Abstract
The persistence of memory T lymphocytes confers lifelong protection from pathogens. Memory T cells survive and undergo homeostatic proliferation (HSP) in the absence of antigen, although the cell intrinsic mechanisms by which cytokines drive the HSP of memory T cells are not well understood. We now report that lysosome stability limits the long-term maintenance of memory CD8+ T cell populations. Serine protease inhibitor 2A (Spi2A), an anti-apoptotic cytosolic cathepsin inhibitor, is induced by both IL-15 and IL-7. Mice deficient in Spi2A developed fewer memory-phenotype CD44hi CD8+ T cells with age, which underwent reduced HSP in the bone marrow. Spi2A was also required for the maintenance of central memory CD8+ T cell populations after acute infection with Lymphocytic Choriomeningitis virus (LCMV). Spi2A-deficient antigen-specific CD8+ T cell populations declined more than wild type competitors after viral infection, and were eroded further after successive infections. Spi2A protected memory cells from lysosomal breakdown by inhibiting cathepsin B. The impaired maintenance of Spi2A-deficient memory CD8+ T cells was rescued by concomitant cathepsin B deficiency, demonstrating that cathepsin B was a physiological target of Spi2A in memory CD8+ T cell survival. Our findings support a model in which protection from lysosomal rupture through cytokine-induced expression of Spi2A determines the long-term persistence of memory CD8+ T cells.
Keywords: memory T cells, serine protease inhibitor, cathepsin B
Introduction
In order to provide lifelong immunity from subsequent re-infections, antigen-specific memory T lymphocytes develop an increased precursor frequency, a lower reactivation threshold, and a faster re-expansion capability compared to naive T cells (1). Once the memory CD8+ T cell population has been established, its long-term maintenance depends on successful survival and homeostatic proliferation (HSP), a low level of regenerative cell division that is driven by cytokines rather than antigen. As different pathogens are encountered, memory CD8+ T cell populations from earlier infections (which have not re-encountered antigen) will decline in frequency (2).
Antigen stimulates CD8+ T cells to proliferate and differentiate into short-lived effector cytotoxic T lymphocyte (CTL) and the precursors of long-lived memory cells (3, 4). After this expansion phase, short-lived CTL (IL-7Rlo Killer cell lectin-like receptor G1hi (KLRG1hi) undergo programmed cell death (PCD), whereas memory precursor effector cells (IL-7Rhi (KLRG1lo) escape PCD and go on to persist as memory cells (5). Memory CD8+ T cells represent a heterogeneous population, and the persistence of different subsets can vary. Central memory T cells (TCM) are long-lived, express CD62L, predominate in lymphoid organs, and have the capacity for recall proliferation upon subsequent re-encounter with antigen (6, 7). TCM cells exhibit high rates of HSP and so are thought to be capable of long-term persistence (6, 7). Eventually – around one year post infection in the mouse – the long-term antigen-specific memory CD8+ T cell population will become almost entirely CD62Lhi (4).
The overall level of memory CD8+ T cells is largely dictated by the cytokines IL-7 and IL-15, which drive HSP preferentially in the bone marrow (8-11). These survival cytokines induce the expression of the anti-apoptotic molecules Bcl-2, Bcl-XL, and Mcl-1 in memory CD8+ T cells (12-14). However, the nature of the cell intrinsic mechanisms that control the survival and HSP of long-term memory T lymphocytes is poorly understood (15).
Lysosomal cathepsins are responsible for the proteolytic degradation that underpins many cellular processes. The targets and functions of cathepsins are determined by sub-cellular localization. In lysosomal vesicles, cathepsins are required for protein turnover, antigen processing in the endoplasmic reticulum, and the degradation of the contents of autophagosomal vesicles (16, 17). In response to a variety of stimuli, such as TNF-α (18-20) and Reactive Oxygen Species (ROS) (21-23), cathepsins are released from permeabilized lysosomes into the cytosol.
Once in the cytosol, cathepsins can trigger several death pathways, both dependent and independent of mitochondria. Cathepsins can cleave and activate Bid (24, 25) and indirectly activate Bax (26, 27). Cysteine cathepsins can also degrade Bcl-2, Bcl-XL, and Mcl-1 (28). This can cause further mitochondrial membrane permeabilization, which releases ROS that can feed back to the lysosomes and induce further lysosomal permeabilization. Cysteine cathepsins can also activate the caspase pathway by degrading the caspase inhibitor XIAP (28). Chemical cathepsin inhibitors can protect cells from death receptor- or mitochondrial-induced apoptosis; however, the predominance of these different apoptotic pathways depends on the stimulus and cell type. The physiological downstream targets for cathepsins in vivo are not well understood.
We have identified Serine Protease Inhibitor 2A (Spi2A) as a physiological inhibitor of the lysosomal pathway of death in mice (29). Spi2A, encoded by the Serpina3g gene on mouse chromosome 12 (30), is unusual for a serine protease inhibitor (serpin) in that that it inhibits cysteine cathepsins and resides in the cytosol and nucleus (31). Spi2A was first identified in CD8+ T cells due to its particular gene expression pattern: it has a low level of expression in naive cells; is up-regulated in effector cells, especially in IL-7Rhi memory cell precursors; and continues to be expressed in memory CD8+ T cells, months after the infection has subsided (29). Over-expressing Spi2A enhances the initial development of memory CD8+ T cells (29), but whether Spi2A plays a non-redundant role in maintaining long-term memory CD8+ T cells is unclear.
