Abstract
B cells can influence T cell responses by directly presenting antigen or by secreting antibody that binds to antigen to form immunogenic complexes. Conflicting evidence suggests that persisting antigen/antibody complexes propagate long-term T cell memory; yet other data indicate that memory cells can survive without specific antigen or MHC. Here, the roles of B cells and antigen/antibody complexes in T cell responses to lymphocytic choriomeningitis virus (LCMV) infection were investigated using B cell-deficient or B cell-competent mice. Despite normal lymphocyte expansion after acute infection, B cell-deficient mice rapidly lost CD4+ T cell memory – but not CD8+ T cell memory – during the contraction phase. To determine whether antigen/antibody complexes sustain CD4+ T cell memory, T cell responses were followed in B cell-transgenic (mIg-Tg) mice that have B cells but neither LCMV-specific antibody nor LCMV-immune complex deposition. In contrast to B cell-deficient mice, mIg-Tg mice retained functional T-helper cell memory, indicating that B cells selectively preserve CD4+ T cell memory independently of immune-complex formation. An in vivo consequence of losing CD4+ T cell memory was that B cell-deficient mice were unable to resolve chronic virus infection. These data implicate a B cell function other than antibody production that induces long-term protective immunity.
Keywords: T cells, B cells, Memory, Viral, Antibodies, Cytokines
Introduction
Long-term CD4 and CD8 T cell memory is seen in many different antigenic systems under both natural and experimental situations (1). The accelerated responses seen upon re-exposure to antigen are due to quantitative (increased precursor frequency) and qualitative changes in memory T cells (1, 2) that are transmitted epigenetically through subsequent generations of cells. T cell memory is maintained by the cytokines IL-7 and IL-15 through their positive effects on memory cell selection, survival, and periodic homeostatic proliferation (3–7). Of particular interest is the role of antigen and B cells in maintaining long-term T cell memory (8). Antigen-antibody complexes persisting on follicular dendritic cells (FDC) have been implicated in sustaining T cell memory (9, 10). Since FDC do not process and present antigen efficiently it has been postulated that B cells pick up this trapped antigen and present it to T cells (11–16); although, lymphoid DC may also pick it up and present to T cells (17). Thus B cells produce specific antibody needed for antigen deposition on FDC (18), and they subsequently present the trapped antigen to T cells. Additionally, B cells provide co-stimulatory signals to T cells (19) and are a source of cytokines (20–22) that modulate T cell responses (22–24). B cell expressed lymphotoxin and TNF, in particular, are essential for normal lymphoid organogenesis and development of FDCs (25).
Antigen/antibody complexes persist for extended periods of time (10), and a body of evidence indicates that exogenous antigens can be presented via cross-priming mechanisms to CD8 T cells (26), so it was proposed that CD8 memory would be affected by the presence or absence of B cells and antibody. However, B cell-deficient mice maintain CD8 memory as well as wildtype mice (27–30), and it has become clear from these studies and others that CD8 memory can be maintained not only in the absence of specific antigens (31–34) but also in the absence of cross-reactive antigens and MHC-I (35).
The requirements for CD4+ T cell memory are less clearly resolved, and there are conflicting reports on the durability of CD4+ memory (1, 36). Given the close proximity of B cells and CD4+ T cells and the ability of B cells to express MHC-II, it has been proposed that B cells prime CD4+ T cells and that memory B cells present persisting antigen to maintain memory CD4+ T cells (11–13). Initial CD4+ T cell responses require specific processing by B cells for some soluble antigens (37–39), but not others (17, 40–43). Peptide and ovalbumin did not require B cells to prime CD4+ T cells, whereas conalbumin required B cells but not necessarily their expression of MHC-II (43). So the results vary depending on the protein, and in models where B cells are required, it is not clear whether antigen/antibody complexes are needed.
Studies of CD4+ T cell memory following infection have also yielded conflicting data. Reduced levels of memory were found in B cell-deficient mice after lung infection with Chlamydia (44), but normal levels of CD4+ T cell memory were seen after genital tract infection (45). B cells and/ or antibodies play a key role in sustaining the CD4 response to Plasmodium infection. B cells appear to be required for CD4 memory generation following Pneumocystis carinii lung infection (46). CD4+ T cell responses to Listeria monocytogenes are defective in B cell-deficient mice even though B cells do not express listerial antigens (47), implying that there may be some other B cell function that is key for memory CD4+ T cell responses. In contrast to these studies, B cell-deficient mice generated CD4 memory responses to influenza A virus infection (41); however, the IL-2 limiting dilution method used in this study may have introduced error by, for example, in vitro expansion of contaminating IL-2+ve CD8 T cells. Given the variable nature of infections, including the cell types infected, the differing nature of APCs at sites of infection, and the chronicity/kinetics of infections, it is difficult to understand in general terms how B cells and antigen/antibody complexes affect CD4 memory.
