International Immunology, Vol. 11, No. 6, 907-913,
June 1999
© 1999 Japanese Society for Immunology
Expansion of neonatal tolerance to self in adult life: II. Tolerance preferentially spreads in an intramolecular manner
1 Department of Immunology, Bruce Rappaport Faculty of Medicine and
2 Rappaport Family Institute for Research in the Medical Sciences, Technion, POB 9697, Haifa 31096, Israel
Correspondence to: N. Karin
| Abstract |
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Newborn rats exposed to a myelin basic protein determinant acquired long-lasting resistance to experimental autoimmune encephalomyelitis induced by another determinant only if both determinants are co-administered in adult life. We demonstrate here that during the course of disease both the anti-self response and the tolerant state spread in an intramolecular and not an intermolecular manner. Mechanisms involved in tolerance elicitation and expansion are then explored using an in vitro system in which indirect suppression could be measured.
Keywords: experimental autoimmune encephalomyelitis, IL-4, intramolecular deviation, multiple sclerosis, neonatal tolerance, Th1, Th2, tolerizing T cells.
| Introduction |
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The embryonic and neonatal periods have been thought of as a window in ontogeny during which the developing immune system is particularly susceptible to tolerization. Thus, antigenic challenge in neonatal life may result in specific T cell unresponsiveness in the adult (15). Antigen-specific T cell deletion was suggested to be a pivotal mechanism by which central tolerance, including tolerance to neonatally administered antigens, is induced and maintained (6,7).
Based on their cytokine profile CD4+ T cells fall into at least four subfamilies: Th1 cells that produce large amounts of IFN-
and tumor necrosis factor (TNF)-
, but to a much lesser extent IL-4 or IL-10; Th2 cells that produce IL-4, IL-10, IL-13 and, to a much lesser extent, IFN-
and TNF-
(817); Th3 cells that produce high amounts of transforming growth factor-ß (18); and the newly discovered Tr1 cells that produce IL-10 with no production of IL-4 (19). Alteration of the balance between antigen-specific T cell subsets, in favor of tolerizing T cell selection, rather than T cell elimination, has recently been suggested as a major mechanism by which the tolerant state in neonatal tolerance is induced and maintained (2023).
We have used experimental autoimmune encephalomyelitis (EAE), a well-defined model of T cell-mediated autoimmune disease of the central nervous system (CNS), to explore basic concepts in tolerance to self (2426). These studies determined, at the molecular level, the minimal requirements for initiation of antigen-specific peripheral T cell tolerance (24,27), which could be reversed in vivo by neutralizing antibodies to IL-4 (26). The current study uses this well-defined model to explore basic concepts in expansion of tolerance to self.
In EAE the autoimmune response of T cells to components of CNS begins with recognition of a single or limited number of self-determinants and expands into a reaction to several self-determinants on the same molecule, termed intramolecular epitope spreading (2831). Possible expansion of the response to other molecules within the nervous system would then be termed intermolecular epitope spreading. Lewis rats immunized with myelin basic protein (MBP) emulsified in complete Freund's adjuvant (CFA) to induce active EAE first mount a primary T cell response to an encephalitogenic epitope encompassed within residues 6886 (p6886) of MBP and then to a secondary epitope consisting of residues 8799 (p8799) (28,29). These epitopes do not share cross-reactive determinants. Yet, immunization of Lewis rats with one of these determinants induces a response that spreads to the other one (3,31). This type of response involving epitope spreading has also been named a `trans-acting' or `cryptic' response (2,3,3032). Another major component of myelin in the CNS is the proteolipid apo-protein (PLP). The epitope contained between residues 217 and 240 of PLP in its acetylated form (PLP Ac217240) is encephalitogenic in the Lewis rat (33) and does not cross-activate MBP-specific T cells. P2 is an antigen exclusively expressed in the peripheral nervous system. Experimental autoimmune neuritis (EAN) is a T cell-mediated autoimmune disease of the peripheral nervous system induced by the 5781 residues of bovine P2 emulsified in CFA (34), which does not cross-activate MBP-specific T cells nor PLP-specific T cells. We have used the above system to explore possible intramolecular, intermolecular and organ-specific expansion of tolerance to self.
