INTRODUCTION

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Cytotoxic T lymphocytes (CTL) are important immune effector cells in the response to intracellular pathogens, including viruses and some bacteria (1, 10). CTL respond to infected cells following recognition of pathogen-derived epitopes presented at the cell surface by class I major histocompatibility complex (MHC-I) molecules. These epitopes are small peptides (8 to 10 residues) derived from pathogen proteins and are generated through proteasome-mediated cleavage within the cytosol (9, 17). Following recognition of foreign peptide-MHC-I complexes, CTL lyse the target cell and then expand and differentiate. Expansion is important to ensure clearance of other defective cells, and differentiation results in the establishment of memory CTL. These memory CTL provide a more efficient response upon subsequent pathogen exposure. It is the establishment of these specific memory CTL that results in immune protection against these pathogens. For this reason, priming of memory CTL is central to vaccination against these pathogens.

The need for the vaccinating epitope to be delivered to the cytosol has required the development of systems to translocate the molecule across the cell membrane to the interior of the cell, where appropriate processing and MHC-I interaction of the peptide can occur. To overcome this barrier, we have used a modified form of anthrax toxin that is able to enter the cytosol of mammalian cells but is nontoxic (3, 13).

Anthrax toxin is a tripartite bacterial toxin that elicits two toxic effects, edema and lethality (11). Lethal factor (LF) and edema factor (EF) are intracellularly acting proteins, and both require protective antigen (PA) for translocation to the cytosol of mammalian cells. As part of this process, LF and EF compete for binding to a proteolytically activated form of PA (PA₆₃) at the cell surface. Following binding the complex is endocytosed, and after endosomal acidification LF or EF is translocated to the cellular cytosol. Within the cytosol EF expresses its adenylate cyclase activity, generating increased levels of cyclic AMP. The cytosolic activity and the specific target of LF remain undefined. It does appear, however, that LF particularly targets macrophages and induces lethal overproduction of certain cytokines (7, 8).

By eliminating the carboxy-terminal toxic domain of LF, we have generated a form of this protein (the amino-terminal 255 residues [LFn]) that can bind to PA, can be efficiently delivered to cellular cytosol, and is nontoxic. Previously, we have genetically fused specific CTL epitopes to LFn and used these fusions in combination with PA to deliver these epitopes to the interior of cells both in vitro and in vivo (4, 5). We have now expanded this work to examine the ability of this system to deliver an epitope that is disulfide linked to LFn instead of genetically fused. Furthermore, we have examined the role CD4⁺ T-cell help may play in priming CTL with the PA-LFn system. We have also investigated whether an antibody response is generated following initial immunization and whether this initial vaccination precludes subsequent immunization with different epitopes.

	MATERIALS AND METHODS

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Peptides. Synthetic peptides _cysLLO_91-99 (CGYKDGNEYI), LLO_91-99 (GYKDGNEYI), OVA_257-264 (SIINFEKL), and NP_118-126 (RPQASGVYM) were purchased from Biosynthesis Incorporated (Lewisville, Tex.).

Animals and cell culture. CD4 knockout C57BL/6J-Cd4^tm1Knw (H-2^b), C57BL/6J (H-2^b), and BALB/cByJ (H-2^d) mice were obtained from Jackson Laboratory (Bar Harbor, Maine). All mice were females between 8 and 12 weeks of age.

Construction and expression of modified forms of LFn. Four modified forms of LFn were used in this study: LFn(S²⁵⁵C²⁵⁵), referred to herein as LFn_cys, LFn-NP_118-126, LFn-LLO_91-99, and LFn-OVA_257-264.

Disulfide linkage of LFn_cys with _cysLLO_91-99. To generate the disulfide-linked LFn-LLO_91-99, the following protocol was used. Purified LFn_cys was buffer exchanged into 20 mM Tris, pH 7.5, by gel filtration on a prepared PD-10 column (Pharmacia). The synthetic _cysLLO_91-99 peptide was added to the sample at increasing peptide-to-LFn_cys ratios of 0, 1, 10, 50, and 100. The mixtures were allowed to incubate for 16 h at 4°C. Samples of these mixtures were then resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and analyzed for heterodimers. The mixture yielding the optimal amount of heterodimer was then passed over a PD-10 column to remove any unlinked peptide. The concentration of this sample was then determined, and aliquots were frozen at 20°C and later thawed for use in the appropriate CTL priming study.

Stimulation of peptide-specific CTL. Mouse splenocytes were harvested and CTL were stimulated as described previously (15), with the following modifications. Spleen cells from immunized and control mice were isolated and washed once in RP-10. Cells used as stimulators were naive, irradiated (2,000 rads), syngeneic splenocytes incubated for 1 h with a 10 µM concentration of the appropriate synthetic peptide. The stimulator cells were washed once in RP-10, and cultures containing 3 × 10⁷ stimulator cells and 3 × 10⁷ splenocytes from either immunized or control mice were established. These were incubated upright in a T-25 flask at 37°C in 7% CO₂ in a total volume of 20 ml of RP-10.