To examine the role of Spi2A in memory CD8+ T cell survival, we examined Spi2A knockout (Spi2A KO) mice (32). We observed an age-dependent deficit and impaired HSP of both memory-phenotype and LCMV-specific memory CD8+ T cells in Spi2A KO mice. Competitive adoptive transfer experiments demonstrated that Spi2A exerted a cell autonomous survival effect on memory CD8+ T cells and protected from erosion in cell number after re-infection. Spi2A transcription was induced by cytokines critical for regulating memory CD8+ T cells, including IL-15. Confocal microscopy of memory cells revealed that Spi2A protected lysosomes from cathepsin B driven permeabilization. Complementing Spi2A KO mice with cathepsin B deficiency restored lysosome integrity along with the maintenance and HSP of memory CD8 T cells in vivo, showing that increased cathepsin B activity was responsible for these effects. Our findings provide evidence that protection from lysosomal PCD regulates the homeostatic persistence of memory CD8+ T cells.
Materials and Methods
Mouse Strains
Spi2A KO mice were (32) crossed with P14 transgenic mice (33) and cathepsin B-/- mice (34), all on the C57BL/6 background. CD45.1 congenic C57BL/6 mice (Jackson Labs) were also crossed as described. C57BL/6, DBA/2, and Thy1.1+ congenic C57BL/6 mice were purchased from Jackson Labs via Charles River UK. Female mice were used at 16-weeks-old unless indicated otherwise. All mice were maintained in accordance with Univ. of Chicago IACUC and UK Home Office regulations.
Tissue Preparation
Peripheral blood was drawn by tail vein puncture. Spleen, inguinal lymph nodes, and bone marrow from the femur were harvested using standard techniques. Red blood cells were lysed using Tris-buffered ammonium chloride. Intrahepatic lymphocytes and lung lymphocytes were isolated by first perfusing the organs with PBS. These organs were ground through a 70 μm cell strainer (BD), washed thrice with PBS, and purified using Lympholyte-M (CedarLane). Cell counts were determined by flow cytometry using Caltag counting beads (Invitrogen).
Flow Cytometry
Monoclonal antibodies against mouse CD8, CD4, CD44, CD45.1, CD45.2, IL-7R, and KLRG1 were used. All antibodies were purchased from BD or eBioscience. Stains were performed in PBS supplemented with 0.2% BSA (Sigma), 10% normal goat serum (Invitrogen), and anti-CD16/32 Fc block (eBioscience). Antigen-specific T cells were stained using tetramers against the LCMV gp33 epitope on H-2Db (Beckman Coulter). BrdU incorporation was measured using the FITC BrdU Flow Kit (BD). Flow cytometry was done on a FACS Cyan (Beckman Coulter) and cell sorting was done on a FACS Aria (BD).
Real time PCR
mRNA was isolated using the Qiagen micro RNA kit. cDNA was prepared using the Invitrogen Superscript III kit and oligo(dT). Real-time PCR reactions were run using the SYBR Green PCR Master mix (Applied Biosystems) on a 7900HT Fast Real-Time PCR System (Applied Biosystems). Primer sequences for Serpina3g, Serpina3f, vimentin, and β2microglobulin come from (35).
Cytokine up-regulation
CD44hi CD8+ cells were purified by anti-CD8α magnetic microbeads (Miltenyi) and FACS purified from three pooled wild type mice (>98% purity). 104 cells were cultured in 100 μl complete DMEM-10 without cytokine for 4 hours, and then cultured in 100 ng / ml of IL-2, IL-7, or IL-15 (eBioscience) for the indicated periods.
Memory T cell assays
To measure T cell proliferation, mice were fed 0.8 mg/ml BrdU in drinking water for 7 days. For competition experiments, CD8+ T cells were purified using anti-CD8α magnetic microbeads (Miltenyi) from wild type P14+ (CD45.1+) and Spi2A KO P14+ (CD45.2+) mice (>90% purity). The cells were combined in equal amounts and 5000 P14+ CD8+ cells were co-adoptively transferred into wild type recipients (CD45.1+2+). Mice were infected i.p. with 2 × 105 PFU LCMV Armstrong. P14+ cells were identified by flow cytometry using antibody and gp33/H-2Db-tetramer staining (5, 36). Secondary and tertiary adoptive transfers were performed > 200 days p.i. using the same procedure with donor CD8+ splenocytes taken from the previous recipients.
Live-Cell Imaging
Cells were imaged in eight-well chambered coverglasses (Chambered Borosilicate Coverglass; Lab-Tek) pre-coated with 10 μg / ml fibronectin (Sigma). Cells were imaged at 37°C, 5% (v/v) CO2 by resonance laser scanning confocal microscopy (TCS SP5 RS; Leica) using an excitation wavelength of 488 nm with a 63× water immersion objective (N.A. = 1.2) and analyzed (Volocity and Image J; National Institutes of Health). Acidic lysosomes were visualized by staining with LysoTracker Green DND-26 according to supplier's instructions (Molecular Probes).
