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Infection and Immunity, November 2006, p. 6387-6397, Vol. 74, No. 11
0019-9567/06/$08.00+0 doi:10.1128/IAI.01088-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Cerus Corporation, Concord, California,1 Division of Cellular Immunology, La Jolla Institute for Allergy & Immunology, San Diego, California,2 Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, California3
Received 11 July 2006/ Returned for modification 4 August 2006/ Accepted 28 August 2006
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For decades, Listeria monocytogenes has served as a model system for studying basic aspects of innate and acquired cell-mediated immunity (41). A hallmark of the L. monocytogenes model is that infection with sublethal doses results in long-lived CD8+-T-cell-mediated immunity (23, 30), while heat-killed bacteria fail to provide protection (32, 55). This is a fundamental observation with implications for the development of vaccines to intracellular pathogens. One explanation for the requirement of a live bacterium relates to the cell biology of infection: L. monocytogenes is taken up by host cells, escapes from a vacuole, multiplies within the cytosol, and spreads to neighboring cells via a process facilitated by actin polymerization (43). Previous studies have demonstrated that mutants of L. monocytogenes lacking listeriolysin O (LLO) fail to escape from the vacuole and also fail to elicit protective immunity (3, 7). The conclusion of these studies was that without entry into the cytosol, LLO L. monocytogenes does not elicit an adaptive cellular immune response (7).
There are several reasons why cytosolic localization of L. monocytogenes might be required to induce cell-mediated immunity. Antigens from cytosolic bacteria can be secreted directly into the MHC class I pathway (26, 49). As predicted, a majority of the defined class I L. monocytogenes epitopes are derived from proteins secreted by the bacterium into the host cell cytosol (19, 29, 42). The host cell has also evolved mechanisms to discriminate between phagosome-confined and cytosolic pathogens. Cytokine profiles from cells infected with cytosolic L. monocytogenes are distinct from those induced by their vacuole-bound LLO-deleted counterparts (34, 40, 50). How these cytokines affect antigen presentation and the subsequent cellular immune response remains largely unknown. Thus, compartmentalization of either the antigen or the pathogen itself are possible mechanistic reasons supporting the observation that only live cytosolic L. monocytogenes elicits a protective T-cell response (6, 13).
Of central importance to the generation of adaptive immunity to intracellular pathogens is how dendritic cells (DC) acquire antigen for class I-restricted presentation. DC are absolutely required for the priming of L. monocytogenes-specific T cells (28). Through cross-presentation, DC can present L. monocytogenes-derived antigen via the MHC class I pathway without becoming directly infected (1, 9, 54). Cross-presentation involves movement of endocytosed antigen from the vacuole to the cytosol for proteasomal degradation, and then translocation into MHC class I-containing compartments for presentation to CD8+ T cells (21, 44). Priming of CD8+-T-cell responses to nonsecreted L. monocytogenes-derived antigens underscores the efficiency and relevance of this pathway (49, 56). It is therefore paradoxical that while cross-presentation is sufficient for induction of CD8+-T-cell responses to a nonsecreted antigen, vacuole-confined LLO L. monocytogenes strains are believed not to be immunogenic (3, 7, 13).
In this report, we demonstrate that L. monocytogenes mutants that lack LLO (LLOLm) do in fact provoke a robust primary and secondary CD8+-T-cell response but fail to provide substantial long-lived protective immunity. These results illustrate a critical role for cytosolic entry by L. monocytogenes: not to secrete antigen into the MHC class I pathway but instead to elicit innate signals that improve the potency of the adaptive T-cell response. Thus, bacterial compartmentalization does not directly limit the ability of the DC to acquire antigen but rather influences the ability to mature and elicit competent CD8+-T-cell memory.
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Bacterial strains.
DNA sequences encompassing the hly (LLO) promoter and encoding amino acids 1 to 441 of LLO were amplified from the wild-type L. monocytogenes strain DP-L4056 and cloned into pPL2 (31). Ovalbumin (OVA) sequences were amplified from pDP3616 (25) and cloned in frame with LLO1-441, resulting in the plasmid pPL2-LLO-OVA. pPL2-LLO-OVA was transformed into SM10 and conjugated into L. monocytogenes. The wild-type (DP-L4056), LLOLm (DP-L4027
hly), and actALm (DP-L4029
actA) strains have been described previously (31). Strains carrying pPL2-LLO-OVA in the aforementioned strains are denoted as Lm-OVA, LLOLm-OVA (0.1 50% lethal dose [LD50] = 3 x 108 CFU), and actALm-OVA (0.1 LD50 = 1 x 107 CFU), respectively. KBMA-Lm (killed but metabolically active L. monocytogenes) (
actA/
inlB/
uvrAB) and KBMA-Lm-OVA (0.1 LD50 = 3 x 108 particles) are isogenic strains without or with the OVA antigen expression cassette, respectively. KBMA-Lm and KBMA-Lm-OVA were psoralen and UVA treated as previously described (11). Photochemically treated bacteria (KBMA-Lm) were washed once with Dulbeccos phosphate-buffered saline, resuspended in 8% dimethyl sulfoxide, and then stored at 80°C. The LD50 for each strain corresponds to a dose resulting in approximately 1 x 108 CFU per spleen at the peak of expansion. Median lethality values in C57BL/6 mice were determined as described previously (12).
