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Journal of Virology, January 2003, p. 1564-1570, Vol. 77, No. 2
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.2.1564-1570.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Département d'Immunologie, Unité INSERM 567, UMR CNRS 8104, IFR 116, Institut Cochin, Paris,1 SEDAC-Therapeutics, Lille,2 EPI 99-08, Etablissement Français du Sang-Alsace, Strasbourg, France3
Received 19 August 2002/ Accepted 15 October 2002
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). In human immunodeficiency virus (HIV) infection, they are essential to control viral replication (reviewed in reference 15). Therefore, they must be stimulated by vaccination. Production of MHC class I-restricted epitopes in the antigen-presenting cells has been mostly documented as processing by the proteasome in the cytosol, followed by TAP-mediated transport into the endoplasmic reticulum and association with nascent MHC class I molecules (37, 38). Among antigen-presenting cells, only dendritic cells can stimulate naive T lymphocytes, and therefore they are required for primary immunization (6). Dendritic cells have apparently evolved specific cross-presentation mechanisms allowing them to prime CD8+ T lymphocytes for exogenous proteins that are not produced in their cytosol but that are first internalized by macropinocytosis, phagocytosis, or receptor-mediated endocytosis (1, 7, 8, 21, 22, 32, 34, 38). Dendritic cells process these antigens and associate them with their MHC class I molecules. Two major routes for cross-presentation have been described (6): exit from the endocytic compartment and processing in the cytosol (1, 7, 8, 21, 22, 28) and processing in the endosomal system and transfer of the peptides to recycling MHC class I molecules either in the endocytic pathway (14) or, after regurgitation, at the cell surface (26). These mechanisms are essential for the cells to become sensitive to and develop tolerance to antigens that are not endogenously synthesized in dendritic cells.
As a model to study cross-presentation pathways in dendritic cells, we have previously used a lipopeptide containing a short epitopic peptide from HIV-1 (Pol476-484 lipopeptide) (3). Lipopeptides containing class I-restricted T-cell epitopes can induce consistently strong cytotoxic CD8+ T-cell responses against different pathogens in mice, nonhuman primates, and humans without additional adjuvant (12, 13, 16, 20, 27, 35). They are very well defined at the molecular level and can be labeled with a fluorochrome at specific sites to study antigen presentation pathways. We found that the Pol476-484 lipopeptide was endocytosed and presented in association with MHC class I by human dendritic cells (3).
To define the cross-presentation pathway and to generalize these results to more than one MHC class I molecule, we used longer lipopeptides derived from the sequence of HIV-1 Lai (Pol461-484 and Nef66-97) by terminal addition of an N-E-palmytoyl-lysine. In contrast to the short lipopeptide model used to develop the system, these longer lipopeptides contain flanking sequences added to the epitopes for which processing is required before association with MHC class I molecules and presentation. To analyze lipopeptide entry into dendritic cells, we labeled the Pol461-484 lipopeptide unequivocally at position 482 with rhodamine for confocal microscopy. We next tested the capacity of dendritic cells pulsed with lipopeptides to present MHC class I-restricted epitopes (HLA-A*0201-restricted Pol476-484 and HLA-A*0301-restricted Nef73-82) to specific CD8+ T cells, using intracellular cytokine assays. To determine the intracellular pathways of lipopeptide presentation, different antigen-processing inhibitors were used.
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Labeled and nonlabeled Pol461-484 lipopeptides were synthesized as previously described (17). Briefly, lipopeptides were built up by solid-phase synthesis with the 9-fluorenylmethoxycarbonyl-tert-butyl strategy. The side chains of the lysine residues to be modified by palmitoylation or selective fluorescent labeling were protected with a 4-methyltrityl group (Novabiochem, Läufelfingen, Switzerland), allowing selective deprotection by 0.5% trifluoroacetic acid in dichloromethane, followed by on-resin acylation with palmitic acid or 5(6)-carboxytetramethylrhodamine (Fluka, Buchs, Switzerland). After deprotection and cleavage, the lipopeptides were purified by reversed-phase high-pressure liquid chromatography on a Zorbax C3 column. All lipopeptides were more than 95% pure. Identity was confirmed by determination of amino acid composition after total acid hydrolysis and molecular mass determination recorded on a Vision 2000 MALDI-TOF (matrix-assisted laser desorption ionization-time of flight) spectrometer (Finigan, Bremen, Germany). Peptide and lipopeptide sequences are shown in Table 1.