Recombinant Spi2A expression and purification
Spi2A was expressed in E. coli as a GST fusion protein with a factor Xa cleavage site. The protein was purified from cell extracts by batch adsorption to Glutathione-Sepharose beads in 20 mM sodium phosphate buffer, 0.1 M NaCl, 0.1 mM EDTA containing 15 mM PMSF, 5 mM DTT and 1% Triton X-100. Adsorbed beads were packed into a column and washed with 10 volumes of buffer containing 1 M NaCl followed by 10 volumes of original buffer with 0.1 M NaCl. The fusion protein was then eluted in buffer containing 15 mM reduced glutathione and detected by SDS-PAGE. The GST tag was cleaved by incubation of ~300 μg/ml protein with ~10 μg/ml factor Xa for 4 hours in sodium phosphate buffer without PMSF, DTT, or Triton followed either by inactivation of the factor Xa with 100 μM Glu-Gly-Arg-chloromethylketone or adsorption of the enzyme with soybean trypsin inhibitor-agarose beads. After dialysis into 20 mM Tris buffer, pH 7.4, containing 1 mM EDTA and 1 mM DTT, the protein was loaded onto a mono Q column and the Spi2A eluted with a linear NaCl gradient from 0-0.2 M in buffer. Spi2A fractions were detected by SDS-PAGE and cathepsin L inhibitory activity, pooled, concentrated, and dialyzed into storage buffer consisting of 0.1 M HEPES, 0.1 M NaCl, 5 mM DTT, pH 7.4. Concentrations of Spi2A were determined from the 280 nM absorbance based on an extinction coefficient of 26,300 M-1cm-1 calculated from the amino acid sequence (37).
Cathepsin Activity Assays
The buffers utilized for characterizing the kinetics and stoichiometry of Spi2A inhibition of cathepsins were based on those found to yield optimal enzyme stability: Cathepsins L, B, and papain: 20 mM sodium phosphate, 0.1 M NaCl, 0.1 mM EDTA, 0.1% PEG 8000, 5 mM DTT, pH 6; Cathepsin S: 20 mM sodium phosphate, 0.1 M NaCl, 0.1 mM EDTA, 0.1% PEG 8000, 5 mM DTT pH 7.4; Cathepsins H, V, and K: 0.1 M sodium acetate, 1 mM EDTA, 0.1% PEG 8000, 5 mM DTT, pH 5.5. It should be noted that the kinetics of cathepsin L inhibition by Spi2A were found to be independent of pH in the 5.5-7.4 range. All cathepsins were activated by diluting stock solutions into buffer containing 5 mM DTT and incubating for 5-15 min on ice.
The molar concentrations of active cathepsins were determined by active-site titration with E64 (38). Briefly, ~50-100 nM solutions of enzyme were incubated with increasing molar ratios of E64 for a time shown to yield complete inhibition based on measured second order rate constants for E64 inhibition. Residual cathepsin activity was then measured in standard fluorogenic substrate assays (described below) and plotted as a function of E64 concentration. The x-intercept corresponding to complete inhibition yielded the active enzyme concentration. Turnover numbers for hydrolysis of substrates by cathepsins under standard conditions (described below) were calculated based on active-site titration data and served as calibrators of functional enzyme activity in all experiments.
To measure the kinetics of inhibition, reactions were done at 25°C under pseudo-first order conditions in which the concentration of Spi2A was at least 5-10 times greater than the concentration required to completely inhibit the enzyme activity (39). Reactions were initiated by adding a small aliquot of cathepsin to a solution of Spi2A in 100 μl of reaction buffer and then quenched after varying reaction times by adding 900 μl of 50 μM fluorogenic substrate in reaction buffer. The residual enzyme activity was measured from the initial linear rate of fluorescence increase (380 nm excitation, 440 nm emission) due to hydrolysis of the substrate. The time-dependent loss in enzyme activity was fit by a single exponential decay function to obtain the pseudo-first order inhibition rate constant. This was divided by the Spi2A concentration to give the second order inhibition rate constant. Observed pseudo-first order rate constants were found to increase in proportion to the Spi2A concentration in all cases, confirming that all reactions were bimolecular.
To measure the stoichiometry of inhibition, 100 nM cathepsin was incubated with increasing molar ratios of Spi2A to cathepsin (0-500 nM) in 50 μl reaction volumes at 25°C for a time that yielded complete reaction (>90%) based on measured second order rate constants and over which enzyme activity remained stable. Residual enzyme activity was then measured by adding 950 μl of 50 μM substrate directly to the reaction mixture or to a suitable dilution of this mixture and the initial rate of substrate hydrolysis was measured as in the kinetics experiments. A plot of residual enzyme activity versus molar ratio of Spi2A to enzyme concentration yielded the stoichiometry of inhibition from the x-axis intercept.