Immunizations and protective immunity. Bacteria for immunization were prepared from stationary-phase overnight cultures in brain heart infusion broth. Bacteria were washed and resuspended in Hanks' balanced salt solution (HBSS) prior to intravenous (i.v.) injection. The anti-CD40 antibody, clone FGK-45 (46), was used at 100 µg per animal via intraperitoneal injection 24 h following L. monocytogenes immunization. Bacterial injection stocks were plated to confirm CFU. Protective immunity to lethal challenge was assessed by i.v. injection of 2 LD50 (1 x 105 CFU) of wild-type L. monocytogenes (strain DP-L4056). Seventy-two hours postinfection, spleens and livers were harvested and then homogenized in distilled water plus 0. 5% NP-40, and 10-fold serial dilutions were plated onto brain heart infusion agar plates. Colonies were enumerated 48 h later.
CD8+ T cells were depleted by administering 250 µg of anti-CD8 monoclonal antibody (clone 2.43) via intraperitoneal injection on days 5, 6, and 7 after primary immunization.
Peptides. OVA257-264 (SIINFEKL), LLO296-304 (VAYGRQVYL), LLO190-201 (NEKYAQAYPNVS), p60217-225 (KYGVSVQDI), HSV-gB2 (SSIEFARL), and ß-galactosidase (ß-Gal) (TPHPARIGL) were synthesized by SynPep Corporation (Dublin, CA).
Reagents for flow cytometry.
CD3 fluorescein isothiocyanate (FITC) or phycoerythrin (PE)-Cy7 (clone 145-2C11), CD4+ FITC (clone GK1. 5), CD8 PE-Cy7 or allophycocyanin-Cy7 (clone 53-6.7), CD19 FITC (clone MB19-1), tumor necrosis factor PE (clone MP6-XT22), gamma interferon (IFN-
) allophycocyanin (clone XMG1. 2), CD127 PE (clone A7R34), CD40L PE (clone MR1), CD44 FITC or PE-Cy5.5 (clone IM7), CD62L PE or PE-Cy7 (clone MEL-14), purified CD16/32 (clone 93), and CD69 PE (clone H1.2F3) were purchased from eBioscience (San Diego, CA). CD8
PerCP (clone 53-6.7) was purchased from BD Biosciences (San Jose, CA). H-2Kb OVA257-264 allophycocyanin pentamers were purchased from ProImmune Ltd. (Oxford, United Kingdom).
In vivo cytotoxicity. Splenocytes from naive recipients were pulsed with a 1 µM concentration of either control (HSV-gB2 or ß-Gal) or target (LLO296-304, OVA257-264, or p60217-226) peptide. Cells were then labeled with 0.2, 1, or 5 µM concentrations of carboxyfluorescein diacetate succinimidyl ester (CFSE; Molecular Probes, Eugene, OR). Labeled spleen cells (3 x 106) of each population were mixed and injected i.v. Spleens were harvested 16 h later, and the proportion of target to control population was determined and percentage of killing was calculated.
Intracellular staining of antigen-specific T cells.
Splenocytes were stimulated for 5 h with the relevant peptide in the presence of brefeldin A for intracellular cytokine staining as previously described (12). Stimulated cells were surface stained for CD4 and CD8 and then fixed and permeabilized using a cytofix/cytoperm kit (BD Biosciences, San Jose, CA). Cells were then stained for IFN-
and/or intracellular CD40L. Samples were acquired using a FACSCalibur flow cytometer (BD Biosciences). Data were gated to include exclusively CD4+ or CD8+ events, and then the percentage of these cells expressing IFN-
was determined. Data were analyzed using FlowJo software (Treestar, Ashland, OR).
Multimer staining and analysis. Freshly isolated splenocytes were resuspended in HBSS with 4% bovine serum albumin plus 2 µg/ml anti-CD16/32. Kb-SIINFEKL allophycocyanin (ProImmune, United Kingdom) pentamer was added along with surface antibodies and incubated for 20 min at room temperature and then washed twice. Cells were resuspended in 200 µl of buffer and acquired using a six-color FACSCanto flow cytometer (BD Biosciences). Data analysis involved gating to exclude class II-positive and CD4-positive events. The remaining cells were gated for CD8 expression, and the frequency of Kb-SIINFEKL-positive events within this population was determined. Within this positive population, subsets expressing combinations of CD44, CD62L, and CD127 expression were determined.