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TABLE 1. Sequences of HIV-1-derived peptides and lipopeptides
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Generation of dendritic cells. Dendritic cells were differentiated from peripheral blood monocytes in the presence of 50 ng of human recombinant granulocyte-macrophage colony-stimulating factor (Schering-Plough, Dardilly, France) and 500 U of human recombinant interleukin-4 (PeproTech, distributed by Tebu, Le-Perray-en-Yvelines, France) per ml for 7 or 8 days as previously described, and their differentiation was followed in each experiment by flow cytometry analysis of different surface markers (3, 9, 29). Dendritic cells expressed relatively high levels of the MHC class II molecules (HLA-DR), MHC class I molecules (HLA-A, -B, and -C), and CD1a. They were immature, as they expressed intermediate levels of CD40 and CD80 and low levels of CD86 and did not express CD83, a marker of mature dendritic cells. They did not express CD3, CD14, or CD16.
In some experiments, they were infected with recombinant Copenhagen vaccinia viruses (VV) from Transgène (Strasbourg, France): Nef-VV (VV.TG.1147, expressing the HIV-1 Lai Nef protein), or RT-VV (VV.TG.4163, expressing the HIV-1 Lai reverse transcriptase protein). Dendritic cells were infected at a multiplicity of infection of 5 in RPMI medium supplemented with 10% fetal calf serum. After incubation for 18 h at 37°C in 5% CO2, they were washed before use.
Generation of HIV-specific CD8+ T-cell lines. HIV-1 Lai Pol476-484- and Nef73-82-specific-CD8+ T-cell lines were generated as previously described from the peripheral blood mononuclear cells of HIV-seropositive HLA-A*0201- and HLA-A*0301-positive individuals from a cohort study established with the approval of the ethics committee of the Cochin Hospital (2, 3, 9).
Flow cytometric detection of intracellular IFN-
production in antigen-specific CD8+ T cells.
Dendritic cells were incubated with the peptides or lipopeptides at 10-6 M or infected with recombinant Copenhagen vaccinia viruses. When used, brefeldin A (Sigma) or epoxomycin (Alexis Biochemicals, distributed by Coger, Paris, France) was added 1 h before the peptides or lipopeptides at concentrations of 10 µg/ml and 10 µM, respectively, and then diluted at 2 µg/ml and 2 µM for the overnight incubation (31). Monensin (Sigma) was added only 10 min after peptide or lipopeptide addition (in an attempt to avoid preventing their endocytosis) at a concentration of 50 µM. In all cases, after overnight incubation, dendritic cells were then washed and added to the antigen-specific CD8+ T cells (ratio, 1:1) in the presence of brefeldin A (10 µg/ml) for 5 h at 37°C. CD8+ T cells incubated in the presence of phorbol myristate acetate (50 ng/ml) and ionomycin (500 ng/ml) (both from Sigma) were used as positive controls.
The cells were first surface stained for 30 min at room temperature with peridinin chlorophyll protein-conjugated anti-CD8 monoclonal antibody (SK7 clone) and sometimes with phycoerythrin-conjugated anti-CD3 monoclonal antibody (SK1 clone), both from Becton Dickinson (Le Pont de Claix, France). After fixation in 1x fluorescence-activated cell sorting lysing solution and permeabilization with the 1x fluorescence-activated cell sorting permeabilization solution (both from Becton Dickinson) according to the manufacturer's procedures, cells were subjected to intracellular IFN-
staining with fluorescein isothiocyanate-conjugated anti-IFN-
monoclonal antibody (25723.11 clone; Becton Dickinson) for 30 min in the dark at room temperature. The cells were washed and resuspended in 1% paraformaldehyde-phosphate-buffered saline (PBS) prior to analysis on the flow cytometer. Samples were acquired on a FACScan flow cytometer, and data were analyzed with the Lysis software (Becton Dickinson). For each sample, 10,000 events, gated on CD8 expression and on a scatter gate designed to include only viable lymphocytes, were acquired.