The current study demonstrates that perturbation of the antigen-specific T cell balance is involved in maintaining the tolerant state of neonatally tolerized T cells, and demonstrates that the antigen-specific T cell proliferative response and the expansion of tolerance to self both spread in a similar manner. Most importantly, it also brings evidence to suggest that the deviation of `neonatally tolerizing' T cells occurs peripherally during adult life.
| Methods |
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Rats
Pregnant Lewis rats were purchased from Harlan (Jerusalem, Israel) ~5 days before expected delivery and kept under pathogen-free conditions at our animal facility.
Peptide antigens
MBP p8799, VHFFKNIVTPRTP, MBP p6886, YGSLPQKSQRSQDENPV, P2 p5783 (34), and PLP pAc 224240, Ac-LSICKTAEFQMTFHLFI-NH were all synthesized on a MilliGen 9050 peptide synthesizer by standard 9-fluorenylmethoxycarbonyl chemistry. Peptides were purified by HPLC. Structure was confirmed by amino acid analysis and mass spectroscopy. Only peptides that were >95% pure were used in our study.
Induction of neonatal tolerance
MBP, P2 and PLP peptides at a concentration of 1 mg/ml were dissolved in PBS and emulsified with an equal volume of incomplete Freund's adjuvant (IFA; Difco, Detroit, MI). Within the first 2472 h after birth newborn rats were immunized i.p. with 0.1 ml of the emulsion. Only female rats were later selected for experiments.
Active EAE or EAN induction
MBP p6886, MBP p8799, P2 p5783 or PLP Ac 224240 peptides at a concentration of 1 mg/ml were dissolved in PBS and emulsified with an equal volume of IFA supplemented with 4 mg/ml heat-killed Mycobacterium tuberculosis (MT) H37Ra in oil (Difco). At 68 weeks of age rats were immunized s.c. in the hind footpads with 0.1 ml of the emulsion and monitored daily for clinical signs by an observer blind to the treatment protocol. EAE was scored as follows: 0, clinically normal; 1, flaccid tail; 2, hind limb paralysis; 3, front and hind limb paralysis; 4, total body paralysis (36). EAN was scored as follows: 0, clinically normal; 1, flaccid tail; 2, hind limb paralysis.
Both EAE and EAN display a similar clinical manifestation. Because P2 and MBP peptides were, in some experiments, injected to the same recipient, development of each disease was histologically verified by evaluating the elaboration of an inflammatory process in sections from ischiatic nerve and from the CNS, using a protocol we have described in detail elsewhere (35).
Antigen-specific T cell proliferation assays
Lewis rats were immunized with various MBP peptides as described above. Nine to 10 days later, draining lymph node cells or spleen cells were suspended in stimulation medium that included Dulbecco's modified Eagle's medium (Biological Industries, Kibbutz Beit-Haemek, Israel) supplemented with 2-mercaptoethanol (5x105 M), L-glutamine (2 mM), sodium pyruvate (1 mM), penicillin (100 µ/ml), streptomycin (100 µg/ml) and 1% heat-inactivated normal Lewis rat serum. Cells were then cultured in U-shape 96-well microculture plates (2x105 cells/well) for 72 h at 37°C in humidified air containing 7.5% CO2. In the trans-acting antigen-specific proliferation assay, spleen cells (2x105 cells/well) were plated together with MT (10 µg/ml) with or without additional MBP peptides at various concentrations. Each well was pulsed with 2 µCi of [3H]thymidine (sp. act. 10 Ci/mmol) for the final 18 h. The cultures were then harvested on fiberglass filters and the proliferative response expressed as c.p.m. ± SD or as stimulation index (SI) (mean c.p.m. of test cultures divided by mean c.p.m. of control cultures).