Assay for CTL responses. Mouse thymoma EL-4 (H-2^b) or mouse mastocytoma P815 (H-2^d) target cells were incubated with a 10 µM solution of the appropriate synthetic peptide and 20 µl of sodium [⁵¹Cr]chromate (600 Ci/ml; 1 Ci = 37 GBq) for 1 h. The cells were then washed three times with medium to remove unbound peptide and extracellular radionuclide. Radiolabeled cells (10,000), either treated with peptide or untreated (negative control), were then added to stimulated effector-cell dilutions in a 96-well assay plate. The total volume in each assay well was 200 µl. Spontaneous and complete lysis of target cells was determined by incubating target cells with either RP-10 or 1% Triton X-100, respectively. After 4 h of incubation at 37°C, the 96-well plates were centrifuged at 2,000 × g, and 100 µl of the supernatant was analyzed for release of ⁵¹Cr. Percent specific lysis was determined as 100 × [(CTL release  spontaneous release)/(maximum release  spontaneous release)].

	RESULTS

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Disulfide linkage of LFn_cys and _cysLLO_91-99. To determine if a disulfide-linked heterodimer of LFn and a synthetic peptide could be generated, we constructed a mutant form of LFn that expressed a single reactive cysteine. This modified form of LFn, LFn_cys, was oxidized with increasing amounts of the synthetic peptide _cysLLO_91-99. As shown in Fig. 1, at low peptide-to-LFn_cys ratios there are three LFn-containing reaction products. Based on relative electrophoretic migration of the products, these correspond to an unlinked form of LFn_cys, an LFn_cys, homodimer, and an LFn_cys-_cysLLO_91-99 heterodimer. As the amount of _cysLLO_91-99 is increased there is no detectable LFn_cys homodimer and the protein species become largely LFn_cys-_cysLLO_91-99 heterodimers. Estimates from relative band intensities suggest that more than 80% of the LFn_cys is linked to the synthetic peptide. Further increases in time of incubation or amount of synthetic peptide did not improve the yield of heterodimer.

View larger version (84K): [in this window] [in a new window]   FIG. 1.   LFncys-cysLLO91-99 heterodimer formation. LFncys and cysLLO91-99 were incubated at 4°C for 16 h at increasing ratios of synthetic peptide to LFncys. The reactions were then screened for heterodimer (band B) formation by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Lanes show, from left to right, molecular weight markers (MWM); LFncys alone in 10 mM -mercaptoethanol (0) and 1:1, 10:1, 50:1, and 100:1; ratios of cysLLO91-99 to LFncys. Band A represents LFncys homodimers. Band C represents unlinked LFncys molecules. cysLLO91-99 molecules not linked to LFncys are too small to be seen clearly on this gel.

View larger version (14K): [in this window] [in a new window]   FIG. 2.   LLO91-99-specific CTL activity following immunization with an epitope disulfide linked to LFn. Mice were injected i.p. with LFncys-cysLLO91-99 with PA (A) or without PA (B). After in vitro stimulation, samples were assayed for their ability to lyse 51Cr-labeled P815 cells coated with LLO91-99 peptide (solid circles) or not coated (open circles). Targeting was evaluated by 51Cr release. E:T, effector-to-target-cell ratios. Similar levels of lysis were observed in each of five replicates. One example is shown.

CTL responses in CD4 knockout mice. Both the experimental CD4^/ and control C57BL/6 mice were immunized as previously described with PA and LFn-OVA_257-264. Mice were injected intraperitoneally (i.p.) with 30 pmol of the fusion protein mixed with 6 pmol of PA. Fourteen days after injection, splenocytes were harvested from the immunized mice and assayed for specific CTL responses. As seen in Fig. 3, the CD4 knockout mice did not mount a detectable CTL response, suggesting that CD4 help is required to generate a response with this system.

View larger version (12K): [in this window] [in a new window]   FIG. 3.   Peptide-specific CTL responses in CD4 T-cell-deficient mice. CD4/ mice or control CD4+/+ mice were injected i.p. with LFn-OVA257-264 plus PA. After in vitro stimulation, samples were assayed for their ability to lyse 51Cr-labeled EL-4 cells coated with OVA257-264 peptide (solid circles) or not coated (open circles). Targeting was evaluated by 51Cr release. E:T, effector-to-target-cell ratios. (A) CTL response following immunization of CD4+/+ mice; (B) CTL response following immunization of CD4/ mice. Similar levels of lysis were observed in each of five replicates. One example is shown.