Confocal microscopy. The rhodamine-labeled Pol461-484 lipopeptide (2 x 10-6 M) and dextran-fluorescein isothiocyanate (1 mg/ml, 40 kDa; Sigma) were incubated at the same time with the dendritic cells in culture medium. After incubation for from 2 min to 4 h at 37°C, the cells were washed in phosphate-buffered saline, then fixed in 4% paraformaldehyde-phosphate-buffered saline for 1 h at 4°C, washed again in phosphate-buffered saline, and mounted in Fluoromount-G (Southern Biotechnology Associates, Inc., distributed by CliniSciences, Montrouge, France). Dendritic cells were examined by confocal microscopy with a Bio-Rad MRC-1024 device mounted on a Nikon Diaphot 300 inverted microscope (Nikon France, Champigny-sur-Marne, France) equipped with a 60x objective (plan apo, NA 1.4). Sets of optical sections at 0.5-µm intervals were recorded. The data were processed and presented with the Laser Sharp software, version 3.2 (Bio-Rad, Ivry-Sur-Seine, France).
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FIG. 1. Endocytosis of Pol461-484(Rho) lipopeptide by human dendritic cells. Monocyte-derived dendritic cells were incubated at 37°C with rhodamine-modified Pol461-484 lipopeptide in the presence of dextran-fluorescein isothiocyanate (FITC), a marker of fluid-phase endocytosis, for 2 min (top row) or 30 min (bottom row) and then washed and fixed. Original magnification, x600.
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FIG. 2. Lipopeptides are presented by human dendritic cells to specific CD8+ T lymphocytes. (A) Flow cytometric analysis of surface CD8 and intracellular IFN- expression by Pol476-484-specific CD8+ T lymphocytes. A Pol476-484-specific CD8+ T-cell line was stimulated by HLA-A*0201 dendritic cells previously pulsed overnight with the irrelevant peptide Nef73-82 or with the peptide Pol476-484. Sample acquisition was performed on 10,000 events, gated on a scatter gate (R1) designed to include only viable lymphocytes (a) and a gate (R2) designed to include only CD8+ T cells (b). IFN- expression in viable, CD8+ T lymphocytes (R1*R2) is shown in dot plots c (irrelevant Nef peptide) and d (Pol peptide). (B) HLA-A*0201, HLA-A*0301-positive dendritic cells were incubated overnight with lipopeptides, peptides, or recombinant vaccinia viruses and then washed before being incubated with either the anti-Pol476-484 or the anti-Nef73-82CD8+ T-cell line. Expression of surface CD8-peridinin chlorophyll protein and intracellular IFN- -fluorescein isothiocyanate was quantified by flow cytometry analysis. The results show the ratio of IFN- -expressing cells in viable, CD8+ T cells. This experiment is representative of more than 10 independent experiments.
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FIG. 4. Lipopeptide presentation in the presence of monensin. HLA-A*0201 and HLA-A*0301 dendritic cells were pulsed with lipopeptides or peptides, and monensin was added 10 min later. IFN- production by peptide-specific CD8+ T cells was tested as in Fig. 2. Results are representative of three independent experiments. The average response in the presence of monensin compared to the uninhibited control was, for anti-Nef73-82 responses, 88% ± 15% for Nef73-82 versus 32% ± 18% for lipopeptide Nef66-97 (P < 0.05); for anti-Pol476-484 responses, 133% ± 45% for Pol476-484 versus 87% ± 6% for lipopeptide Pol461-484 (not significant).
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After 5 h in the presence of brefeldin A, CD8+ T-cell activation was detected by intracellular measurement of IFN-
expression, as shown in Fig. 2A. The Pol461-484 lipopeptide specifically stimulated the anti-Pol476-484 CD8+ T-cell line, and the Nef66-97 lipopeptide specifically stimulated the anti-Nef73-82 CD8+ T-cell line (Fig. 2B). Therefore, these lipopeptides were processed and presented in association with MHC class I molecules by human dendritic cells to specific CD8+ T lymphocytes. In both cases, responses to the long lipopeptides were higher than to the minimal epitope (Fig. 2B), but this was not always reproduced (see Fig. 4 to 6).