Some studies that have employed non-infectious models of T cell differentiation find reduced levels of CD4+ T cell memory in the absence of B cells (17, 39); although, in one case, the reduced levels may have been related to a weak primary response to KLH immunization (39). In another study, primed CD4+ T cells did not survive when transferred to recipients in the absence of antigen (9), which led to the hypothesis that immune complexes are required for T helper cell memory maintenance. Moreover, B cells and dendritic cells were implicated in the maintenance of CD4 memory against soluble KLH immunization where B cells produced the antibodies that resulted in persistent antigen/antibody complexes that were in turn acquired by DC (interdigitating, CD11c+ve) and presented to memory T cells (17). However, it is uncertain whether these antigen/antibody complexes served to rescue CD4 T cells or if B cells themselves were responsible by, for example, providing a cytokine or other signal to maintain them. In view of data showing the persistence of memory in the absence of specific antigen and evidence that MHCII is not required for the survival of memory CD4+ T cells (6, 48, 49), it remains unclear whether persisting antigen/antibody complexes are needed for CD4+ T cell memory.
In the current study, the requirement of B cells and antigen-antibody complexes for T cell memory against LCMV was investigated in B cell-deficient mice and B cell-transgenic (mIg-Tg) mice (18) using assays that do not require extensive in vitro culture and which accurately reflect the numbers of cells in vivo. Moreover, CD4+ T cell responses to specific MHC-II restricted epitopes were followed, which eliminates potential contamination by CD8 T cells. All of the B cells in the mIg-Tg mice express only a membrane-bound form of immunoglobulin-M that use a H-chain commonly found in the response to the hapten NP (4-hydoxy-3-nitrophenyl)-acetyl. These mice have normal proportions of B cells but a restricted repertoire, severely reduced antibody, and undetectable immune-complex formation on FDCs (18). We report that B cell-deficient mice (which lack B cells and antigen-antibody immune complexes) generated normal primary CD4+ T cell responses, but CD4+ T cell memory was short-lived. In contrast, mIg-Tg mice established and maintained T helper cell memory. As these mice do not form LCMV-antigen/antibody complexes, these findings indicate that a B cell function other than antibody production sustains CD4+ T cell memory.
Materials and Methods
Mice and Virus
C57BL/6 (H-2b) mice were purchased from Jackson Laboratory, Bar Harbor, Maine and were used as controls for the B cell-deficient mice. The µMT−/− (B cell-deficient) mice (50) were obtained from Jackson Laboratory and bred at Emory University. The mIg-Tg mice have been described elsewhere (51). They are transgenic for a rearranged VDJ-heavy chain with a µ-heavy chain lacking the secretion sequence. They were maintained on the JH-knockout BALB/c genetic background (18), to prevent any expression of endogenous immunoglobulin. The transgene is not on the same chromosome as the other heavy chain constant regions, so there is no heavy chain switching. Since the transgene only affects the heavy chain, any immunoglobulin diversity would result from light-chain rearrangements. These mice have normal proportions of B cells in the periphery but do not secrete antibody. CB.17 mice were used as controls for the mIg-Tg mice. C57BL/6 and BALB/c carrier mice used in these experiments were generated and bred at Emory University as previously described (52). Adult experimental mice (6–8 weeks old) were infected with 2 × 105 PFU Armstrong CA 1371 strain of LCMV (53). Where indicated, mice were given 2 × 106 PFU LCMV-t1b, LCMV-A22, or LCMV-Clone13 to generate chronic infection (54). The level of virus in the serum and tissues was quantitated by plaque assay on Vero cells (53). All animal experiments were approved by the Emory or TSRI Animal Care and Use Committees.
Flow Cytometry
Spleen cells were surface stained with antibodies from BD-Pharmingen, La Jolla CA that recognize CD8 (clone 53-6.7), CD4 (clone RM4-5), CD44 (clone IM7), or B220 (clone RA3-6B2) using a concentration of 1mg antibody / 106 cells. Anti-mouse Ig(H+L) was purchased from Caltag (Burlingame, CA) and used as recommended by the manufacturer. Tetramer staining was done as described (55) using APC-conjugated Db33-41, Kb34-41, Db396-404 made at Emory University.
