Summary
Tetramer staining of CD4+ T cells is a valuable technique in immunology for detecting rare auto-reactive T cells. Generating clones or cell lines from auto-antigen tetramer positive CD4+ T cells allows further characterization and phenotyping of auto-reactive cells.
Keywords: CD4+, tetramer, clones, cell lines, antigen specific, cell culture, auto-reactive T cells
1. Introduction
MHC class II tetramers provide a powerful tool for cloning of antigen specific CD4+ T cells (1–15). The use of tetramers in the search of disease specific CD4+ T cells is based on the presumption that the peptide on the tetramer corresponds to an immunogenic epitope of interest that is prevalent in the disease process. Therefore the prerequisite to use class II tetramers in the detection and cloning of autoimmune T cells is knowledge of the autoantigen, its immunodominant antigen-derived peptides, and the binding of these peptides to the class II molecule playing a role in the disease process. Bearing on mind that there are differences in the processing of epitopes between individuals and by different antigen presenting cells, these variables could influence the selection of disease relevant T cells and potentially limit the utility of the approach described here. Nevertheless, utilization of tetramer techniques in the detection of CD4+ T cells allows isolation of live cells with a single, defined, antigen specificity. T cell clones used in the functional assays provide an excellent tool to gain insight into mechanisms and molecular basis of the disease which otherwise would only be possible in the experimental animal models. Furthermore, this approach has many clinical applications ranging from the vaccine design to antigen-specific therapies for prevention of and intervention into autoimmunity.
2. Materials
2.1. Reagents
2.1.1. Cell Culture Reagents
1X PBS (Ca/Mg free)
Human PBMCs
FICOLL
Peptides
Tritiated thymidine
CD4 Isolation Kit II, Miltenyi Biotec
PHA-P
IL-2 (Aldesleukin Proleukin) for injection 22 million IU, 1.3 mg from local pharmacy (or other commercial preparation)
15% Pooled Human Serum (PHS) T cell media: RPMI 1640 (with 25mM HEPES), 15% b.v. Human AB Serum, Omega Scientific, 1% b.v. Penicillin-Streptomycin, 1% b.v. Sodium Pyruvate, and 1% b.v. L-Glutamine (see Note 1)
2.1.2. Flow Cytometry Reagents
Appropriate PE-labeled class II tetramer (See Note 2)
Anti-human CD3 antibodies in all fluors to be used
Anti-human CD4-APC
Mouse IgG1 (Isotype match) in all fluors of to be used
Running Buffer: 1X PBS, 2mM EDTA, and 0.5% b.v. Neonatal Calf Serum (NCS) (see Note 1)
MACS Buffer: 1X PBS, 2mM EDTA, and 0.5% Bovine Serum Albumin (BSA) (see Note 1)
FACS Buffer: 1X PBS, 1% b.v. NCS, and 0.1% b.v. sodium azide (see Note 1)
2.2. Equipment and Supplies
48 well plates, 96 well plates
Transfer pipette
AutoMACS, Miltenyi Biotec
Irradiator
FACS tubes and sterile capped FACS tubes
Flow cytometer with cell sorting facility (FACS Vantage or Aria)
TomTec Harvester
FACS Buffer: 1X PBS, 1% b.v. FBS, and 0.1% b.v. sodium azide (see Note 1)
1. Methods
1.1. Tetramer Assay in Vitro
3.1.1 Primary stimulation of the PBMC (see Note 3)
Warm MACS buffer in 37°C water bath for 2–3 hours
Isolate PBMC from each blood sample via Ficoll separation
If the total cell count for a sample is less than 10 × 106 cells manually separate CD4+ T cells from PBMC using magnetic beads
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Labeling PBMC for AutoMACS purification
Count cells
If < 10×106 cells are present, proceed to step 6.e and aliquot PBMC rather than CD4+ cells or perform manual CD4+ separation
If >/=10×106 Isolate CD4+ cells using CD4 Isolation Kit II according to manufacturer’s instructions (or perform manual CD4+ separation if AutoMACS not available)
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AutoMACS purification of cells from PBMC
Label two 15 mL conical tubes for the collection of CD4+ and CD4− cell fractions
Initialize AutoMACS by attaching buffers and running the Clean Cycle program. Place the CD4+ tube under the negative port and the CD4− under the positive port
Run the Deplete program to separate the cells into CD4+ and CD4− fractions
Just before the AutoMACS takes up the last of the cell sample, rinse sample tube with 1 mL of running buffer
Bring volume of each fraction up to 10 mL with T cell media and collect a 40 μL aliquot of each fraction for counting and count cells
The total number of CD4+ cells will determine the number of wells to plate. Each well of a 48 well plate will contain 1–2 × 106 cells
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Plate the cells and stimulate with the peptide(s) of interest (see Note 4)