Cytokine determination
Spleen cells were stimulated in vitro (107 cells/ml) in 24-well plates (Nunc, Roskilde, Denmark) with 100 µM p6886. After 48 h of stimulation, supernatants were assayed by semi-ELISA kits, that include antibody pairs and recombinant rat cytokines, as follows: IFN-
, rabbit anti-rat IFN-
polyclonal antibody (CY-048; Innogenetics, Zwijlnaarde, Belgium) as a capture antibody, biotinylated mouse anti-rat mAb (CY-106 clone BD-1, Innogenetics) as a detection antibody and alkaline phosphatasestreptavidin (cat no. 43-4322; Zymed, San Francisco, CA) with rat recombinant IFN-
as a standard (cat. no. 3281SA; Gibco/BRL, Gaithersburg, MD); IL-10, commercial semi-ELISA kit for the detection of rat IL-10 (PharMingen, San Diego, CA); IL-4, mouse anti-rat IL-4 mAb (24050D OX-81; PharMingen) as a capture antibody, and rabbit anti-rat IL-4 biotin-conjugated polyclonal antibody (2411-2D; PharMingen) as second antibody. Recombinant rat IL-4 purchased from R & D Systems (Minneapolis, MN; 504-RL) was used as a standard.
Statistical analysis
Significance of differences was examined using Student's t-test. A value of P < 0.05 was considered significant.
| Results |
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Intramolecular but not intermolecular spread of the T cell response to encephalitogenic determinants at the onset of active EAE
Determinant spread in the CNS was determined at the onset of active EAE. Lewis rats were immunized with either the major encephalitogenic determinant of MBP (MBP p6886/CFA), the secondary determinant on the same molecule (MBP p8799) or by an encephalitogenic determinant located on another molecule in the CNS (PLP pAc 224240). Ten days later, three out of nine rats in each group were evaluated for the development of a splenic T cell response against each of the above non-cross-reactive determinants (Table 1
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Intramolecular but not intermolecular expansion of tolerance to self in neonatally tolerized rats
Newborn rats exposed to MBP p8799 within the first 2472 h after birth acquired long-lasting resistance to EAE induced by this same peptide in later life (Table 2c
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Ovalbumin could be used as a tolerizing determinant against itself (Fig. 1e
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Similarly to MBP, PLP is highly expressed in the CNS and can be used as a powerful tolerizing determinant against self (Fig. 1c
Once a tolerant state has been established it can spread in vivo in an intramolecular, but not intermolecular, manner. Thus, rats neonatally tolerized and subsequently challenged in adult life with MBP p8799 displayed a markedly reduced primary splenic T cell response not only to MBP p8799 (Fig. 2b
versus a, 1.1 ± 0.5 versus 5.8 ± 0.5, P < 0.001), but also to the linked determinant, MBP p6886 (Fig. 2d
versus c, 2.3 ± 0.8 versus 6.1 ± 0.2, P < 0.001). These results are highly interesting since MBP p6886 was not administered experimentally during the neonatal period nor in adult life. Rats that were neonatally administered with p8799/IFA and then in adult life with p8799/CFA + PLP pAc 224240/CFA exhibited a markedly reduced T cell response against p6886 (Table 3i
, SI = 1.2 ± 0.1), but not against PLP pAc 224240 (Table 3i,
4.7 ± 0.3). This demonstrates, once again, that a tolerant state spreads in an intramolecular, but not intermolecular, manner.