CD4+ T cell Enrichment
CD4+ T cell enrichment by negative selection was done using CD4 enrichment columns. Mouse CD4 Subset Column Kits were purchased from R & D systems (Minneapolis, MN) and the manufacturer’s suggested protocol was used. CD4 T cells were >80% pure using this protocol and the number of CD8 T cells was <0.5% as indicated by flow cytometry. As an additional check on the level of CD8+ T cell contamination NP396-404, an MHCI-restricted LCMV epitope, was added to CD4 enriched cultures in some experiments and the number of virus-specific CD8+ T cells was quantified by ELISPOT. By this test, there was little to no detectable CD8+ T cell contamination above background levels in the CD4 T cell enriched cultures.
Quantitation of virus-specific interferon-γ secreting CD8+ and CD4+ T cells
The method for quantitating T cell responses by staining T cells for intracellular IFN-γ has been described previously (56). Spleen cells were stimulated in vitro with media or with GP61-80 (for CD4+ cells) or GP33-41 (for CD8+ cells) for five hours with Brefeldin A (GolgiplugTM, BD-Pharmingen, La Jolla CA). They were then surface stained with anti-CD4 or anti-CD8 and stained for intracellular IFN-γ using Cytofix / Cytoperm staining kit (BD-Pharmingen, La Jolla, CA) as per manufacturer’s recommended protocol. For intracellular IFN-γ stain, FITC conjugated monoclonal rat anti-mouse IFN-γ (clone XMG1.2) and its control isotype antibody (rat IgG1) were used. All antibodies were purchased from BD-Pharmingen, La Jolla, CA. In some experiments, virus-specific CD8+ and CD4+ T cell responses were measured by IFN-γELISPOT assay using whole spleen cells or CD4 purified preparations from mice immunized with LCMV as has been described previously (56). Either carrier mouse spleen cells or purified LCMV peptides (NP396-404, GP33-41, GP276-286 for H-2b mice or NP118 for H-2d mice) that bind to MHC class I were used to stimulate CD8 T cell responses. LCMV peptides that bind to MHC class II (NP309-328 and GP61-80 of Armstrong) were used to stimulate I-Ab-restricted CD4 T cell responses (56).
Quantitation of virus-specific IL-2 Secreting CD4+ T cells
CD4+ T cell production of IL-2 was measured by cytokine-specific ELISA kits purchased from Genzyme Diagnostics (Cambridge, MA) and were performed and analyzed as recommended by the manufacturer. The ELISAs were read using a BioRad Microplate Reader 3550 (BioRad, Hercules, CA) using appropriate filters.
B cell Assays
Levels of serum antibody determined by LCMV-specific ELISA and quantitation of the number of LCMV-specific antibody secreting cells by ELISPOT assay have been described previously (57).
Results
Primary T cell response to LCMV in B cell-deficient mice
The role of B cells in generating anti-viral T cell responses was investigated using B cell-deficient mice (µMT−/−) infected with LCMV-Armstrong. At day 8, spleen cells were recovered and direct killing activity was measured on infected cells. Consistent with previous reports (27, 28, 58), normal levels of anti-viral CTL developed (60–70% specific lysis at 50:1 effector : target ratio) and virus was eliminated as indicated by plaque assay (both groups had <1.7 log10 PFU / ml serum and <2.7 log10 PFU / gram of brain, kidney, liver, lung, or spleen). The frequency of CD8+ T cells specific to each epitope was quantified by intracellular staining for IFN-γ In B cell-deficient mice, 15% of the CD8+ T cells were specific to GP33-41, and in +/+ mice 14% were specific to this dominant epitope (Figure 1A). These frequencies indicated that B cell-deficient mice had 8 × 106 and +/+ had 9 x 106 GP33-41-specific CD8+ T cells per spleen (Figure 1B). The magnitude of the responses to NP396-404, GP276-286, and NP205-212 were similar in both groups of mice (data not shown). These assays confirm earlier limiting dilution analysis of CTL-precursor frequencies in these mice (27) and show that expansion of LCMV-specific CD8 T cells specific to dominant (GP33-41, NP396-404) and subdominant (GP276-286, NP205-211) epitopes does not depend upon B cells.