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FIG. 1. LLO-deleted L. monocytogenes expressing OVA does not elicit protective immunity. (A) Construction of L. monocytogenes strains expressing OVA linked to nonfunctional LLO using the pPL2 site-specific integration vector. This permits the measurement of MHC class I- and II-restricted T-cell responses without the expression of functional LLO. (B) C57BL/6 mice immunized with either HBSS, actALm-OVA (1 x 107 CFU), or LLOLm-OVA (3 x 108 CFU) were challenged 25 days later with 1 x 105 CFU of either wild-type L. monocytogenes (wt-Lm) or wild-type Lm-OVA (wt-Lm-OVA). Spleens were harvested three days after challenge and plated for CFU. Data represent one experiment of two.
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LLO-deleted L. monocytogenes elicits primary CD8+ T cells in vivo.
Next, we examined whether OVA- or LLO-specific CD8+ T cells are primed following immunization with LLOLm-OVA. Due to differences in in vivo growth between the L. monocytogenes strains utilized, we immunized animals at 10% of the 50% lethal dose (0.1 LD50) for each strain. This approach standardized the maximum number of bacteria present per animal for each bacterial strain, allowing a comparable antigen dose between experimental groups. Mice immunized with LLO-expressing strains, such as actALm-OVA, or LLO-deleted L. monocytogenes (LLOLm-OVA) mounted primary CD8+-T-cell responses specific to OVA257-264 and LLO296-304 that were readily detectable using IFN-
intracellular cytokine staining (Fig. 2A and C). Use of Kb-OVA257-264 multimers demonstrated that these were CD62L-negative effector CD8+ T cells (Fig. 2B). Although at least twofold lower in magnitude than the response to actALm-OVA, the primary CD8+-T-cell response in LLOLm-OVA-immunized mice was robust and reproducible, leading to approximately 4% OVA257-264-specific CD8+ T cells (Fig. 2A to C). In contrast, immunization with heat-killed actALm-OVA (HK-Lm-OVA) failed to elicit LLO- or OVA-specific CD8+ T cells.
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FIG. 2. LLOLm elicits primary CD8+ T cells that mediate protection against lethal L. monocytogenes challenge. (A) In C57BL/6 mice at 7 days postimmunization with actALm-OVA (1 x 107 CFU), LLOLm-OVA (3 x 108 CFU), or heat-killed actALm-OVA (1 x 109 particles), the percentage of LLO296-304- or OVA257-264-specific CD8 T cells was determined using intracellular cytokine staining. Numbers represent the percentages of IFN- -positive cells within the CD8+-T-cell population, and they are the means of three mice per group. (B) Staining of CD8+ T cells with anti-CD62L and Kb-OVA257-264 multimers. Data shown are gated on MHC class II-negative, CD4-negative events. Numbers represent the percentages of CD62L-negative cells within the CD8+ Kb-OVA257-264+ T-cell population, and they are the means of three mice per group. (C) Absolute antigen-specific T cells per spleen at 7 days postimmunization. Antigen-specific T cells were quantified by staining for intracellular IFN- following restimulation with the indicated peptide (x axis). Each symbol represents an individual animal. Data are from a single representative experiment of at least five replicates. (D) C57BL/6 mice were immunized with HBSS (left panel), wild-type L. monocytogenes (5 x 103 CFU), Lm-OVA (5 x 103 CFU), or LLOLm-OVA (3 x 108 CFU). In vivo cytolytic activity was determined 7 days later by challenging mice with gB2 (control)- or OVA257-264-loaded targets. (E) BALB/c mice immunized with HBSS (left panel), wild-type L. monocytogenes (5 x 103 CFU), LLOLm (3 x 108 CFU), Lm-OVA (5 x 103 CFU), or LLOLm-OVA (3 x 108 CFU) were challenged 7 days later with ß-Gal (control)- or p60217-225-loaded splenocytes. Numbers represent the percent killing of targets, and they represent the means of three mice per group. Standard deviations are indicated below. All data represent a single experiment of at least three replicates. (F) C57BL/6 mice were immunized with HBSS, actALm (1 x 107 CFU), or LLOLm (3 x 108 CFU). Five days later, half of the mice were depleted of CD8+ T cells. On day 7 postimmunization, mice were challenged with wild-type L. monocytogenes (1 x 105 CFU), and CFU in the spleen were determined 3 days later. Data represent logs of protection relative to HBSS controls, graphed as the mean and standard deviations of five mice per group. One representative experiment of two is shown.
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To determine whether primary CD8+ T cells were capable of killing wild-type L. monocytogenes-infected cells in vivo, and thus capable of providing protection against lethal challenge, we challenged animals near the peak of the primary CD8+-T-cell response. Mice were immunized with the 0.1 LD50 of actALm (1 x 107 CFU) or LLOLm (3 x 108 CFU) and were challenged 7 days postimmunization with 1 x 105 CFU wild-type L. monocytogenes. Unexpectedly, the primary response in LLOLm-immunized mice led to the rapid elimination of wild-type L. monocytogenes in the spleen (Fig. 2F). This was comparable to the clearance exhibited in actALm-immunized mice, representing >100,000-fold protection. Depletion of CD8+ T cells prior to challenge in either the actALm- or LLOLm-immunized mice abrogated this protection. Taken together, these data show that phagosome-confined LLOLm elicited primary antigen-specific primary effector CD8+ T cells capable of secreting cytokines, killing peptide-pulsed targets, and protecting against lethal challenge.