Influences of primary injections upon subsequent treatments with PA-LFn. In these experiments, two LFn-peptide fusions were used, the previously described LFn-LLO_91-99 fusion protein and another fusion protein, LFn-NP_118-126. We have constructed LFn-NP_118-126 to study immunization against the model pathogen lymphocytic choriomeningitis virus (unpublished data). To determine whether initial vaccination precludes a subsequent immunization with this system, two groups of mice (seven mice per group) were injected with either LFn-NP_118-126 plus PA or LFn-LLO_91-99 plus PA. Twenty-eight days after the initial injection, two mice from each group were sacrificed, serum was collected, and splenocytes were stimulated and tested for evidence that a CTL response against the antigen was primed. The remaining five mice in each group were injected with the reciprocal protein: mice initially injected with LFn-NP_118-126 were injected with LFn-LLO_91-99 plus PA, and mice previously injected with LFn-LLO_91-99 were injected with LFn-NP_118-126 plus PA. Two weeks after the second injection, splenocytes were harvested from each mouse, stimulated in vitro, and assayed for CTL activity against both epitopes.

View larger version (20K): [in this window] [in a new window]   FIG. 4.   Peptide-specific CTL responses in mice immunized sequentially with different toxin fusions. Mice were injected i.p. with LFn-LLO91-99 plus PA or LFn-NP118-126 plus PA. After 28 days the mice were injected i.p. with the reciprocal protein; 14 days later they were sacrificed and the response to both CTL epitopes was analyzed. Splenocyte cultures were stimulated in vitro and assayed for their ability to lyse 51Cr-labeled P815 cells coated with either LLO91-99 or NP118-126 peptide (solid circles) or not coated (open circles). Targeting was evaluated by 51Cr release. E:T, effector-to-target-cell ratios. (A) LLO-91-99-specific CTL response in mice injected with LFn-LLO91-99 plus PA followed by injection with LFn-NP118-126 plus PA; (B) NP118-126-specific CTL response in mice injected with LFn-LLO91-99 plus PA followed by injection with LFn-NP118-126 plus PA; (C) LLO91-99-specific CTL response in mice injected with LFn-NP118-126 plus PA followed by injection with LFn-LLO91-99 plus PA; (D) NP118-126-specific CTL response in mice injected with LFn-NP118-126 plus PA followed by injection with LFn-LLO91-99 plus PA. Similar levels of lysis were observed in each of five replicates. One example is shown.

	DISCUSSION

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In previous studies as well as in part of this study, we have used genetic fusion to generate LFn-peptide hybrid molecules. Here we investigated disulfide linkage as another method of generating LFn-peptide molecules. A mutant form of LFn, containing a carboxy-terminal cysteine residue, was oxidized with a synthetic form of LLO_91-99 to form an LFn-peptide heterodimer. The molecule appears to function similarly to molecules created by genetic fusion, since specific CTL can be primed by the heterodimer in the presence of PA. Although more detailed analysis is required, these initial results suggest that disulfide bonds in this form do not block translocation. We can envision this system being used in broader applications in which a given molecule with a reactive cysteine is linked to this form of LFn and delivered to the cytosol of cells by PA.

CD4⁺ T-helper cells have generally been considered important in the establishment of productive antibody responses. In addition, CD4⁺ helper responses may also be required for the generation and establishment of the CTL response. However, in some systems it has been demonstrated that CTL can be primed in animals that have depleted populations of CD4⁺ cells. This has been especially true in studies of CTL responses to certain viruses. Buller et al. (6) clearly demonstrated that mice depleted of CD4⁺ cells were able to mount specific CTL responses to ectromelia virus. Furthermore, the CD4⁺-cell-depleted mice were protected against establishment of the disease. Studies by Ahmed et al. (2) have shown that depletion of CD4⁺ cells leads to abrogation of antibody responses to lymphocytic choriomeningitis virus but does not lead to a decline in the number of CTL directed toward the virus. Finally, work by Sauzet et al. (14) has shown that while help from CD4⁺ cells may not be necessary for establishment of specific CTL, it may be important for long-term maintenance of the response. The studies here suggest that CD4⁺ T cells are essential for induction of specific CTL following immunization with toxin fusions. The mechanism by which CD4⁺ help is stimulated is not clear. It is possible that individual polypeptides may be taken up by antigen-presenting cells and presented to CD4⁺ helper cells by MHC-II. As a result of these findings, we are presently investigating whether approaches that improve CD4⁺ help may lead to more efficient CTL priming. We are focusing on methods which enhance this helper response while keeping antibody responses to the vaccinating proteins at a minimum.

As a general approach, vaccination against a wide variety of pathogen-infected or defective cells may require multiple injections. For this reason, we are interested in whether initial vaccination prevents the use of this system in subsequent treatments. The results presented in this report suggest that initial injection with the PA-LFn system does not preclude secondary immunization directed toward priming CTL unrelated to the first injection. As part of this experiment, the test animals were assayed for antibody responses to PA, LFn, or the CTL-priming peptide. Even though CD4⁺ responses were important, we were unable to detect antibody responses to any of the proteins used in this system. An appealing aspect of the PA-LFn vaccination system is the wide range of pathogens for which it could be applied. This system might even be used to vaccinate against other defective cells, such as cancers.