Early LCMV-specific CD4+ T cell responses were followed in B cell-deficient mice. Robust CD4+ T cell responses were found in B cell-deficient mice during the primary phase of the T cell response (Figure 1C). On the H-2b background, a major component of the CD4 response is directed against the LCMV epitope GP61-80 presented on I-Ab. The frequency of GP61-80-specific splenic CD4+ T cells was 2% in B cell-deficient mice and 5% in +/+ mice, corresponding to 2.3 × 105 cells per spleen in B cell-deficient mice and 7 × 105 cells per spleen in +/+ mice (Figure 1D). Analysis of lymph nodes by IL-2 ELISA indicated that CD4+ T cell priming was normal there (data not shown). In uninfected B cell-deficient mice, the number of CD4+ T cells in the spleen (~ 5 × 106 per spleen) is 1/2 to 1/3 of that found in uninfected wild type mice. After infection, the B cell-deficient mice generate a virus-specific CD4+ T cell response that continues to be ~30–40% of controls; therefore, the peak antiviral response in the B cell-deficient mice is proportionate to the starting number of CD4+ T cells.
Memory T cell response to LCMV in B cell-deficient mice
Because the B cell-deficient mice generated good early T cell responses, the effects of B cells and antigen/ antibody complexes on memory T cell levels could be determined independently of their influences on the primary response. Therefore, LCMV-specific T cells were quantified in immune B cell-deficient mice at later time points. At day 154 post-infection, a large frequency of splenic CD8+ T cells specific for GP33-41 could be found in +/+ mice and B cell-deficient mice (Figure 1A). Similar frequencies were also observed by tetramer analysis (not shown). These percentages correspond to ~ 1 × 106 LCMV-specific CD8+ T cells in +/+ and 2 × 105 in B cell-deficient mice (Figure 1B). B cell-deficient mice also showed strong CD8 memory responses to other LCMV epitopes and the level of CD8 memory was found to be stable from 2 months to > 6 months post-infection (not shown). These results confirm previous reports that CD8+ T cell memory can form and be maintained in the absence of B cells (27–29).
In these very same mice, memory CD4 responses were analyzed by the same assays. While 0.5–1.0% of CD4 T cells were specific for GP61-80 in +/+ mice, B cell-deficient had levels at or below the detection limit (<0.01%) by flow cytometry (Figure 1C). In immune mice there were 8.5 × 104 -specific CD4+ T cells in +/+ mice, but there was an over 95% reduction to ~ 2 × 103-specific CD4+ T cells in B cell-deficient mice (Figure 1D). Similar results were obtained with IFN-γ ELISPOT analysis. The results shown in Figure 1 demonstrate a dichotomy between CD8 and CD4 memory: when analyzed in the same mice and by the same assays, B cell-deficient mice had approximately normal levels of CD8 memory but lost CD4 memory.
Since the most prominent defect in these mice was the loss of CD4 memory, it was of interest to determine when this occurred (Figure 2). While initial virus-specific IL-2 and IFNγ producing CD4+ T cells were normal, these responses began to wane as early as the second week after infection, and most of the CD4+ T cell response was gone by day 30. This rapid decay might explain discrepancies in prior studies regarding B cell dependent priming of CD4+ T cells: a response may or may not be found depending on the time point studied. These data indicate that B cell function is revealed during the contraction phase of the response in promoting the establishment and maintenance of CD4 T cell memory.
Long-term CD8 and CD4 memory in mIg-Tg mice
Since B cell-deficient mice lack serum antibody, one hypothesis is that absence of antigen-antibody complexes leads to the loss of CD4 memory. To investigate this possibility, 0.3ml of hyper-immune serum from LCMV-immune mice was transferred into B cell-deficient mice at days 5 and 15 after infection to form immune complexes. In principle, the anti-LCMV antibody in the serum should bind to LCMV antigens in vivo to form the complexes. The memory CD4 responses in the B cell-deficient mice were quantified at day 30. In some of the B cell-deficient mice, the serum transfer increased the frequency of virus-specific CD4+ T cells 2-fold compared to untreated B cell-deficient mice, implying that under these circumstances, immune complexes stimulate virus-specific CD4+ T cells. Nevertheless, the CD4 response in the treated B cell-deficient mice remained 4- 5-fold lower than in un-manipulated +/+ mice (data not shown).