Results
Reduced levels of endogenous memory-phenotype CD44hi CD8+ T cells in Spi2A KO mice
We have reported the complete absence of Spi2A mRNA expression in Spi2A KO mice (32), whereas the expression of the linked Serpina3f gene (30) was not affected. Spi2A KO mice are viable and exhibit no gross differences in the levels of erythroid, myeloid, or lymphoid cells and possess normal proportions of CD8+, CD4+, and B220+ lymphocytes (Supplemental Tables 1 and 2). However, Spi2A KO mice develop fewer memory-phenotype CD44hi CD8+ T cells with age. The activation marker CD44 is up-regulated by memory-phenotype T cells after the recognition of endogenous antigens (40). Among T cells, the proportion of CD44hi memory-phenotype cells increases with age and antigen experience, as the proportion of CD44lo naive cells declines (41). 12-week-old Spi2A KO mice possessed similar proportions of CD44hi peripheral blood leukocytes (PBL); however, at 16 weeks, Spi2A KO mice developed a significantly lower CD44hi proportion of CD8+ PBL compared to wild type mice (Figure 1A and 1B). Spi2A KO mice also showed a significant reduction in the number of memory-phenotype CD44hi CD8+ T cells in the bone marrow at 15-weeks-old (P = 0.0008) (Figure 1C). Lower CD44hi proportions were also found in the spleen, lymph nodes, and intrahepatic lymphocytes (IHL), although these differences were not consistently statistically significant (data not shown). No differences were observed in younger mice (9 weeks), demonstrating an age-dependent phenotype (Figure 1C). Furthermore, the defect in memory-phenotype T cell levels in Spi2A KO mice was specific to CD8+ T cells, as the level of CD44hi CD4+ cells was not affected (Figure 1B and 1C). Thus, Spi2A-deficiency results in an age-specific decrease in the level of memory-phenotype CD44hi CD8+ T cells.
Impaired homeostatic proliferation of Spi2A KO memory-phenotype CD44hi CD8+ T cells
Memory CD8+ T cells undergo a low rate of cell division in the absence of overt antigen stimulation, referred to as homeostatic proliferation. The bone marrow is the preferred site for the homing and HSP of memory CD8+ T cells (8-10). The CD44hi CD8+ T cells in the bone marrow of 15-week-old Spi2A KO mice had significantly (P = 0.0008) lower levels of HSP measured by BrdU incorporation in vivo (40) (Figure 1C). This requirement for Spi2A was also specific for CD8+ T cells, as CD44hi CD4+ T cells in the same mice showed no HSP difference (Figure 1C). Naive CD44lo cells (either CD8+ or CD4+) showed very little BrdU incorporation, consistent with previous reports (42). We conclude that Spi2A is required for the homeostatic proliferation of memory-phenotype CD44hi CD8+ T cells.
Memory CD8+ T cells require the cytokines IL-7 and IL-15 for survival and HSP in the bone marrow; however, they do not require continued TCR stimulation (43). Spi2A expression is up-regulated upon NF-κB activation, yet Spi2A expression continues long after infection in memory CD8+ T cells (29, 31). We found that IL-7 and IL-15, as well as IL-2, induced the expression of Serpina3g mRNA in CD44hi CD8+ T cells in vitro in the absence of additional TCR stimulation (Figure 1D). We conclude that Spi2A is up-regulated by these cytokines to ensure the maintenance of memory CD8+ T cells.
Spi2A is required for the long-term maintenance and HSP of LCMV-specific memory CD8+ T cells, but is redundant for determining the level of memory cell precursors
While memory-phenotype CD44hi CD8+ T cells, which are generally stimulated by environmental antigens, share many similarities with antigen-specific memory CD8+ T cells stimulated by experimental infections, they possess some differences in their maintenance requirements (43). To address the role of Spi2A in an antigen-specific memory CD8+ T cell response, we examined CD8+ T cells after acute infection with Lymphocytic Choriomeningitis virus (LCMV) (29, 36). Tetramer staining was used to identify CD8+ T cells specific for the gp33 LCMV epitope after LCMV infection (Figure 2A). We further examined these antigen-specific CD8+ T cells by examining their surface expression of phenotypic markers. These markers define CD8+ subsets that possess various functional properties: a memory precursor phenotype (IL-7Rhi KLRG1lo) or a central memory (TCM) (CD62L+) phenotype. With time, the long-term antigen-specific memory CD8+ T cell population will gradually become CD62Lhi, IL-7Rhi, and KLRG1lo (4, 5, 44).
Both wild type and Spi2A KO mice showed a similar expansion of antigen-specific CD8+ T cells 8 days post infection (p.i.) (Figure 2B). They also showed a similar subsequent contraction in the number of LCMV-specific CD8+ T cells (Figure 2B). In addition, we did not observe any difference in the proportion of IL-7Rhi KLRG1lo memory precursor cells among the gp33-specific CD8+ population at any time between wild type and Spi2A KO mice (Figure 2B). Therefore, we found no evidence to indicate that Spi2A is solely required for the survival of early memory precursor cells. This contradicts an earlier report of decreased CTL levels after antisense knock down of Spi2A mRNA (29). We have since discovered that other Serpina3 family genes are also up-regulated in activated T cells (Supplemental Figure 1). These genes are nearly identical to Spi2A (>90% homology in the case of Serpina3f) except for some variability in the region encoding the reactive center loop, which determines the specificity of protease inhibition (30). Therefore, the earlier antisense approach likely also reduced the expression of homologous, but distinct, mRNAs related to Spi2A. In Spi2A KO mice, Spi2A mRNA expression was specifically ablated by targeting Serpina3g exon 4 (32). Our present study reveals redundancy between Spi2A and other serpins in determining the survival of memory precursor cells in the clonal burst phase of the CD8+ immune response.
