared with DP cells and was reduced during culture in the presence of JJ316. Taken together, sustained Bcl-XL expression along with a reduction of Bak could explain how CD28 signaling prevents GC-induced apoptosis in mature SP thymocytes.
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CD28 Regulates the Expression of Bcl-XL in SP But Not in DP Thymocytes
Because it is not possible to detect changes in protein expression in individual cells by Western blot, we also performed flow cytometric analyses of intracellular Bcl-XL expression. This technique allows the relative amount of a specific protein to be detected in individual cells by comparing the fluorescence intensity after staining with a specific and a control antibody (isotype control).
Intracellular Bcl-XL levels were examined in magnetically purified CD4 and CD8 SP cells. As shown in Fig. 4A
, Bcl-XL protein is clearly detectable in both types of SP thymocytes as indicated by the right-hand shift of the peak for the fluorescein isothiocyanate (FITC)- conjugated Bcl-XL antibody (solid line) as compared with the isotype control (dotted line). We then analyzed SP cells cultured in the absence or presence of the superagonistic
CD28 antibody JJ316. In agreement with the Western blot studies, Bcl-XL protein decreases in CD4 as well as CD8 SP thymocytes after 20 h of cell culture. In contrast, JJ316-mediated CD28 signaling results in sustained Bcl-XL expression in the majority of SP cells during culture (Fig. 4A
). The presence of a small shoulder at the position of the isotype control indicates that roughly 10% of the cells did not respond to the antibody treatment and therefore lack Bcl-XL protein. Whether this is due to insufficient expression of CD28 on the surface of a subpopulation of the SP cells or a technical problem is not known.
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Protection of CD4 SP Cells from GC-Induced Apoptosis Depends on Calmodulin and Phosphatidylinositol 3 Kinase (PI3K) Signaling
To get a deeper insight into the molecular mechanism by which CD28 interferes with GC-induced apoptosis, we investigated the role of calcium and PI3K signaling using a pharmacological approach. Signal transduction by PI3K is prevented by the specific inhibitor LY294002, whereas calcium signaling via calmodulin is repressed by Cyclosporin A (CsA). To check whether either of these inhibitors may impair survival by itself, we cultured CD4 SP cells in the presence or absence of 100 ng/ml CsA or 30 µM LY294002 and analyzed their viability by staining with annexin V and propidium iodine. No difference in the percentage of live cells was observed between the three groups (control, 89%, n =4; CsA, 92%, n =3; LY294002, 89%, n =3), indicating that the inhibitors alone have no effect on cell survival.
As depicted in Fig. 5A
, approximately 80% of the CD4 SP cells cultured in the presence of 10-8 M dex underwent apoptosis, which could be prevented by concomitant treatment with JJ316. However, in the presence of either CsA or LY294002, enforced CD28 signaling by JJ316 was no longer able to protect CD4 SP thymocytes from GC-induced apoptosis (Fig. 5A
). Western blot analysis confirmed that in the presence of both inhibitors, CD28 signaling was also unable to prevent the loss of Bcl-XL during cell culture (Fig. 5B
). Taken together, this strongly suggests that CD4 SP thymocytes are rescued from GC-induced apoptosis via a calcium- and PI3K-dependent signaling pathway.
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| CONCLUSIONS |
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Whereas our initial model could be fully confirmed in cell culture, it appears to be only partially valid in vivo. First, approximately half of the SP thymocytes still remain resistant to GC treatment in CD28 knockout mice. This could indicate that CD28 signaling is not the only factor contributing to the protection of SP thymocytes or that compensatory mechanisms, e.g. signaling via related costimulatory molecules, are operative in CD28 knockout mice. Second, in contrast to the prediction of our model, we were unable to demonstrate a significantly lower expression of Bcl-XL in CD28-deficient SP thymocytes as compared with SP cells from control mice. Therefore, alterations in other proteins have to contribute to the decreased survival of CD28-deficient SP thymocytes after treatment with dex.
In summary, we propose the following revised model. After maturation, SP thymocytes migrate into the medulla where they come into close contact to B7-expressing epithelial and dendritic cells. Here, CD28 signaling leads to an altered expression of Bcl-XL and other so-far-unidentified antiapoptotic genes, thereby protecting SP cells from GC-induced apoptosis. This suggests that the topology of DP and SP thymocytes is directly linked to their differential sensitivity to GC-mediated cell death. Furthermore, this model also explains how GCs can contribute to shaping the TCR repertoire by inducing apoptosis in DP thymocytes while not affecting already selected mature SP cells residing in the same anatomic structure (29). Thus, by interfering with GC action, CD28 signaling appears to be indirectly involved in TCR repertoire formation in the thymus.