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FIG. 6. Lipopeptide presentation in the presence of epoxomycin. The experiment was conducted like that shown in Fig. 5 except that epoxomycin was used instead of brefeldin A. Results are representative of three independent experiments. The average response in the presence of epoxomycin compared to the uninhibited control was, for anti-Nef73-82 responses, 133% ± 10% for Nef73-82 versus 130 ± 33% for lipopeptide Nef66-97 (not significant); for anti-Pol476-484 responses, 120% ± 51% for Pol476-484 versus 34% ± 26% for lipopeptide Pol461-484 (P < 0.03).
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FIG. 3. Lipopeptides did not bind to purified HLA molecules. Purified HLA-A*0201 (A) or HLA-A*0301 (B) molecules were incubated in the presence of ß2-microglobulin and different peptides or lipopeptides. They were incubated on plates previously coated with anti-HLA-A*0201 or -HLA-A*0301 monoclonal antibodies. Correctly formed HLA complexes were revealed with an anti-ß2-microglobulin antibody coupled to alkaline phosphatase. Results are expressed as arbitrary fluorescence units. HLA-B27-restricted influenza virus NP383-391 and HLA-A*0201 restricted Pol476-484 were used as negative controls in A and B, respectively.
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As shown in Fig. 4, monensin did not inhibit control epitope presentation, showing that it was not toxic to dendritic cells at this concentration. Monensin inhibited Nef66-97 lipopeptide presentation, indicating at least partial processing in the endosomal compartment and/or recycling through monensin-sensitive endocytic vesicles. Conversely, presentation of the Pol461-484 lipopeptide was not inhibited, showing that monensin did not inhibit its entry when it was added after 10 min and that this lipopeptide did not depend on endosomal acidification for its processing.
Inhibition by brefeldin A of lipopeptide presentation. The presentation of both lipopeptides but not of the control epitopes was inhibited by brefeldin A (Fig. 5). This indicates either a passage from the endoplasmic reticulum to the Golgi and to the exocytic pathway (24, 36) or an inhibition at the level of MHC class I molecule recycling (25).
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FIG. 5. Lipopeptide presentation in the presence of brefeldin A. HLA-A*0201 and HLA-A*0301 dendritic cells were incubated alone or in the presence of brefeldin A for 1 h, and peptides or lipopeptides were added for overnight incubation in the presence or absence of brefeldin A. IFN- production by peptide-specific CD8+ T cells was tested as in Fig. 2. Results are representative of three independent experiments. The average response in the presence of brefeldin A compared to the uninhibited control was, for anti-Nef73-82 responses, 119% ± 36% for Nef73-82 versus 25% ± 23% for lipopeptide Nef66-97 (P < 0.03); for anti-Pol476-484 responses, 114% ± 27% for Pol476-484 versus 7% ± 4% for lipopeptide Pol461-484 (P < 0.05).
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Epoxomycin completely blocked the presentation of the Pol461-484 lipopeptide but not of the control epitope to the specific CD8 cell line (Fig. 6). Therefore, the Pol461-484 lipopeptide gained access to the cytosol after its endocytosis to be processed by the proteasome. In contrast to the Pol461-484 lipopeptide, the Nef66-97 lipopeptide was still processed and presented in the presence of epoxomycin (Fig. 6). This result shows that production of the HLA-A*0301-restricted Nef73-82 epitope after lipopeptide internalization is independent of the proteasome.
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Surprisingly, the pathway used by the Nef66-97 lipopeptide was different. Indeed, this lipopeptide did not depend on the proteasome for processing. Absence of inhibition by epoxomycin was controlled by simultaneous experiments with the Pol system as a control, where presentation of the Pol461-484 lipopeptide was inhibited. Processing of the Nef73-82 epitope from a peptide precursor (Nef66-100 without a lipid moiety) was already found not to be achieved by 20S proteasome preparations, either by mass spectrometric and sequence analysis or by functional analysis with HIV-specific CD8+ T cells (10). Instead, the proteasome seems to preferentially cleave the sequence between residues 81 and 82, destroying the Nef73-82 epitope (10). Accordingly, epoxomycin seemed in several cases to enhance presentation of the epitope as in Fig. 6, but this was not always reproducible.