However, from d130 p.i. onwards, we observed significantly lower numbers of gp33-specific memory CD8+ T cells in Spi2A KO compared with wild type mice (spleen: P = 0.05; ILN: P = 0.04) (Figure 2B). Throughout the antigen-specific CD8+ T cell response, the proportion of IL-7Rhi KLRG1lo cells remained similar between wild type and Spi2A KO mice, and by d130, these cells were mainly IL-7Rhi KLRG1lo (Figure 2B). Therefore, the absolute number of IL-7Rhi KLRG1lo memory gp33+ CD8+ cells also decreased correspondingly in Spi2A KO mice (spleen: P = 0.02; ILN: P = 0.03).
Yet, in the long-term memory phase after infection, the proportion of central memory CD62Lhi cells in the gp33+ CD8+ T cell population was significantly reduced in Spi2A KO mice compared to wild type controls (spleen: P = 0.02; bone marrow P = 0.02) (Figure 2C). The absolute number of TCM gp33+ CD8+ T cells was also significantly decreased in Spi2A KO mice compared to wild type (spleen: P = 0.04; bone marrow: P = 0.04) (Supplemental Table 3).
Furthermore, we observed a significant decrease in the percentage of BrdU+ memory gp33+ CD8+ T cells in the bone marrow of Spi2A KO mice (P = 0.04) (Figure 2D). This proliferation difference occurred even within the CD62L+ gp33+ CD8+ cell subset, demonstrating that this effect was not simply due to Spi2A KO mice having fewer TCM (Figure 2D). Therefore, Spi2A is solely required for the full long-term maintenance and HSP of antigen-specific memory CD8+ T cells in vivo.
Cell intrinsic effect of Spi2A on memory CD8+ T cells
To isolate the cell-intrinsic requirements for Spi2A in memory CD8+ T cell development, Spi2A-deficient gp33+ CD8+ T cells were examined alongside competing wild type gp33+ CD8+ T cells in a shared wild type environment. Naïve Spi2A KO (CD45.2+) CD8+ T cells expressing the P14 transgenic TCR specific for the LCMV peptide gp33/H-2Db (5) were mixed with wild type CD45.1+ P14+ CD8+ T cells in a 1:1 ratio. 5000 P14+ CD8+ cells were adoptively transferred into CD45.1+2+ hybrid congenic C57BL/6 recipients, which were infected with LCMV (Figure 3A). Spi2A-deficient and wild type donor P14+ CD8+ T cells were identified by the expression of congenic markers (Figure 3B). The kinetics of LCMV-specific CD8+ T cell numbers during the expansion (d 8 p.i.), contraction (d 15 p.i.), and memory phases (d 70 p.i. onwards) matched those previously reported for this virus model (29, 36) (Figure 3C). The ratio of Spi2A KO to wild type P14+ cells remained equivalent during the expansion phase; however, during the memory phase, the ratio of Spi2A KO to wild type P14+ cells dropped to less than 1 in all of the lymphoid organs studied (Figure 3C). Therefore, our findings indicate that, although Spi2A was not solely required for CTL during the initial clonal expansion (5, 36), Spi2A was required for ensuring the continued maintenance of LCMV-specific memory CD8+ T cells. These findings match our earlier results in intact LCMV-infected Spi2A KO mice (Figure 2B).
The ratio of P14+ cells in the bone marrow during the expansion and contraction phases differed from the other organs studied. It has since been reported that polymorphisms present in the CD45.1 congenic interval impair CD45.1+ hematopoietic stem cell homing to the bone marrow, independent of apoptosis or proliferation (45). Similarly, these polymorphisms also appear to impair CD45.1+ CD8+ T cell migration to the bone marrow during the contraction phase. However, even with such an impairment, CD45.1+ wild type P14+ CD8+ T cells still out-competed their Spi2A KO CD45.2+ counterparts, as the Spi2A KO to wild type ratio of P14+ cells eventually declined to below 1 in the bone marrow during the memory phase (Figure 3C).
As in complete Spi2A KO mice, the adoptively transferred Spi2A-deficient memory P14+ CD8+ T cells underwent less homeostatic proliferation compared to their wild type counterparts in the same mice (Figure 3D). We conclude that Spi2A is required in a cell intrinsic manner to ensure the maintenance and HSP of memory CD8+ T cells following an acute LCMV infection.