LLO-deleted L. monocytogenes strains elicit CD4+-T-cell memory.
The induction of antigen-specific CD8+ T cells without protective immunity (Fig. 1B) shown here is similar to the T-cell response described previously in CD4+-T-cell-depleted animals (27, 48, 51). To measure priming of antigen-specific CD4+ T cells following immunization with LLOLm-OVA, we utilized the MHC class II-restricted LLO190-201 epitope. This epitope is also present within the LLO-OVA fusion protein. Mice immunized with LLOLm-OVA mounted a primary LLO190-201-specific CD4+-T-cell response, comprising 1 to 3% of the splenic CD4+-T-cell population (Fig. 3A). The LLO190-201-specific response in mice immunized with actALm is typically 2 to 4%. The CD4+-T-cell response represented a twofold reduction in magnitude compared to that elicited by actALm-OVA, which is similar to the difference in magnitude observed for CD8+-T-cell frequency (Fig. 2A). Next, we assessed induction of CD4+-T-cell memory. Similar to the response with actALm-OVA, LLOLm-OVA-vaccinated mice mounted a robust secondary CD4+-T-cell response upon challenge (Fig. 3B). The LLO190-204-specific CD4+ T cells underwent an 8- to 10-fold expansion and produced IFN-
and CD40L upon reexposure to the LLO190-201 peptide. The CD4+-T-cell recall response in LLOLm-OVA-primed mice was consistently of greater magnitude than that for actALm-OVA (Fig. 3B). Both the percentage of CD4+ T cells specific for LLO190-201 and the absolute number of these cells within the spleen were significantly greater in LLOLm-OVA-primed mice (Fig. 3B and C). These data suggest that the lack of protective immunity observed in LLOLm-immunized mice was not related to an inability to elicit L. monocytogenes-specific CD4+ T cells.
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FIG. 3. LLOLm-OVA elicits functional primary and secondary CD4+ T cells. (A) C57BL/6 mice immunized with actALm-OVA (1 x 107 CFU) or LLOLm-OVA (3 x 108 CFU) were examined seven days later for primary LLO-specific CD4 T-cell responses by intracellular cytokine staining. The upper left corner indicates the percentage of CD4 T cells producing IFN- and CD40L in response to the class II-restricted LLO190-201 peptide. Samples are gated on CD4+ CD8 events. The percentages represent the means of three mice per group and represent a single experiment of three. (B) C57BL/6 mice were immunized with the indicated strain, boosted on day 14 with Lm-OVA (1 x 105 CFU), then examined five days later for LLO190-201-specific CD4+ T cells by intracellular cytokine staining (19 days after primary immunization). Samples were restimulated, stained, and gated as above. The percentages represent the means of five to six mice per group and represent a single experiment of three. (C) Absolute numbers of LLO190-201-specific CD4+ T cells five days after challenge with Lm-OVA (1 x 105 CFU). Each symbol represents an individual animal. Data represent a single experiment of three.
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and had cytolytic activity in vivo. These cells underwent secondary expansion in response to challenge, resulting in CD8+ T cells that were indistinguishable from those in actALm-OVA-immunized mice with respect to cytokine production and in vivo cytotoxicity. Significantly, despite having a functional phenotype, this secondary CD8+-T-cell pool was unable to provide substantial long-term protective immunity (Fig. 1B).
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FIG. 4. LLOLm-OVA-elicited CD8+ T cells undergo secondary expansion. (A) C57BL/6 mice immunized with actALm-OVA (1 x 107 CFU) or LLOLm-OVA (3 x 108 CFU) were boosted with 1 x 105 CFU Lm-OVA 14 days later. Five days postboost, spleens were harvested and the frequency of antigen-specific CD8+ T cells was determined by IFN- intracellular cytokine staining. The peptide used for restimulation is indicated on the far left. The number in each plot represents the percentage of the CD8+-T-cell population, followed by the standard deviation. The percentage is the mean of five to six mice per group from a single representative experiment of four. (B) Absolute numbers of LLO296-304-specific (left) and OVA257-264-specific (right) CD8+ T cells 5 days after challenge with Lm-OVA. (C) The in vivo cytolytic function of the recalled CD8+-T-cell population was assessed using in vivo cytotoxicity assay. Three days following boost immunization with Lm-OVA, mice received an equivalent mixture of differentially CFSE-labeled targets loaded with the indicated peptides. Upper panels show percent killing of the indicated target population relative to the HSV-gB2 control. The numbers in the upper left corners indicate the percentages of LLO296-304 targets killed, while the numbers in the upper right corners indicate the percentages of OVA257-264 targets killed. Lower panels depict the frequency of epitope-specific CD8+ T cells determined by intracellular cytokine staining the day of target cell transfer. Percentages represent the means of three mice per group from a single representative experiment of two replicates.