Another possibility is that B cells provide (directly or indirectly) a factor that maintains CD4 memory. To see if B cells rescue the CD4 response, CD4-depleted spleen cells from immune wildtype mice (which contain memory B cells) or from naive wildtype mice were adoptively transferred into B cell-deficient mice at days 0 or 8 after infection, and the level of CD4 memory was quantified at day 30. In a number of experiments analyzed, the B cell-deficient recipients did not efficiently retain the transferred B cells. Nonetheless, mice given immune spleen cells at day 8 showed a modest enhancement of CD4 memory. While these experiments do not distinguish between antibody-dependent or B cell-dependent mechanisms, they link humoral immune responses to T-helper cell longevity in the LCMV model.
As an alternative approach to investigate this question, mIg-Tg mice were infected with LCMV. In these mice, the µ-chain has a deletion in the secretion domain that prevents antibody secretion while permitting normal mIgM synthesis and expression on the surface (18, 51). These mice contain normal numbers of B cells and have FDCs, but they produce no secreted antibody and, therefore, do not deposit antigen/antibody complexes on follicular dendritic cells (18). Figure 3 shows that mIg-Tg mice have B cells, but essentially no LCMV-specific serum antibody after infection. In addition, the number of LCMV-specific antibody secreting cells was < 2 / 106 spleen cells as determined by antibody ELISPOT. By comparison, wildtype mice had ~600 / 106 spleen cells at this time. In the bone marrow, the frequency of antibody secreting cells was below detection in mIg-Tg mice whereas +/+ mice had ~20–40 / 106 cells (57, 59).
To determine if direct effector responses were affected by the absence of antibody, CTL responses were measured by 51Cr release assay in mIg-Tg mice. These mice had normal CTL responses and the infection was controlled in the serum, liver, lung, and kidney by day 8 after infection (Table 1). The early CD8+ T cell response was quantified by IFN-γ ELISPOT (Figure 4A), and these data indicate that there was a normal expansion of LCMV-specific CD8+ T cells after infection, which resulted in 8 × 106 NP118-128 specific cells per spleen in the mIg-Tg mice. Furthermore, elevated numbers of LCMV-specific CD8 T cells persisted during the memory phase with 1–5 × 105 per spleen in mIg-Tg mice and ~1 × 105 per spleen in +/+ mice. The generation of LCMV-specific CTLp was not affected in mIg-Tg mice, as both +/+ and mIg-Tg mice produced ~1×104 per spleen at day 8 (Figure 4B). Moreover, high numbers of CTLp remained during the memory phase with both groups containing 3–4 × 103 per spleen. Consistent with what was seen in B cell-deficient mice, CD8+ T cell memory was not affected by the absence of serum antibody and antigen / antibody complexes.
Table 1.
Percent specific 51Cr-release from balb/cl.7 (H-2d) targets at indicated E/T ratio |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Infected |
Uninfected |
LCMV titer (Log10 PFU/ ml of serum or gm of tissue) |
||||||||
Mice | 50:1 | 17:1 | 6:1 | 50:1 | 17:1 | 6:1 | Serum | Liver | Lung | Kidney |
+/+ | 89 | 63 | 30 | 1 | 2 | 0 | <1.7 | <2.6 | <3.0 | <2.6 |
+/+ | 87 | 64 | 30 | 1 | 3 | 1 | <1.7 | <2.6 | <3.0 | <2.6 |
mIg-Tg | 68 | 42 | 15 | 0 | 0 | 0 | <1.7 | <2.6 | <3.0 | <2.6 |
mIg-Tg | 72 | 39 | 15 | 0 | 0 | 0 | <1.7 | <2.6 | <3.0 | <2.6 |
CD4+ T cell responses were followed in the spleens of mIg-Tg mice at various times after infection. There was expansion of LCMV-specific CD4+ T cells at day 8 (Figure 4C). In +/+ mice, there were 2–3 × 104 LCMV-specific CD4+ T cells per spleen at day 8 and mIg-Tg mice had 9 × 104 specific splenic CD4+ T cells. This result confirms that antigen/antibody complexes are not needed for early responses, consistent with what was seen in B cell-deficient mice. To determine whether these immune complexes are needed for T-helper cell memory, virus-specific CD4+ T cell responses were analyzed at later times in the mIg-Tg mice. At days 30 and 60 after infection, there remained 3–4 × 103 LCMV-specific CD4 T cells in +/+ mice, and 5 × 103 in mIg-Tg mice. Virus-specific CD4+ T cells from mIg-Tg mice made normal levels of IL-2 at day 8 and two months later (Figure 4D). These results show that immune complexes with LCMV antigen are not required to establish and maintain CD4+ T cell memory, and in the absence of these complexes, memory CD4+ T cells retain their capacity to secret IFNγ and IL-2.