Centrifuge at 1000 rpm (250 × g) for 5 min (use low brake setting) at room temperature
Resuspend CD4− cells at a concentration of 10 × 106 cells per mL and CD4+ cells at a concentration of 5 × 106 cells per mL
For each well add the appropriate amount of CD4− cells (3–4 × 106 cells per well for 48 well plates) and incubate for 1 hour in a 37°C, 5% CO2 incubator to allow cells to adhere
Following the 1 hour incubation, fill each well with T cell media and use a transfer pipette to gently wash away all non-adherent cells. The remaining adherent cells are antigen presenting cell population (APC). Optional: the APC can be irradiated (5000 rad)
For each well add the appropriate amount of CD4+ cells (1–2 × 106 cells for each well of a 48 well plate) and bring volume of each well up to 1mL with T cell media
Add 10 μg/mL of the appropriate peptide to each well. If there are only enough cells for a single well, pool the peptides together. Each peptide is used at final concentration of 10μg/mL. Do not pool more than maximum of five peptides
Incubate cells in a 37°C, 5% CO2 incubator for 5–7 days
Between days 5 and 7 of the culture, remove 400 –500 μL of supernatant from each well. Add a corresponding amount of fresh T cell media and 10 IU of IL-2 to every well
Monitor the expansion of the stimulated cells. If the cells in any well surpass 100% confluence, resuspend the cells and split into two wells. If the media yellows on a well that does not require splitting, remove 400 –500 μL of supernatant from that well and add a corresponding amount of fresh T cell media with IL-2
Incubate cells for a total of 13 to 15 days
3.1.2 Tetramer and antibody staining of stimulated cells and controls
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Harvest cells for tetramer staining
Remove supernatant from each well until the remaining volume is approximately 50 μL for each staining tube (tetramer) (plus some extra for single color staining controls)
Resuspend the cells in the well using a transfer pipette
If wells have been split, combine corresponding samples into 1 well and mix
Transfer 50 μL aliquots of cell suspension from each well into labeled FACS tubes and designate for staining with the appropriate tetramers. This should include one or more relevant tetramers and an irrelevant tetramer for each sample ID. The relevant tetramers contain the peptides that were used to stimulate the cells in section 3.1.1 step 6.f. If more than one class II allele is tested for a given sample ID, an irrelevant tetramer is needed for each allele (see Note 5)
Pool together all remaining cells and aliquot into labeled FACS tubes for the single color staining controls
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Tetramer Staining
Add 1 μL of the appropriate PE-labeled Class II tetramer (10μg/mL final concentration) into each labeled FACS tube.
Incubate the cells with tetramer for 2 hours in the dark at 37°C
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Antibody Staining of Single Color Controls
Take the staining control tubes and incubate on ice for 3 min (see Note 6)
Add 5 μL α-CD3 antibody for each fluor to be used to the appropriate single control tubes. Include 1 tube unstained with antibody
Add 5 μL isotype control antibodies in each fluor to the isotype control tube
Incubate in the dark at 4°C for 30 min
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Antibody Staining of PBMC Samples
Place all sample tubes on ice for 3 min
Add 5 μL of CD4 APC and 5 μL of CD3 FITC to each tube
Incubate in the dark at 4°C for 30 min
Washing Samples and Controls
Add 2 mL of cold FACS buffer to each tube
Spin down cells at 1000 rpm (250 x g) for 5 min at 4°C, low brake
Remove most of the supernatant, leaving approximately 200 μL FACS buffer to resuspend the cells by gently tapping the tube
Store all tubes in a covered ice container for subsequent FACS acquisition
3.2 Generating CD4+ T Cell Clones
3.2.1 Single Cell Sorting of Tetramer Positive Cells
Perform tetramer and antibody staining of stimulated cells and controls according to section 3.1.2 steps 1–4
Single cell sort CD4+ tetramer positive cells into a round bottom 96 well plate containing 100 μl media per well using a FACS Vantage or Aria (see Note 7 and Figure 1)
After sorting you should have 1 tetramer positive cell/well
Add 100,000 irradiated (5000 rad) HLA-mismatched fresh feeder cells/well in a volume of 100 μL 30% PHS T cell media (see Note 8 and Note 9)
Incubate cells in a 37°C, 5% CO2 incubator for 1 day
Add IL-2 10 IU/mL and PHA 5 μg/mL the day after sorting in a volume of 25 μL T cell media
Incubate cells for 9 more days
Check plates every other day for possible contamination during the sorting process
Fig. 1.