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uvrAB) bacteria with psoralen and UV light leads to infrequent, randomly distributed, and irreparable DNA cross-links that prevent bacterial multiplication but allow for continued protein synthesis and metabolic activity. Consequently, KBMA-Lm escapes from the phagosome to the cytosol, where it actively secretes proteins but is unable to multiply or spread from cell to cell. In vitro tests demonstrated that metabolic activity lasts only 12 to 24 h after inactivation, thus limiting the duration of protein synthesis in vivo (W. Liu, unpublished data). First, we assessed protective immunity 60 days after immunization with L. monocytogenes strains that differed only in their ability to access the cytosol. As described earlier, immunization with LLOLm did not elicit significant protective immunity (Fig. 5), either as a single immunization or following two immunizations separated by 14 days. In contrast, two immunizations with cytosolic KBMA-Lm generated long-lived maximal protective immunity (Fig. 5), whereas a single immunization with KBMA-Lm did not. These results demonstrated that entry of L. monocytogenes into the cytosol substantially improves CD8+-T-cell fitness. Only CD8+ T cells primed by cytosolic L. monocytogenes could incorporate a second antigen exposure into long-lived and maximal protective immunity.
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FIG. 5. Cytosolic entry promotes protective immunity after two immunizations. Boost immunization with cytosolic, nonreplicating L. monocytogenes generates long-lived protective immunity. C57BL/6 mice were immunized with wild-type (wt) L. monocytogenes OVA (5 x 103 CFU), LLOLm-OVA (3 x 108 CFU), or KBMA-Lm (3 x 108 particles). The indicated groups were boosted 14 days later with the same dose of KBMA-Lm or LLOLm-OVA. Sixty days later, mice were challenged with 1 x 105 CFU of wild-type L. monocytogenes. Spleens were harvested three days postchallenge, and CFU were determined by serial dilution. Data represent the means of five mice per group. Data are from a single experiment of three.
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+ and CD8
DC populations (Fig. 6). In contrast, upregulation of costimulatory molecules was 5- to 10-fold lower in LLOLm-immunized mice and only differed slightly from HBSS-treated animals.
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FIG. 6. Cytosolic entry promotes dendritic cell activation and T-cell priming in vivo. (A) C57BL/6 spleens harvested 24 h postimmunization with the indicated L. monocytogenes strain with or without anti-CD40 were labeled with antibodies to class II, CD11c, and CD8 and the antibody indicated above each graph. Median fluorescence intensity of the indicated marker was determined after gating on class II-high and CD11c-high cells and the indicated CD8 -positive or -negative fraction. Data represent means and standard deviations of three mice per group. One representative experiment of three is shown. (B) C57BL/6 mice were immunized with or without the addition of anti-CD40, and then OVA257-264-specific CD8+-T-cell responses were determined in the spleen by intracellular cytokine staining. The percentages represent the frequency of IFN- + cells within the CD8+-T-cell population.
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+ DC (relative to anti-CD40 alone). Together, these experiments demonstrated that cytosolic entry is required for L. monocytogenes-induced DC maturation in vivo (KBMA-Lm > LLOLm) and that bacterial multiplication enhanced this effect (actALm > KBMA-Lm). Although LLOLm interacts with cell surface and phagosomal pattern recognition receptors (24, 53), these stimuli were insufficient to deliver the microbial priming signals necessary for synergy with anti-CD40. Cytosolic entry and bacterial growth were critical for optimal activation and maturation of CD8
+ DC in vivo in response to L. monocytogenes. To understand the impact of CD40 signaling on the adaptive immune response, we enumerated OVA257-264-specific CD8+ T cells at 7 days postimmunization. Surprisingly, the addition of anti-CD40 had no effect on the frequency of antigen-specific CD8+ T cells following immunization with LLOLm-OVA (Fig. 6B). In contrast, the combination of KBMA-Lm-OVA with anti-CD40 elicited four- to six-fold more OVA257-264-specific CD8+ T cells than KBMA-Lm-OVA alone. These results suggest that during L. monocytogenes infection, escape from the vacuole is a prerequisite for the integration of CD40 signaling by the APC.
Anti-CD40 synergizes with cytosolic entry to maintain protective immunity.