As a more rigorous test of memory, +/+ and mIg-Tg mice immunized 90 days earlier were re-challenged with a high dose infection (1 × 106 PFU LCMV Armstrong). Three days after the re-challenge, levels of virus were quantified by plaque assay (Figure 5A). While naive mice had very high levels of virus in the liver, immune +/+ and mIg-Tg mice controlled the infection quickly and reduced the viremia to levels below detection. Direct ex vivo 51Cr-release assay indicated that immune +/+ and mIg-Tg mice had elevated levels of CTL activity whereas infected naive mice had <5% specific killing (Figure 5B). The number of NP118-126-specific CD8 T cells expanded from 1 × 105 in immune +/+ mice to 2.5 × 106 per spleen at day 3 after reinfection (Figure 5C). Likewise, LCMV-specific CD8 T cells expanded from 4 × 105 in immune mIg-Tg mice to 5 × 106 per spleen at day 3 after re-infection. In contrast, naive mice generated only 1 × 103 per spleen by this time.
There was also secondary expansion of memory CD4 T cells in immune +/+ and mIg-Tg mice. CD4 T cells were purified from immune mice before and after challenge infection and analyzed by IFN-γ ELISPOT (Figure 5D). The number of antigen-specific CD4 T cells expanded from 4 × 103 to 1.6 × 104 per spleen 3 days after the infection in +/+ mice. Similarly, the number of antigen-specific CD4 T cells in mIg-Tg mice expanded from 5 × 103 to 3.5 × 104 per spleen. By comparison, naive mice generated only 500 specific cells during the same period. The responding CD4+ T cells were also capable of producing IL-2. These data show that memory CD8+ and CD4+ T cells were functionally intact in mIg-Tg mice, and they were able to respond to challenge infection by increasing in number and producing cytokine. These findings establish that serum antibody and LCMV-antigen / antibody complexes are not required to maintain CD4 or CD8 memory.
B cell-deficient mice are impaired in their ability to resolve chronic LCMV infection
Previous studies revealed an important role for CD4 T cells during chronic viral infection. When CD4 T cell responses are missing due to gene ablation, transient depletion with antibody or lack of costimulation, CD8-dependent clearance of chronic virus infections becomes impaired (60–62). Similar associations of CD4+ T cell loss with diminished antiviral CTL are seen after HIV, HBV, HCMV, and HCV infections in humans (63–65).
Previous studies in mice examined situations in which no CD4 response (or a severely impaired response) was present during all phases of the chronic infection. So it is unclear whether CD4+ T cells function early on, perhaps to qualitatively or quantitatively enhance CTL development and memory CD8 development (66–68), or if they function later, perhaps to maintain antiviral CTL (69). Since B cell-deficient mice generate strong primary antiviral CD8 and CD4 responses, but then lose the CD4 response over the following 2–3 weeks, it was of interest to examine whether loss of T-helper cell responses would compromise CTL-mediated clearance of chronic LCMV infection. Therefore, B cell-deficient mice were infected with various strains of LCMV that normally persist in the serum in +/+ mice for 3 weeks to 4 months, depending on the variant. These variants spread throughout the body, but the viral load was eventually reduced in mice capable of maintaining strong CTL responses (54, 55, 70). While +/+ mice eventually controlled these infections, B cell-deficient mice never reduced the level of virus in the blood, liver, kidney, or lung (Figure 6A, and data not shown). Even when the level of virus was similar in magnitude early on (Clone13, A22), only the +/+ mice cleared the infection in the blood.
To determine whether the lack of viral control in B cell-deficient mice correlated with the reduced frequency of LCMV-specific T cells, T cell responses were analyzed in a separate set of mice that were given LCMV-t1b infection 44 days before. While wildtype mice contained an elevated frequency of GP33-41-specific CD8+ T cells, infected B cell-deficient mice had a very low frequency (Figure 6B). The total number of epitope-specific CD8+ T cells in B cell-deficient mice that were able to make IFNγ was 1% of that found in +/+ mice (Figure 6C, top). Tetramer staining confirmed that there were fewer epitope-specific CD8+ T cells in the B cell-deficient mice compared to the infected wildtype mice (Figure 6C, bottom). During this chronic virus infection, LCMV-specific CD4 responses were also lost in B cell-deficient mice (Figure 6D and 6E). In contrast to +/+ mice, IL-2 production by CD4+ T cells was severely diminished in B cell-deficient mice (Figure 6E, bottom). The defective antiviral T cell responses seen in the B cell-deficient mice correlated with elevated viral loads in the livers, lungs, and kidneys of the same mice; the wildtype mice that contained functional T cell responses had a lower viral load at this time (Figure 6F). Hence, chronic virus infection in mice devoid of B cells results in the loss of virus-specific T helper cells and the exaggerated deletion of virus-specific CD8+ T cell responses.