Our lipopeptide and the long peptide precursor used previously (10) extend on the N-and C-terminal sides of the minimal Nef epitope and therefore require cleavage on both sides. The Pol lipopeptide conversely ends at the C terminus of the Pol476-484 epitope. It might be expected that the Pol lipopeptide, which needs trimming only on the N-terminal side, would be more easily processed in the endosome, whereas the Nef lipopeptide might not. However, this prediction is exactly the opposite of what was observed, since only presentation of the Nef epitope was sensitive to monensin. Another difference between the two lipopeptides was that the palmytoyl lipid moiety was attached at the N terminus of the Pol peptide but at the C terminus of the Nef construct. This might direct the lipopeptides to different processing sites, either by attachment to lipid receptors or chaperones or by passive transport through the membranes in certain pH conditions. Using constructs with flanking regions and palmitoylation on either side of the epitopes might help discover the general rules for guiding such constructs to different processing pathways. This was only partly addressed previously (17). However, the independence from the proteasome of the Nef73-82 epitope seems to be an intrinsic property of the polypeptide sequence, since it was also found after whole Nef protein expression in antigen-presenting cells from recombinant vaccinia virus infection (U. Seifert et al., submitted for publication).
Our data are compatible with a processing pathway involving endocytosis of the lipopeptide, followed by digestion and loading of the epitopic peptides on MHC class I molecules in the endocytic pathway. Indeed, presentation was sensitive to monensin, which inhibits lysosomal acidification. It was also sensitive to brefeldin A, which inhibits the function of small GTP-binding proteins of the ADP ribosylation factor family and therefore probably recycling of MHC class I molecules from some of the late endosomal compartments to the cell surface, as well as transport from the endoplasmic reticulum to the Golgi (24, 25, 36). In the endosomal system, this lipopeptide may be protected from the predominant cleavage by the proteasome that would destroy the Nef73-82 epitope in the cytosol and may find a suitable enzyme for generation of this epitope. The nature of this enzyme is still unknown. Association with MHC class I molecules is possible in the late endosomes in dendritic cells, which were found to contain MHC class I as well as MHC class II molecules (5, 14, 34). Alternatively, the lipopeptide might also egress to the cytosol from a different, monensin-sensitive compartment than the Pol461-484 lipopeptide and be digested by an enzymatic activity that is insensitive to epoxomycin, like the Nef protein after recombinant vaccinia virus infection (Seifert et al., submitted). How is it then protected from proteasomal digestion may depend on various factors. Kinetic competition between the proteasome and another enzyme probably plays a role. Association with a chaperone may be involved. These results point again to the importance of compartmentalization in antigen processing. The processing pathway of the antigen depends not only on the presence of cleavage and binding sites for the proteasomes or for other antigen-processing enzymes, but also on the availability to these enzymes (endosome/lysosomes versus cytosol, endoplasmic reticulum, or nucleus) (4, 8, 26, 34, 37, 38). Although the Pol476-484 peptide was first located in the endosomal system because of its association with a lipid moiety, its presentation seemed to be exclusively proteasome dependent, showing that no endosomal enzyme could replace the proteasome, at least in the conditions used here, to generate the Pol476-484 epitope, but that transport into the cytosol was achieved.
A phase I study (Agence Nationale de Recherche sur le SIDA VAC 04) on healthy, HIV-1-uninfected human volunteers given a mixture of six lipopeptides derived from regulatory or structural HIV-1 proteins (Nef, Gag, reverse transcriptase, and gp160) and containing more than 50 specific cytotoxic T lymphocytes epitopes restricted by different HLA molecules showed that lipopeptides are able to induce strong multiepitopic B- and CD4 and CD8 T-cell responses (13, 27). Therefore, lipopeptides are promising vectors for an AIDS vaccine. They are currently being evaluated as a therapeutic vaccine in chronically HIV-infected patients (Lipthera assay). Our results allow better understanding of the mechanisms of their immunogenicity, since they show that lipopeptides address epitopic sequences to cross-presentation pathways, which are particularly efficient in dendritic cells to induce protective CD8+ T lymphocyte responses.
This work was supported by INSERM and by grants from the Fondation pour la Recherche Médicale (FRM), the Agence Nationale de Recherche sur le SIDA (ANRS), Ensemble contre le SIDA, and the Etablissement Français du Sang-Alsace.
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