CD8+-T-cell-mediated protection following immunization with cytosolic L. monocytogenes (KBMA-Lm) was measurably different from that elicited by phagosome-confined bacteria (LLOLm). We observed this difference as a 10,000-fold improvement in protective immunity following two immunizations with cytosolic KBMA-Lm (Fig. 5). Thus, while CD8+ T cells appeared to be phenotypically similar (primary and secondary expansion and IFN-
production; Fig. 2 to 4), they differed fundamentally in their ability to mediate protective immunity. Assessment of T-cell avidity by peptide titration showed that actALm, LLOLm, and KBMA-Lm all elicited CD8+ T cells with equivalent avidity (data not shown). This led us to test whether CD8+ T cells elicited by either LLOLm or KBMA-Lm would be receptive to surrogate CD4+-T-cell help (27), provided by the anti-CD40 antibody described above (46). As expected, mice immunized with LLOLm elicited a minimal reduction in spleen CFU either 15 or 60 days postimmunization (Fig. 7A). In contrast, KBMA-Lm induced a 1,000-fold reduction in splenic CFU at 15 days postvaccination but did not maintain this protection at day 60. Consistent with the in vivo activation phenotype of DC, the effect of anti-CD40 following immunization was dependent on the subcellular location of the bacterium. Following immunization with cytosolic KBMA-Lm, anti-CD40 significantly improved the potency and longevity of protection against wild-type L. monocytogenes (1,000-fold increase at 60 days). In distinct contrast, noncytosolic LLOLm was unable to elicit protection, regardless of whether we administered the anti-CD40 antibody. These results support the hypothesis that movement of the bacterium from the phagosome to the cytosol is a required step for the priming of protective CD8+ T cells.
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FIG. 7. Cytosolic entry synergizes with anti-CD40 to maintain protective immunity. (A) Mice immunized with wild-type L. monocytogenes (wt-Lm) (5 x 103 CFU), LLOLm-OVA (3 x 108 CFU), or KBMA-Lm (3 x 108 particles), with or without 100 µg of anti-CD40, were challenged 15 or 60 days later with 1 x 105 CFU of wild-type L. monocytogenes. Three days later, CFU were determined in the spleen. Data represent the means and standard deviations of five mice per group. Data represent one experiment of three. ND, not determined. (B) Mice were immunized with actALm (1 x 107 CFU), LLOLm-OVA (3 x 108 CFU), or KBMA-Lm (3 x 108 particles), with or without 100 µg of anti-CD40. At the indicated time points, spleens were harvested and the frequency of OVA257-264-specific CD8+ T cells were determined by intracellular cytokine staining. On day 60, all groups and an age-matched naive group were infected intraperitoneally with 1 x 106 PFU of vaccinia virus OVA (vv-OVA). (C) Proportion of OVA257-264-specific CD8+ T cells expressing CD127 (IL-7R ) during contraction of the primary response, determined using Kb-OVA257-264 multimers. Each point represents the average and standard deviation of three mice per group. (D) C57BL/6 mice were immunized with the indicated L. monocytogenes strains (same doses as above). Anti-CD40 was administered to the indicated groups. Boost immunization of KBMA-Lm-OVA was administered 14 days following primary immunization. Sixty days after primary immunization, the indicated groups were challenged with Lm-OVA. Three days later, mice were given CFSE-labeled targets loaded with the indicated peptides. Percentages in the left and right corners correspond, respectively, to LLO296-304- and OVA257-264-specific killing. Data represent a single experiment of two.
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+ (IL-7R
+) CD8+-T-cell memory pool was greatest in the groups that demonstrated protective immunity (actALm and KBMA-Lm plus anti-CD40), although the difference in the populations was less than 10-fold (Fig. 7C). Interestingly, KBMA-Lm and LLOLm elicited similar numbers of antigen-specific CD8+ T cells at day 14. This result contrasts their ability to mediate clearance of wild-type L. monocytogenes after 2 weeks, where KBMA-Lm-immunized mice had 10- to 100-fold fewer CFU 3 days after challenge (Fig. 7A). On day 60, we challenged animals with vaccinia virus expressing ovalbumin and tracked secondary expansion over the next 7 days. All groups demonstrated rapid and sustained secondary expansion of antigen-specific CD8+ T cells regardless of the size of the CD8+-T-cell memory pool. This result was consistent with our observations after L. monocytogenes challenge (Fig. 3) and suggests that the speed and magnitude of secondary expansion in vivo alone is not predictive of protective immunity. Immunization with cytosolic KBMA-Lm elicited long-term protective immunity in two ways: coadministration with anti-CD40 or boost immunization at day 14. We questioned whether these additional stimuli sustained protective immunity by increasing CD8+-T-cell cytolytic activity. To test this possibility, mice were challenged with 1 LD50 (5 x 104 CFU) of Lm-OVA at 60 days postimmunization. CD8+-T-cell number and function were assessed by intracellular cytokine staining (data not shown) and in vivo cytotoxicity assay three days later (Fig. 7D). We observed that immunizations that elicited a substantial reduction in tissue CFU (actALm-OVA, KBMA-Lm-OVA plus anti-CD40, and KBMA-Lm-OVA plus day 14 boost) correlated with higher baseline levels of OVA257-264-specific cytotoxicity at day 63 (Fig. 7D, top row, right peak of each histogram). This cytolytic activity also correlated with OVA257-264-specific CD8+-T-cell frequency (data not shown). However, three days after Lm-OVA challenge, all groups demonstrated similar cytotoxicity toward OVA257-264- and LLO296-304-loaded targets, regardless of whether the immunization regimen established protective immunity (Fig. 7D, bottom row). Thus, the ability to maintain a high level of immediate cytotoxicity (i.e., killing of peptide-loaded targets in the absence of infection or inflammation) correlated with resistance to lethal challenge. These results suggest that the ability of memory CD8+ T cells to recognize and kill L. monocytogenes-infected cells prior to extensive bacterial growth is more critical than secondary expansion.