| MATERIALS AND METHODS |
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Antibodies and Reagents
The following antibodies and reagents used for flow cytometry, cell purification, and stimulation were obtained from Becton Dickinson (Heidelberg, Germany) unless otherwise indicated: Ox8-FITC (rCD8
), Ox8-bio (rCD8
), Ox38-phycoerythrin (PE) (rCD4), Ox35-Cy (rCD4), SA-PE, annexin V-FITC, R73 (rTCRß), JJ316 (rCD28), JJ319 (rCD28), H57-FITC (mTCRß), L3T4-PE (mCD4), LY2-bio (mCD8
), Bcl-2-FITC and isotype control, Bcl-XL-FITC and isotype control (Biozol, Eching, Germany). Antibodies used for Western blot analysis were obtained from Santa Cruz Biotechnology (Heidelberg, Germany) unless otherwise indicated: Bcl-2, Bcl-XL, ß-actin, p56-lck, Bak, and Bax (Becton Dickinson). Dex was obtained from Sigma (Taufkirchen, Germany), and CsA and LY294002 from Calbiochem (Schwalbach, Germany).
Isolation and Culture of Thymocytes
Thymocytes were isolated by passing the freshly isolated thymus through a nylon mash followed by repeated washings with PBS. After counting, the thymocytes were resuspended in RPMI+ medium (Invitrogen, Karlsruhe, Germany) at a concentration of 106 cells/ml and cultured in 12-well plates in an incubator at 37 C and 5% CO2.
If the cells were to be stimulated by
CD28 antibodies, the plates were precoated with sheep-antimouse-Ig in carbonate buffer (Roche, Mannheim, Germany) for 1 h at 37 C and JJ316 and JJ319 directly added at 5 µg/ml into the medium. For TCR stimulation, the plates were incubated with the
TCR antibody R73 at a concentration of 2 µg/ml in balanced salt solution medium for 2 h at 4 C, followed by repeated washings. Dex was diluted from sterile x1000 stocks in PBS.
Purification of CD4 and CD8 SP Thymocytes
Separation of CD4 SP cells was achieved by magnetic cell sorting starting from 6 x108 total thymocytes (Miltenyi, Bergisch Gladbach, Germany). Aliquots of 1.5 x 108 cells resuspended in balanced salt solution/BSA were stained with Ox8-FITC followed by incubation with
FITC-coupled magnetic beads. CD8+ cells were first crudely depleted by three concomitant incubation steps in a magnet, each time followed by discarding the bound cells. Afterward the presorted cells were combined and further purified over an LD column according to the manufacturers instructions (Miltenyi). The flow-through containing the CD8- cells was stained with Ox38-PE, followed by incubation with
PE-coupled magnetic beads. Selection of CD4+ cells was achieved by passing the labeled cells over a LS column followed by repeated washings. CD8 SP thymocytes were similarly purified by first depleting CD4+ cells followed by positive selection of CD8-expressing cells. The average yield of 1 x 107 SP cells corresponds to about 2% of the starting material. Purity was assessed by FACS analysis and routinely found to be greater than 99%.
FACS Analysis
Flow cytometry was performed on a FACSCalibur machine (Becton Dickinson). For intracellular staining, cells were first labeled extracellularly, followed by fixation in 4% paraformaldehyde and permeabilization in a saponin-containing buffer. Cells were then stained with an antibody against the intracellular antigen or an appropriate isotype control. All FACS data were analyzed using the CellQuest software provided by the manufacturer (Becton Dickinson).
Western Blot Analysis
Cells were collected by centrifugation and solubilized in radioimmunoprecipitation buffer. Equal amounts of protein were separated on a 15% SDS-PAGE gel, transferred onto a polyvinylidene difluoride membrane, and stained with the indicated antibodies. All secondary antibodies were peroxidase-coupled and the blots were developed using ECL as a substrate (Amersham, Freiburg, Germany). Normalization of the blots was achieved by staining the blots with antibodies against ß-actin or p56-Lck.
RT-PCR Analysis
RNA was isolated by acid phenol extraction and cDNA synthesized by oligo(dT) priming starting from 0.51.0 µg of total RNA as previously described (30). PCR was performed using established primer pairs; the sequences are available upon request. Products were resolved on a 1.5% agarose gel and normalization was achieved on the basis of hypoxanthine phosphoribosyltransferase mRNA expression.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Abbreviations: CsA, Cyclosporin A; dex, dexamethasone; DP, double-positive; FACS, fluorescence-activated cell sorting; FITC, fluorescein isothiocyanate; GC, glucocorticoid; GR, glucocorticoid receptor; PE, phycoerythrin; PI3K, phosphatidylinositol 3 kinase; TCR, T cell receptor; SP, single-positive.
Received for publication October 9, 2003. Accepted for publication December 19, 2003.
| REFERENCES |
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-NF-
B pathway in primary peripheral T cells. Int Immunol 15:655663NURSA Molecule Pages Link:
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