Spi2A deficiency leads to erosion of antigen-specific memory CD8+ T cell populations after successive infections
An important physiological requirement for memory T cell populations is persistence through multiple rounds of re-infection (2). Since Spi2A acted to ensure the maintenance and HSP of primary memory CD8+ T cells, we wanted to determine if it was also required to ensure the survival of secondary and tertiary CD8+ memory cells. Memory P14+ CD8+ splenocytes from an initial adoptive transfer (1°, as described above in Figure 3) were isolated and re-transplanted into naive CD45.1+2+ recipients (Figures 4A and 4B). Upon this secondary adoptive transfer (2°) and re-infection, the ratio of Spi2A KO: wild type P14+ CD8+ cells further decreased to 0.51 after 231 days (Figure 4C). After a third successive adoptive transfer (3°) into naive CD45.1+2+ recipients, the ratio of Spi2A KO: wild type P14+ CD8+ cells decreased again to 0.25 after 93 d (Figure 4C). Control experiments transferring 5000 memory gp33+ CD8+ cells from either wild type or Spi2A KO mice into congenic recipients revealed equal amounts of re-expansion after LCMV infection (Supplemental Figure 2). As we had observed with primary memory cells (Figure 3), Spi2A is required to maintain secondary and tertiary memory CD8+ T cells. Therefore, Spi2A protects the antigen-specific memory CD8+ T cell population from erosion after successive rounds of viral infection.
Cathepsin B-driven lysosomal permeabilization in Spi2A KO memory cells
Lysosomal membrane permeabilization (LMP) results in the release of cathepsins into the cytosol and the induction of cell death (46). The release of cathepsin B also degrades and permeabilizes the lysosomal membrane in a positive feedback loop (31, 47). Lysosomes in live FACS-purified CD8+ splenocytes were marked with Lysotracker Green, a fluorescent probe which accumulates in intact acidic organelles, and then visualized by confocal fluorescence microscopy (Figure 5A). Lysotracker labelling is lost upon LMP and the resulting increase in pH (48). Wild type memory-phenotype CD44hi CD8+ cells possessed significantly greater Lysotracker fluorescence compared to naive CD44lo CD8+ cells (P = 0.0001) (Figure 5B), due to an increased number of acidic intact lysosomes indicated by a higher number of Lysotracker puncta (Figure 5A). This indicates an increased number of secretory lysosomes and/or level of metabolic activity in memory-phenotype versus naïve CD8+ T cells (49).
Significantly fewer intact lysosomes were found in memory-phenotype CD8+ cells from Spi2A KO mice (P = 0.0001) (Figure 5B), with clearly fewer puncta of Lysotracker visible (Figure 5A). To determine whether increased cathepsin B activity contributed to LMP in Spi2A KO memory-phenotype CD8+ cells, we crossed Spi2A KO mice to Cathepsin B knockout mice (Cath B KO) (34). In the absence of cathepsin B, the number of lysosomes in Spi2A KO × Cath B KO memory-phenotype CD8+ cells returned to the wild type level (Figure 5A and 5B). Thus, the reduced number of lysosomes in Spi2A KO mice was not due to impaired development or organelle organization. Rather, Spi2A ensures lysosomal integrity by preventing cathepsin B-mediated LMP and the resulting initiation of the lysosomal pathway of death.
Spi2A is a direct inhibitor of cathepsin B
To confirm that Spi2A is a direct inhibitor of cathepsin B, we showed that recombinant Spi2A produced from E. coli inhibited cathepsin B with a stoichiometry of 10:1 giving a corrected rate of 6 × 103 M-1 s-1 (Figure 6A and 6B)(50). Examination of a panel of papain-like cysteine cathepsins gave a range of rates and stoichiometries of inhibition by Spi2A (Figure 6C). SDS-PAGE revealed the presence of intact cathepsin B and cleaved Spi2A as the only visible products of the reaction because of the instability of serpin-cysteine protease complexes to SDS denaturation (Figure 6D) (51). Therefore, as has been observed with other cross class-specific serpins, Spi2A inhibits cathepsin B by forming a serpin: protease inhibitory complex whose thioester linkage is unstable under reducing conditions (52).
Cathepsin B-deficiency restores the endogenous memory-phenotype CD44hi CD8+ T cell population in Spi2A KO mice
We determined whether cathepsin B was a physiological target for the Spi2A-mediated maintenance of memory CD8+ T cells in vivo. To examine this, we crossed Spi2A KO mice to Cathepsin B-deficient mice (Cath B KO) (34). Cath B KO mice appear normal, but are resistant to TNF-α-induced hepatocyte apoptosis (20). Flow cytometry staining revealed a similar number of memory-phenotype CD44hi CD8+ T cells in the bone marrow of 15-week-old Spi2A KO × Cath B KO mice compared to wild type controls. Cath B KO mice also possessed wild type levels of memory-phenotype CD44hi CD8+ T cells. Therefore, cathepsin B deficiency alone did not produce a global increase in cell number (Figure 7A). Rather, cathepsin B deficiency specifically rescued the memory-phenotype CD44hi CD8+ population in Spi2A KO × Cath B KO mice. In addition to rescuing the number of cells, cathepsin B deficiency also restored the impaired homeostatic proliferation of memory-phenotype CD44hi CD8+ cells in Spi2A KO mice (Figure 7B). Therefore, the inhibition of cathepsin B is a physiological mechanism by which Spi2A ensures the maintenance and HSP of endogenous memory-phenotype CD8+ T cells.