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We demonstrate that entry into the cytosol is necessary, but not sufficient, for induction of significant CD8+-T-cell-mediated protective immunity following immunization with attenuated L. monocytogenes. Cytosolic L. monocytogenes strains elicit an innate host-cell transcriptional profile, including the induction of IFN-ß, distinct from that of phagosome-bound LLOLm (34, 40). DC serve an essential role in translating these innate signals into an appropriate adaptive response. IFN-
/ß directly influences DC potency by upregulating costimulatory molecules such as CD80 and CD86 (18, 35, 45) and promoting cross-presentation of pathogen-derived antigen (33). In primary cultures of bone marrow-derived DC, in which bacteria come in direct contact with the DC, LLO L. monocytogenes strains are poor inducers of maturation (14). However, few CD11c+ DC are directly infected following in vivo infection with L. monocytogenes (37), so it is likely that other cells produce cytokines necessary for DC maturation. Interestingly, even though immunization with LLOLm induces an almost undetectable change in DC activation, it led to a robust induction of primary and central-memory CD8+ T cells. In this case, it is possible that the lack of type I IFN, a suppressor of IL-12p70 production (2, 16), decreased the requirement for APC maturation. Consistent with this hypothesis, we have observed increased numbers of L. monocytogenes-specific CD8+ T cells in the absence of type I IFN signaling (unpublished data).
The CD8
+ DC population, previously identified as the predominant presenter of L. monocytogenes-derived peptides in vivo (4, 5), is exceptionally responsive to immunization with cytosolic L. monocytogenes. Of particular interest, nonmultiplying KBMA-Lm elicited 2- to 10-fold higher levels of costimulatory molecule expression than phagosome-bound LLOLm (Fig. 6). In addition, the actALm strain, which does multiply within the cytosol, elicited almost twofold higher levels of costimulatory molecule expression than nonmultiplying KBMA-Lm within the same compartment. This result demonstrates that recognition of bacteria within the host cell cytosol, not growth or persistence, is the minimal requirement to initiate potent DC maturation. The ability of the bacterium to grow and persist within the cell increases DC activation, likely through either an increased concentration of stimulatory ligands or increased duration of stimulus. The addition of anti-CD40 improved the magnitude of protective immunity but with the requirement that the immunizing bacteria could access the cytosol. CD40 signaling could improve T-cell priming in several ways, including (i) through enhanced expression of costimulatory molecules on DC, CD40 signaling could overcome a suboptimal antigen concentration (i.e., number of peptide-MHC complexes per DC) relative to replicating bacteria; (ii) by upregulating anti-apoptotic molecules within the DC, CD40 signaling may overcome the lack of bacterial persistence by prolonging antigen presentation (10); or (iii) by enhancing DC migration into the T-cell zone of the secondary lymphatics, based on reports that LLOLm immunization leads to abnormal DC homing within the spleen (37). Thus, the inability of phagosome-confined LLOLm to induce DC maturation correlates with poor CD8+-T-cell potency and suboptimal protective immunity.
The strength of the stimulus during priming correlates directly with T-cell fitness, impacting the ability of the T cell to both respond to homeostatic signals and maintain expression of anti-apoptotic molecules (20). Our data using cytosolic KBMA-Lm demonstrated a substantial reduction in tissue CFU upon wild-type L. monocytogenes challenge at 2 weeks postimmunization, about 1,000-fold better than with LLOLm. Interestingly, this protection declined over time, while the capacity for secondary expansion remained, suggesting either that a subset of protective T cells was lost or that the potency of individual T cells waned over time. What leads to this loss of protective immunity? CD4+-T-cell help has proven essential for the maintenance, but not the priming, of L. monocytogenes-specific protective immunity (52). The nature of the help provided by CD4+ T cells during this maintenance phase is, however, unclear. We detected IFN-
- and CD40L-producing L. monocytogenes-specific CD4+ T cells after immunization with both LLO and KBMA bacteria. Interestingly, the addition of anti-CD40 during immunization with KBMA-Lm did not increase protective immunity at day 14 but did lead to long-term maintenance of this response. This observation raises the possibility that CD40 ligation acts to enhance the function of the CD4+-T-cell population. Because priming of CD4+ T cells requires extended interaction between the T cell and DC (20, 39), the accelerated clearance of KBMA-Lm might limit the interaction of CD4+ T cells with cognate MHC II-peptide complexes. Thus, by improving DC potency and survival, anti-CD40 may facilitate improved CD4+-T-cell function.