Summary of methods 3.2 & 3.3, generating CD4+ T cell clones and cell lines. A: After primary stimulation of PBMC stain cultures with tetramer and antibody. B: Single cell sort CD4+ tetramer positive cells into a 96-well plate to generate a clone or bulk the cells into a sterile capped FACS tube and plate to generate a cell line. C: After stimulation and expansion test antigen specificity of cells with tetramer staining, as well as proliferation assays and cytokine staining (not shown).
3.2.2 Expansion of Single Cell Sorted Cells
After 10 days of incubation stimulate the cells with HLA-matched fresh feeder cells and peptide (see Note 8)
Pulse the feeder PBMC with 10 μg/mL of the peptide of interest. Use a small volume when pulsing, example 10 × 106/mL
Pulse for 2–3 hours at 37°C, 5% CO2
Wash the peptide out with 1X PBS and resuspend in T cell media. Calculate the volume, so that you put 100,000 cells/100 μL/well
Irradiate the feeder cells at 5000 rad
Take out about 120 μL supernatant from the wells and add 100 μL of the peptide pulsed 100,000 feeder cells/well
Add 10 IU/mL of IL-2 to the wells next day in a volume of 25 μL of T cell media
Incubate cells for 9 more days. Visually inspect: The cell pellets should grow larger.
After 10 days test the specificity of the growing clones in a proliferation assay and with tetramer staining FACS analysis if there are enough cells (you can take a small aliquot from some wells for a quick count). If there are not enough cells for a functional assay expand them further
Once the cells are dense and look confluent under a microscope transfer them to flat bottom 96-well plate. Remove 100 μL supernatant and transfer 100 μL of cells. Add fresh T cell media and IL-2 (see Note 10)
Once the cells fill the well and are in contact with each other transfer them to a 48-well plate for a second unspecific stimulation
Plate 250,000 clones/well with 0.75–1.0 × 106 irradiated HLA-mismatched feeder cells
Incubate cells for 1 day
Add IL-2 10 IU/mL and PHA 5 μg/mL to each well
Check cells every 2–3 days. Once cells are confluent you may transfer them to a 24-well plate or split them 1:1 and add fresh T cell media and IL-2
After 10–14 days in culture the cells should be tested again for specificity, restimulated with peptide, and/or frozen (see Note 11)
3.3 Generating CD4+ T Cell Lines
Perform Tetramer and antibody staining of stimulated cells and controls according to section 3.1.2 steps 1–4
Sorting can be done using a FACS Vantage or Aria
Sort the entire CD4+ tetramer positive into a 5mL sterile capped FACS tube containing 500μL of T cell media (see Figure 1)
Take a count of the cells, or use the flow sort counts to plate 1–2 × 106 cells/well in a 48-well plate
Add 3–4 × 106 irradiated PBMC/well and bring up volume of each well to 1mL with T cell media
Incubate cells for 1 day
Add IL-2 10 IU/mL and PHA 5 μg/mL to each well
Check cells every 2–3 days. Once cells are confluent you may transfer them to a 24-well plate or split them 1:1 and add fresh T cell media and IL-2
After 10–14 days in culture the cells may be tested for specificity and restimulated according to the methods in section 3.2.2
3.4 Testing CD4+ T Cell Lines and Clones Specificity in a Proliferation Assay
Count the clones (see Section 3.2) or lines (see Section 3.3) to be tested
Calculate the total volume of cells needed to get 25–50,000 cells/well x 7 wells (3 with peptide, 3 without peptide, and 1 with purified α-CD3 antibody) (see Note 12)
Plate cells (25–50 000/well) in a 96-well round bottom plate. Bring up the volume to 100 μL with T cell media in each well
Pulse antigen presenting cells (APC = HLA-matched PBMC) cells with 10 μg/mL peptide for 2–3 hours at 37°C, 5% CO2. As with specific stimulation, use a small volume when pulsing, such as 10 × 106/mL (see Note 13)
Incubate APC to be added to the no antigen wells, but do not add peptide
Irradiate the APC at 5000 rad
Wash the peptide out of the APC with 1X PBS and resuspend in T cell media at a concentration of 150,000 cells/100 μL
Plate 150,000 APC/well. Use un-pulsed feeders in the α-CD3 well and add 10 μg/mL purified α-CD3 antibody as a positive control
Incubate for 48 hours at 37°C, 5%CO2
Remove 50 μL of supernatant from the wells and store in clean 96-well plate at −80°C for cytokine assessment
Add 25 μL/well (1 μCi/25 μL/well) of tritiated thymidine (H3)
Incubate further 8–18 hours and harvest on TomTec Harvester according to manufacturer instructions
3.5 Testing the specificity of the clones by tetramer staining
Count the clones and lines to be tested
Take an aliquot of 50–100,000 cells and adjust the volume to 100 μL with T cell media
Transfer 50 μL aliquots into two vials which will be stained with specific and irrelevant tetramers as in section 3.1.2 step 2 at 37°C for 45min–1hour (note: a shorter staining time) (see Note 13 and Figure 1)
Acknowledgments
We thank Ms Kelly Geubtner, Elsa Laughlin, Nancy Danke, and Drs Erik Novak, Eddie James and William Kwok for their valuable contribution to the development of MHC class II tetramer assay and T cell cloning protocols.