A subset of CD8+ T cells can be programmed early to differentiate into memory cells (71–74). It is unknown what signals are required for this differentiation event that occurs within the first week of infection, although CD4+ T cells contribute to this process (66, 67, 69). A primary CD4+ T cell response is made in LCMV-Armstrong infected B cell-deficient mice during this programming period (Figure 1), and they generate normal numbers of memory CD8 T cells that can resolve a re-challenge infection ((27, 30) and Figure 1). To test whether the virus-specific memory CD8+ T cells found in acutely infected B cell-deficient mice are capable of controlling a widespread infection, spleen cells from LCMV-Armstrong immunized B cell-deficient mice were transferred into LCMV-carrier mice that are congenitally infected and immunologically tolerant to the virus; virus reduction in these LCMV-carrier mice is due to the transferred cells (52, 75, 76). Consistent with an earlier report (75), the level of virus in the blood of recipient mice was reduced to below the limits of detection by splenocytes from the immune +/+ mice; however, the cells from the immunized B cell-deficient mice (Figure 6G) did not do so. This difference in viral load was reflected by the number of virus-specific CTLp surviving later (Figure 6H): carrier mice that received wildtype immune cells and controlled the infection had 4 × 103 CTLp per spleen whereas carrier mice that received immune B cell-deficient spleen cells had levels of CTLp that were below detection (<400 per spleen). Even though Armstrong immune +/+ and B cell-deficient mice had memory CTL (27), those present in immune B cell-deficient mice could not confer protection to infected mice. The results indicate that B cells and memory CD4 T cells play important roles for maintaining CTL in conditions of chronic infection and that having CD4 help early on is not sufficient to limit these infections.
Discussion
CD8 memory is maintained in the absence of specific antigen and even selecting MHC molecules, and consistent with these findings, CD8 memory does not require B cells or antigen/antibody complexes for maintenance ((27, 29, 30) and Figure 1 and Figure 4). Evidence also indicates that CD4+ memory T cells survive in the absence of MHC (6, 48). However, CD4+ T cell memory maintenance requires B cells in some systems, but not in others; no clear picture has emerged to explain these differences. Importantly, in cases where B cells affect CD4+ T cell memory, the mechanisms have not been elucidated. Here, we examined the role of B cells and antigen / antibody complexes in the induction and maintenance of T cell responses to LCMV, including the relevance of such responses to viral clearance and secondary protection. We learned that a primary CD4 response is formed to LCMV in the absence of B cells; however, it decays rapidly and is essentially undetectable by thirty days post infection. Also, the role of B cells in this process, contrary to predictions, was independent of antibody secretion.
A major finding of this study is that B cells play a pivotal role during the contraction phase to generate CD4 memory. It was previously thought that immune complexes on FDC were acquired by B cells (11) or by dendritic cells (17), which then process the complex and present antigenic peptide via MHCII for memory T cells. However, our results with mIg-Tg mice show that CD4 memory does not depend upon these complexes, since these mice do not secrete the antibody required for their formation. Other evidence indicates that CD4 memory cells survive in the absence of specific antigen and MHCII (6, 48), although in one case they became non-functional without these signals (49). We find that not only do memory cells persist in the absence of antigen/antibody complexes in mIg-Tg mice, these cells are functional in cytokine production and fully capable of undergoing secondary re-call responses in vivo (Figure 5). An important caveat is that while the B cells in these mice have a transgene coding for the heavy chain of Ig, it is possible that variation in the light chain of Ig leads to virus-specific B cells, since this H chain in combination with various L chains can contribute to a variety of autoantibodies (51) and responses to a variety of proteins ((18) and unpublished). This raises an interesting possibility, for which there is no precedent: virus-specific B cells could serve as APCs by retaining antigen via B cell receptor / antigen complexes and then re-presenting antigenic peptide via MHCII. B cells can retain processed antigen for 1 day (77), but whether they can retain antigen longer remains to be seen. B cells can clearly present antigens to CD4+ T cells and they can also transport particulate antigens to the follicles (15).