In contrast to immunization with heat-killed L. monocytogenes, LLOLm elicited a robust population of primary and memory CD8+ T cells (Fig. 2) but only a minimal reduction of tissue CFU following lethal challenge with wild-type L. monocytogenes (Fig. 1B). Lauvau and colleagues elegantly demonstrated that immunization with heat-killed L. monocytogenes elicits poor expansion of antigen-specific CD8+ T cells and establishes a dysfunctional population of central-memory T cells (32). A key difference between vaccinations with heat-killed, LLO, and replication-competent cytosolic L. monocytogenes strains is antigen load and persistence. While wild-type or actA-deleted L. monocytogenes strains multiply and secrete antigen in vivo for 4 to 9 days, LLOLm strains are cleared within 48 h (7). Compared to these strains, heat-killed L. monocytogenes strains have the shortest duration in vivo, as they are not metabolically active, do not secrete LLO, and are thus defenseless against the acidic environment of the phagolysosome. Thus, protective immunity correlates to some degree with bacterial persistence. Because LLOLm strains are confined within the phagosome, they are unable to multiply. In previous studies, mice were immunized with LLOLm strains with doses up to 1 x 107 CFU (3, 8). While this dose is 3.5 logs higher than the 0.1 LD50 dose of wild-type L. monocytogenes (5 x 103 CFU), it does not take into account expansion of the wild-type bacterium in vivo. We utilized a 0.1 LD50 immunizing dose for all L. monocytogenes strains used in this investigation. At the doses used in this study, a similar peak of bacterial burden occurs following in vivo bacterial growth (approximately 1 x 108 CFU per spleen), thus normalizing immunization for strains unable to multiply in vivo. By using a 0.1 LD50 dose of each strain, we could compare the relationship between cellular compartment and induced CD8+-T-cell-mediated protective immunity independent from bacterial expansion in vivo. Use of actALm as the control for LLOLm allowed immunization with doses that differed by only slightly more than 1 log. Regardless of T-cell frequency, the L. monocytogenes strains given at the highest doses (LLOLm and KBMA-Lm at 3 x 108 CFU and heat-killed L. monocytogenes at 1 x 109 CFU) were the strains that failed to elicit maximal protective immunity.
A recent publication examined immunogenicity to irradiated L. monocytogenes (IRL) and showed a small (1- to 2-log) but significant decrease in tissue CFU upon lethal challenge, leading the authors to conclude that cytosolic access was not necessary to induce protective immunity (17). Following immunization with LLOLm, we observed a similar 1-log reduction in tissue CFU following lethal challenge, and following two immunizations with KBMA-Lm, we observed complete protection (>6-log reduction in tissue CFU) that was similar to that following immunization with wild-type or actALm strains. Following multiple immunizations with IRL, secondary expansion of CD8+ T cells was not significantly discernible above the background (0.008% versus 0.04%). While robust primary and secondary IFN-
-producing T cells were stimulated by LLOLm (this study) and weak responses were observed following immunization with IRL (17), in both cases these T cells lack a still as-yet-undefined function that is required for full protective immunity. Only with a combination of metabolic activity and cytosolic access is full protective immunity elicited (Fig. 5).
The finding that the fitness of CD8+ T cells can vary even in the presence of long-lived memory T cells is relevant for the design of vaccines for both infectious disease and cancer. In the case of therapeutic vaccines targeting malignancies or chronic infections, the presence of large numbers of effector-memory CD8+ T cells may be of lesser importance. In this setting, a delay of several hours while central-memory CD8+ T cells expand and disseminate may be inconsequential, as the desired response to these vaccines is a large effector CD8+-T-cell response. Conversely, prophylactic vaccines designed to elicit long-lived cellular immunity against a rapidly multiplying pathogen must reduce microbial burden immediately after infection. Any delay in the dissemination of cytolytic CD8+ T cells to peripheral tissues results directly in increased microbial burden. In this case, selection of vaccine vectors and regimens that maximize the maintenance of effector-memory CD8+ T cells should be a primary goal.
The induction of primary and secondary CD8+-T-cell responses is a necessary but insufficient step in the development of protective immunity to an intracellular pathogen. Antigen from phagosome-confined LLO-deleted L. monocytogenes is cross-presented, priming primary and memory CD8+ T cells. However, without bacterial entry into the cytosol, DC in vivo express very low levels of costimulatory molecules. The result of T-cell priming by these poorly activated DC is inferior protection against lethal challenge. Our findings emphasize that a clear difference between CD8+-T-cell memory and protective immunity does exist, and while the term "memory" is frequently used to imply protective immunity, we demonstrate that this relationship is not absolute.
K. S. Bahjat, W. Liu, E. E. Lemmens, T. W. Dubensky, Jr., and D. G. Brockstedt are employees of Cerus Corporation, which owns intellectual property covering the compositions and methods described in the manuscript. In addition, Cerus employees hold stock and/or stock options in the company. D. A. Portnoy is a paid consultant to the company and holds stock options. The remaining authors have no known financial interest in Cerus.
Published ahead of print on 5 September 2006. ![]()
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