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Immunological mechanism of determinant spread
Determinant spread of a tolerant state may be explained, in part, by antigen-specific active suppression. Spleen cells from rats tolerized neonatally with p8799/IFA that were obtained 9 days after adult challenge with the tolerizing epitope and cultured for 48 h in stimulation medium exhibited a profound increase in IL-4 production (250 versus 10 pg/ml in cultured spleen T cells from control EAE rats, P < 0.0001). The above increase was accompanied by a significant reduction in IFN-
production (2.5 versus 40 ng/ml). Thus, alteration of the balance of antigen-specific T cells might be involved in the induction, maintenance and intramolecular expansion of tolerance to self. To further investigate this possibility, an in vitro system in which indirect (trans-acting) suppression could be measured has been utilized. Addition of the tolerizing epitope (MBP p8799) to splenic T cells from MBP p8799/IFA-tolerized animals that were challenged with MBP p8799/CFA in adult life induced a marked trans-acting suppression of their anti-MT response (Fig. 2| Discussion |
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Negative selection in the thymus is a major mechanism by which many, but not all, self-reactive T cells, including those reacting against antigens administered at the neonatal period of life, are eliminated (25). This type of T cell tolerance has also been referred to as central tolerance (6,7). It is apparent that autoreactive T cells do escape thymic selection, and can be identified in both healthy individuals and those suffering form self-destructive autoimmune diseases (37). In healthy individuals, self tolerance is maintained in part through mechanisms acting outside the thymus that keep these autoreactive lymphocytes under control. This type of T cell tolerance has also been termed peripheral tolerance (38). T cell anergy (39), active suppression (3943) and T cell deletion (44,45) contribute to the maintenance of a tolerant state in peripheral tolerance. The anti-inflammatory cytokine IL-4 is a key mediator in peripheral T cell tolerance (46). Thus, perturbation of the Th1/Th2 balance towards IL-4-producing Th2 cells restrains the harmful activity of autoimmune Th1 cells (42,43,4749), whereas IL-4 neutralizing antibodies reinstate EAE susceptibility in peripherally tolerized animals (26). The data presented in our study, together with accumulating data from other laboratories (2023), demonstrate that alteration of the antigen-specific balance of CD4+ T cells, rather than across the board T cell elimination, plays a pivotal role in neonatal tolerance as well. Considering that neonatal tolerance represents immunological processes that are associated with central tolerance, we suggest that IL-4-dependent T cell perturbation is a key mechanism by which both central and peripheral tolerance are maintained (Fig. 2
Epitope spread at a target organ has recently been explored in EAE (2931) and insulin-dependent diabetes in the NOD mouse (50). We have previously used molecular biologic techniques to demonstrate that T cell homing to the site of inflammation, in this case the brain, is a multi-sequential event that includes a selective stage in which antigen-specific T cells interact with their target antigen resulting in activation of the bloodbrain barrier to allow the accumulation of a non-selective influx of endogenous T cells into the CNS which correlates with disease onset (2527,35). It is therefore likely that epitope spreading entails non-selective entrance of inactivated circulating T cells into the CNS during the inflammatory breach in the bloodbrain barrier and their activation, possibly for the first time, at the site of inflammation. The above hypothesis cannot fully explain preferential intramolecular, rather than intermolecular spreading of the immune response against self, as was detected in our experimental system (Table 1
). Interestingly, the tolerant state in neonatally tolerized animals expands in an intramolecular rather than intermolecular manner (Tables 2 and 3![]()
). The biological rational is apparent in that there is no obvious reason why the immune response should generate protective immunity to restrain a response that has not been turned on. Nevertheless, the underlying mechanism at the cellular and molecular level is not yet fully understood. Our results show that addition of a tolerizing determinant to cultured primary T cells from tolerized animals suppresses their response to MT and that IL-4-specific neutralizing antibodies can reinstate this trans-acting proliferative response (Fig. 2
) provide a partial explanation for the mechanism of tolerance spread. Determinant spread of a tolerant state between various antigenic determinants has also been characterized for determinants associated with the development of diabetes in NOD mice (50) and myasthenia gravis (51). Our study, nevertheless, demonstrates for the first time a correlation between spread of T cell response and of T cell tolerance, and provides indirect evidence to support targeted deviation of tolerizing T cells at an autoimmune site.
| Acknowledgments |
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We would like to thank Dr H. Gershon for creative discussions and for reading the manuscript. This study was supported by Israel Cancer Research Foundation (ICRF), Israel Science Foundation, Israel Ministry of Science and Arts, Israel Ministry of Health, and the Technion VPRAlbert Goodstein Fund.
| Abbreviations |
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| CFA | complete Freund's adjuvant |
| CNS | central nervous system |
| EAE | experimental autoimmune encephalomyelitis |
| EAN | experimental autoimmune neuritis |
| IFA | incomplete Freund's adjuvant |
| MBP | myelin basic protein |
| PLP | proteolipid apo-protein |
| SI | stimulation index |
| TNF | tumor necrosis factor |
| Notes |
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Transmitting editor: L. Steinman
Received 12 January 1999, accepted 17 February 1999.
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