B cells serve a vital role during persistent viral infections, as B cell-deficient mice are less able to eliminate these infections (Figure 6 and (28, 58)). However, our interpretation of why B cell-deficient mice are impaired in their responses to chronic infection differs from that proposed by earlier studies that did not quantify CD4 responses and perhaps for this reason favored the conclusion that neutralizing antibody is vital for the eventual resolution of chronic infection. In view of the fact that B cell-deficient mice lose CD4 memory and that depletion of CD4+ T cells even transiently during the acute phase of the response impairs the ability of CTL to resolve infection (54, 78, 79), an additional mechanism is that CTL responses are lost during chronic infection due to short-lived virus-specific CD4 help. Perhaps CD4-dependent IL-2 production or CD4 induction of co-stimulatory molecule expression on APCs allows CD8+ T cells to endure high antigen load over time. Our results highlight the importance of B cells and CD4 memory for sustaining CD8 CTL during chronic infection, which is particularly relevant to successful vaccine design in humans. Another clinical implication from our study is that B cell-depleting drugs may inadvertently lead to reduced memory T cells responses and increase patient susceptibility to viral infections. Indeed, there is an increased incidence of viral, bacterial and fungal infections in patients that have received B cell-depleting drugs (80).
CD8+ and CD4+ T cell memory are differentially regulated (1). The expansion of the CD8 response is much greater (>20 fold) than the CD4 response. In addition, the contraction phase of the CD8 response is quick, occurring mostly within the second week after infection, whereas that of the CD4 response is protracted and occurs over a month (81, 82). The resulting levels of memory remain greater for CD8+ T cells than for CD4+ T cells. Once established, CD8 memory is stable over the lifetime of the mouse. CD4 memory is generally found to be long-lived, although some evidence indicates that it slowly declines in geriatric mice (36, 82). Hence, there are regulatory mechanisms that differentially affect the homeostatic levels of CD8 and CD4 memory over the long term (1). Without B cells, the contraction phase of the CD4 response accelerates and becomes more severe, resulting in a complete loss of memory CD4 T cells 2 weeks after the peak response (Figure 2), whereas CD8 memory was maintained stably up to 400 days (the last time point measured) after infection in the same mice. Hence, during the generation of CD4+ T cell memory, B cells function early, at least by the contraction phase of the response; however, they may act even earlier than this by programming T cell survival during the cognate interactions that stimulated T cell proliferation. Even signals received during the first few days of a response may be sufficient to activate and differentiate effector and memory CD8 cells (71, 72) and influence contraction (83), so it may be that B cells further these earliest differentiation signals to improve CD4 memory development. Qualitative differences in the way they stimulate CD4 T cells – for example via cytokines (84) and/or costimulatory molecule expression could be crucial for selecting a pool of CD4 T cells that survive on into the memory phase. In this scenario, the unique roles of B cells may be due to B cell-specific combinations of local cytokines (e.g. LTα, LTβ, TNF) as well as costimulatory molecules (e.g. B7-RP, OX40L)(85, 86) that act directly on CD4 memory cells; indeed B cells differ from dendritic cells markedly in these respects. B cells might act through indirect ways to augment CD4+ T cell responses. B cells facilitate the movement of antigen presenting dendritic cells within lymphoid organs (87, 88), which may impact the quality of antigen presentation to CD4+ T cells. B cells also influence T cell trafficking and accumulation within the lympoid organs (88). B cell effects on stromal cell number or organization might affect T cell survival or the basal IL-7 levels that are key for CD4 memory (3, 4). Thus, B cells most likely contribute to the quality of CD4 T cell memory via multiple mechanisms. Our data indicate that optimal vaccine strategies will recruit B cells to engage CD4+ T cells, which in turn will directly affect CD4 T cell memory and indirectly affect CD8 T cell effector function, particularly in the face of chronic infection.
Acknowledgments
We thank Rita J. Concepcion and Morry Hsu for excellent technical assistance.
Footnotes
This work was supported by National Institutes of Health R-01 grants AI074862 to J.K.W, AI43603 to M.J.S, and AI-30048 to R.A.; a Burroughs-Wellcome Fund grant 1004313 and National Institutes of Health R-01 grants AI066232-01 and CA038350 to S.M.K; an Associate Investigator Award from the Department of Veterans Affairs and a postdoctoral fellowship from the National Multiple Sclerosis Society to M.S.A.; and a National Institutes of Health Training Grant AI07019 and a Richard K. Gershon Predoctoral Fellowship to L.G.H.
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