Cathepsin B-deficiency rescues the LCMV-specific central memory CD8+ T cell population in Spi2A KO mice
Next, we determined whether cathepsin B inhibition was a mechanism by which Spi2A maintained the level and self-renewal of LCMV-specific memory CD8+ T cells. Spi2A KO × Cath B KO mice and Cath B KO mice were infected with LCMV and analyzed by flow cytometry after 130 d p.i. as in Figure 2. Spi2A KO × Cath B KO mice possessed wild type numbers of memory gp33 tetramer+ CD8+ T cells (Figure 8A). As we observed for endogenous memory-phenotype CD44hi CD8+ T cells (Figure 7), cathepsin B deficiency itself did not increase the LCMV-specific memory CD8+ T cell population above wild type levels (Figure 8A). Furthermore, the proportion of CD62L+ TCM within the antigen-specific memory CD8+ T cell population in both Spi2A KO × Cath B KO and Cath B KO mice remained at wild type levels (Figure 8B). In addition to restoring the level of LCMV-specific memory CD8+ cells, cathepsin B deficiency also corrected the defective homeostatic proliferation in the bone marrow (Figure 8C). We conclude that inhibition of cathepsin B by Spi2A ensures the maintenance and HSP of long-lived LCMV-specific memory CD8+ T cells.
The inhibition of cathepsin B by Spi2A in memory CD8+ T cells was also cell-intrinsic, as demonstrated by the equivalent survival of Spi2A KO × Cath B KO compared to wild type memory P14+ CD8+ T cells in competitive adoptive transfer experiments >70 d after LCMV infection (Figure 7C). Likewise, the ratio of Cath B KO to wild type memory P14+ CD8+ T cells also remained unchanged (Figure 7C). The cell-intrinsic effect of Spi2A's inhibition of cathepsin B extended to homeostatic proliferation, which was also restored to a wild type level in Spi2A KO × Cath B KO P14+ CD8+ T cells in the bone marrow (Figure 7D). Therefore, we conclude that Spi2A can act directly within CD8+ T cells to inhibit cathepsin B and ensure the survival and self-renewal of long-term memory cells.
Discussion
Memory T lymphocytes persist for the life of the organism to retain the history of previous pathogen encounters. Survival cytokines (including IL-7 and IL-15) control the homeostasis of long-term memory CD8+ T cells and yet the cell intrinsic protective mechanisms that they trigger to regulate these populations are poorly understood. We present a model for the long-term maintenance of memory CD8+ T cell populations whereby these cytokines induce Spi2A to counteract the limitation placed on persistence by lysosomal permeabilization.
Previous work from our laboratory has shown that reducing Spi2A expression using an antisense message decreases the number of CTL and memory CD8+ T cells (29). This is in contrast with our current findings with Spi2A KO mice, which show that the level of CTL is not affected but that only memory CD8+ T cells are affected. Other homologous Serpina3 family genes, distinguished by their unique reactive centers (30), are also up-regulated by activated T cells (Supplemental Figure 1). Therefore, a major shortcoming of the earlier study was that the antisense approach most likely knocked down the expression of homologous, but distinct mRNAs related to Spi2A. The knockout strategy in the present study specifically ablated Spi2A mRNA expression by targeting Serpina3g exon 4, and so resolved the shortcomings of the earlier approach.
While Spi2A over expression can increase the number of CTL during clonal expansion (29), we now show that Spi2A is uniquely required for the maintenance, although not the development of, memory CD8+ T cells. This requirement was most pronounced in TCM, which exhibit long-term persistence and homeostatic proliferation to provide lasting immunity. Adoptive transfer competition experiments demonstrated that Spi2A not only controlled the survival of memory CD8+ T cells after an initial infection, but also prevented the erosion of this population after additional challenges. This predicts that protection from cathepsin B may be important in preserving memory CD8+ T cells after repeated infection with heterologous viruses (2).
We show that Spi2A is required to maintain intact lysosomes in memory-phenotype CD8+ cells. The rescue of the levels of intact lysosomes in Spi2A KO × Cath B KO CD44hi CD8+ cells demonstrated that cathepsin B release is a cause as well as a consequence of LMP in T cells. Although it is well established that lysosomal cathepsin B triggers PCD (46), the anti-apoptotic Bcl-2 family members that can be cleaved and inactivated by isolated cathepsin B in vitro (28) have yet to be shown to be targets in vivo. Spi2A acts in the cytosol to inhibit cysteine cathepsins after lysosomal permeabilization and protects fibroblasts from downstream PCD (31). Although Spi2A KO memory-phenotype CD8+ T cells possess fewer intact lysosomes, we did not observe any difference in the protein levels of Bcl-2, Bcl-XL, Mcl-1, or Bim (Supplemental Figure 3A). Therefore at this time, the downstream death pathways triggered by LMP in Spi2A KO memory CD8+ T cells are not clear. The decrease in the number of intact lysosomes could also limit the ability of Spi2A KO memory CD8+ T cells to stave off PCD through the degradation of the contents of autophagosomal vesicles (16, 17, 53).