Footnotes
All buffers and media should be sterile filtered using a 0.2μm bottle top filter and stored in the accompanying 500 mL bottle
Information for class II tetramers can be obtained from Benaroya Research Institute’s Tetramer Core Laboratory website http://www.benaroyaresearch.org/our-research/core-resources/tetramer-core-laboratory
Option 1: Whole PBMC can be used instead of stimulation of the purified CD4+ T cells. If whole PBMC is used plate 3× 106 PBMC on 48-well and proceed to section 3.1.1 step 6.f. Option 2: In order to distinguish memory and naïve T cell populations the cells can be further separated by CD45RO+/−
The optimal number of PBMC for T cell cloning by MHC class II tetramers is variable. If the expected tetramer staining is strong (>2%) 2×106 CD4+ T cells should be sufficient. If the staining is expected to weak (<2%), it is advisable to set up multiple culture wells especially if cloning of CD4+ T cells specific for several different peptides is attempted. T cell responses to self-antigens are generally weaker than responses to foreign antigens. Strong tetramer staining can be expected with flu or other vaccine induced T cell responses and with responses to some immunodominant self-epitopes. The peptides of interest used to stimulate the cells should be selected by the HLA class II (DR, DQ, DP) genotype of the donor of the PBMC
The irrelevant tetramers are used as negative controls in the staining of cells stimulated with the specific peptides. Empty (unloaded) tetramers or tetramers loaded with peptides that bind to the given MHC class II and were not used in the culture can used as the negative staining controls. The cut-off value (% of CD4+/tetramer+ cells) for staining with a negative control tetramer is usually set at 0.1–0.5%
In cell sorting protocol all cell and reagent handling steps should be performed in a laminar flow biosafety cabinet
For flu stimulated CD4+ T cells, usually there are 4–15% tetramer positive cells after 14 days of primary culture. For autoreactive CD4+ cells the frequency of tetramer binding cells is much lower, 0.5–4%
Feeder cells are PBMC from HLA-matched (=antigen presenting cells =APC, used in specific stimulation with a peptide) or HLA-mismatched (used in unspecific stimulations with PHA/IL-2) blood donors. PBMC isolated from fresh blood is preferred in T cell clone expansion but frozen PBMC can be used in T cell proliferation assays. In unspecific stimulation of the clones the MHC class II of the feeder PBMC should be mismatched for both HLA alleles. Feeder PBMC can be combined from different donors
Use T cell media with a higher concentration of PHS when performing single-cell sorting. Thirty percent PHS is the standard. When expanding cells on subsequent days the cells can be weaned back to 10% PHS T cell media
After single-cell sorting it is sometimes necessary to incubate the cells for longer than 10 days to generate enough clones to perform specificity testing. Look at the cells under the microscope: Activated and dividing T cells look elongated and form clusters
It is important that the cells have time to rest (i.e. no IL-2 added) for a minimum 72 hours before the next stimulation or any functional assay. The cells should be also washed well to remove any residual IL-2 from the culture media. Resting T cells look roundish rather than elongated. It is always important to freeze aliquots of the expanded clones early
Primary specificity testing can be performed in single or duplicate wells if the cell number is limiting. Negative no antigen control should always be included in the assay. When sufficient number of cells is available proliferation assay should be performed in decreasing concentrations of peptide
HLA-matched B-LCL can be used as APC if HLA-matched PBMC from suitable blood donors are not available. Lower number of B-LCL (50–100,000 cells/well) is sufficient. Optimal irradiation time should be tested for each B-LCL since usually higher irradiation dose (>5000 rad) is needed for a complete blocking of proliferation
Tetramer staining of T cell clone is dependent on the avidity of the T cell and can vary from 0–100%. Some low avidity T cell clones may not stain with a specific tetramer or stain very weakly but display proliferation and cytokine production in a dose-dependent manner when stimulated with a specific peptide. Avidity of tetramer positive T cell clones can be assessed further by staining at decreasing concentrations of tetramer
Contributor Information
Jessica Matthis, Benaroya Research Institute.
Helena Reijonen, Benaroya Research Institute.
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