The resulting cathepsin B amplification loop for LMP may explain why Spi2A deficiency results in impaired maintenance of memory CD8+ T cells despite the relatively slow kinetics for recombinant Spi2A inhibition of purified cathepsin B. Spi2A inhibition of cathepsin B in vivo may also occur through faster kinetics and a lower stoichiometry of protease inhibition than that measured in vitro because of unknown cofactor molecules that localize or activate the reacting proteins – a common feature of other serpin-protease reactions (50). Since Spi2A has the capacity to inhibit several cathepsins (Figure 6), Spi2A may also be required to protect cells from other cathepsins. Spi2A over expression in CD8+ T cells increases the proportion of surviving memory cells (29); however, cathepsin B-deficient memory CD8+ T cells only showed wild type levels of survival (Figures 7 and 8). The total balance of cathepsin activity, and not cathepsin B exclusively, could be responsible for the Spi2A KO phenotype. However, since cathepsin B deficiency was sufficient to restore the number and HSP of Spi2A-deficient memory CD8 T cells, the inhibition of another cathepsin may not be physiologically relevant in this context.
Another anti-apoptotic serpin, Serine Protease Inhibitor 6 (Spi6), protects CTL from granzyme B by maintaining the integrity of lysosomal-like cytotoxic granules (54). Spi2A and Spi6 appear to be similar in the way they protect CD8+ T cells from the breakdown of lysosomal vesicles. However, Spi6 ensures CTL survival and thereby determines the size of the clonal burst (54), but plays no role in continued memory CD8+ T cell survival (36). Conversely, Spi2A ensures memory CD8+ T cell maintenance and thereby determines the size of the memory pool, but has no effect on CTL and the clonal burst. This division of labor between Spi6 and Spi2A presumably reflects the relative importance of different executioner proteases (granzyme B for CTL; cathepsin B for memory CD8+ cell) in controlling CD8+ T cell survival after viral infection.
While the effector memory (CD62L-) CD8+ T cell population may expand after heterologous infections, the total number of central memory CD8+ T cells remains fixed (55). The cytokines IL-7 and IL-15 are important for the survival and homeostasis of TCM (55-58). However, the cell intrinsic mechanisms by which these cytokines ensure memory CD8+ T cell survival have remained unclear. IL-7 and IL-15 signaling up-regulates expression of other anti-apoptotic molecules including Bcl-2 and Bcl-XL (43). However, over expression of Bcl-2 or Bcl-XL did not affect the level of memory CD8+ T cells in vivo (59, 60). IL-7 also induces Mcl-1, which is also required for T cell survival (13), but a role in memory CD8+ T cell homeostasis has not been tested. We show that IL-7 and IL-15 signaling also up-regulates Spi2A, and that Spi2A determines the level and HSP of TCM by protecting these cells from intracellular cathepsin B.
The greatest reduction of Spi2A-deficient memory CD8+ T cells occurred in the bone marrow, a major reservoir for TCM (10). The bone marrow is also the predominant site of memory CD8+ T cell homeostatic proliferation due to signals provided by the organ microenvironment (8, 9). For full turnover, memory CD8+ T cells must receive the IL-15 signal trans-presented by these niches (56, 61). Consistent with this, the decline and reduced homeostatic proliferation of memory CD8+ T cells seen in IL-15 KO mice resembles that observed in Spi2A KO mice (56, 58). In addition, we did not observe a significant increase in the basal level of PCD in either memory-phenotype or antigen-specific memory CD8+ T cells from Spi2A KO mice, as evidenced by staining with the apoptosis dyes Annexin V or YoPro1 (Supplemental Figures 3B and 3C). However, given the well-documented anti-apoptotic function of Spi2A (29, 31), a subtle increase in PCD (below our level of detection in ex vivo memory T cells) is still the most likely for the decreased HSP of Spi2A KO memory cells. Our findings support a model in which IL-7 and IL-15 control memory CD8+ T cell survival through protection by Spi2A from cathepsin B.
A variety of apoptotic stimuli can induce lysosomes to release their contents, including cathepsin B, into the cytosol, where they trigger PCD (27). Our results suggest that, not only is the lysosomal pathway of cell death involved in pathological processes (27), but it also plays a physiological role in the resting homeostasis of central memory CD8+ T cells. The ability of Spi2A to inhibit cytosolic cathepsin B activity for full memory CD8+ T cell maintenance would be particularly important in multiple natural infections with viruses or certain vaccination regimes. Thus, the identification of Spi2A as a survival factor would predict that pharmacological inhibition of cathepsins (29, 62) could potentially increase the population of persisting long-lived memory CD8+ T cells, leading to less attrition over time and prevention of chronic viral infections.
Supplementary Material
Acknowledgements
We thank M. Birrell for hematology analysis, and N. Liu, M. Zhang, and L. Levine for their help in generating the Spi2A KO mice.
Abbreviations used in this paper
- BM
bone marrow
- HSP
homeostatic proliferation
- ILN
inguinal lymph node
- IHL
intrahepatic lymphocyte
- KLRG1
killer cell lectin-like receptor G1
- KO
knockout
- LCMV
lymphocytic choriomeningitis virus
- PCD
programmed cell death
- p.i.
post infection
- Spi, serpin
serine protease inhibitor
- WT
wild type
Footnotes
This work was supported by the National Institutes of Health grant AI45108, The Wellcome Trust, and Cancer Research UK (to P.G.A-R.) S.B. was supported by The Molecular and Cell Biology training grant at the Univ. of Chicago.
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