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Immunology |
Division of Clinical Onco-Immunology, Ludwig Institute for Cancer Research, Lausanne Branch, University of Lausanne, 1011 Lausanne, Switzerland [D. V., M. J. P., C. V., D. R., D. L., D. S., J-C. C., P. R.]; and Institute of Molecular Medicine, Nuffield Department of Medicine, John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom [R. D., V. C.]
| ABSTRACT |
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| INTRODUCTION |
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The naturally occurring HLA-A*0201-associated peptide corresponding to tyrosinase residues 368376 was recently identified by mass spectrometry in eluates of melanoma cells (8) . The sequence of the eluted peptide differed from the gene-deduced sequence at residue 370 (aspartic acid instead of asparagine) as the result of a posttranslational modification. Importantly, this difference was found to significantly affect T-cell recognition (8) . However, functional analysis of recognition of tyrosinase peptide 368376 by specific CTLs has, thus far, mostly focused on the gene-deduced sequence (9 , 10) .
We recently produced fluorescent HLA-A*0201 peptide tetramers (11) using either the natural tyrosinase peptide 368376 YMDGTMSQV (A2/tyrosinase tetramers thereafter) or a modified Melan-A peptide 2635 (12) . Staining of short-term cultured TILNs3 from melanoma patients revealed the presence of relatively high numbers of A2/Melan-A tetramer-positive CD8+ T lymphocytes. A2/tyrosinase tetramer-positive CD8+ T lymphocytes were also detected, albeit in smaller numbers (11) . To gain more insight on the recognition of the natural tyrosinase peptide 368376 by HLA-A2-restricted specific CTLs, we used A2/tyrosinase tetramers to isolate and functionally characterize polyclonal and monoclonal specific CD8+ T-cell populations from TILNs of a melanoma patient. In addition, A2/tyrosinase tetramers were used to detect tyrosinase peptide 368376-specific CD8+ T cells in PBMCs of 10 HLA-A*0201 melanoma patients. Although we found that the frequencies of such cells were close to or below the detection limit of the technique, the presence of a significant number of tetramer-positive CD8+ T cells was documented in 6 of these 10 patients after short-term culture with the natural tyrosinase peptide.
| MATERIALS AND METHODS |
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Cytokines.
Human recombinant IL-2 (Glaxo, Geneva, Switzerland) was kindly provided by Dr. M. Nabholz (Institut Suisse de Recherche Experimentale sur le Cancer, Epalinges, Switzerland), and human IL-7 was donated by Dr. N. Vita of Sanofi Recherche (Labège, France). One unit/ml of IL-2 was defined as the concentration that gives 50% maximal proliferation of CTLL-2 cells.
Cell Lines and Clones.
NA8-MEL tyr+, derived from transfection of the tyrosinase-negative cell line NA8-MEL with the tyrosinase cDNA 123. B2 (1), was kindly provided by Dr. P. Coulie (Ludwig Institute for Cancer Research, Brussels Branch). Tumor cell lines and EBV-transformed B-cell lines were maintained in DMEM (Life Technologies, Inc., Gaithersburg, MD) supplemented with 10% FCS, 0.55 mM arginine, 0.24 mM asparagine, and 1.5 mM glutamine. The melanoma cell line Me 290 (HLA-A*0201- and Melan-A-positive) was established at the Ludwig Institute for Cancer Research, Lausanne Branch, from a surgically excised melanoma metastasis from patient LAU 203. HLA-A2 and Melan-A expression were assessed by flow cytometry analysis and Western blot analysis. Peptide-specific CTLs were generated as described previously (13)
, with minor modifications. Briefly, CD8+ lymphocytes were positively selected by magnetic cell sorting from PBMCs of HLA-A*0201-positive melanoma patients using a miniMACS device (Miltenyi Biotec, Sunnyvale, CA). Purified CD8+ T cells were plated at 0.5 x 106 to 1 x 106 cells/well in 2 ml of Iscoves medium supplemented with 10% human serum, asparagine, arginine, and glutamine (complete medium). Cells were initially stimulated by adding 100 µM peptide directly into the culture medium. Thereafter, cultures were stimulated weekly with autologous PBMCs (3 x 106 cells/well) pulsed during 2 h at 37°C in serum-free medium (X-VIVO 10; BioWhittaker, Walkersville, MD) with the appropriate peptide (100 µM) and human ß2m (3 µg/ml; Sigma, Buchs, Switzerland). Peptide-pulsed PBMCs were then extensively washed, irradiated (3000 rad), and adjusted to the appropriate volume before addition to the responder cell population. IL-2 (100 units/ml) and IL-7 (10 ng/ml) were added during the first stimulation cycle, and thereafter, IL-2 alone (100 units/ml) was added. Melan-A-specific CTL clone 2.34 was derived from TILNs of melanoma patient LAU 203 from limiting dilution cultures in the presence of irradiated allogeneic PMBCs, EBV-transformed B lymphocytes, PHA, and recombinant IL-2 (14)
. Clones were derived from wells having a probability of clonality of >90%, according to single-hit Poisson distribution. A polyclonal tyrosinase monospecific CD8+ T-cell population was obtained from TILNs of melanoma patient LAU 132 by flow cytometry sorting of CD8+ HLA-A2/tyrosinase tetramer-positive lymphocytes and in vitro expansion by mitogen stimulation. Immediately after cell sorting, a fraction of CD8+ A2/tyrosinase tetramer-positive lymphocytes was used to set up limiting dilution cultures, as described. Clones 1A12/1, 1B3/1, 1E12/0.3, 1F11/1, 1G4/1, and 1D5/1 were derived from these cultures. The tyrosinase-specific CTL clone LAU 132/2 was similarly derived, with minor modifications, from TILNs of patient LAU 132 after in vitro restimulation with the natural tyrosinase peptide 368376.
HLA-A*0201 Binding Assay.
The peptide binding capacity to HLA-A*0201 was assessed in a functional competition assay based on inhibition of recognition of the antigenic peptide Melan-A 2735 (AAGIGILTV) by the HLA-A*0201-restricted CTL clone 2.34 (14)
. Briefly, T2 cells were 51Cr-labeled in presence of anti-MHC class I mAb W6/32. Various concentrations of competitor peptides (50 µl) were incubated with 51Cr-labeled T2 cells (50 µl; 1000 cells/well) for 15 min at room temperature. A suboptimal dose (125 nM) of the antigenic peptide (50 µl) was then added together with specific CTLs (5000 cells/well; 50 µl). Chromium release was measured after a 4-h incubation at 37°C. The concentration of each competitor peptide required to achieve 50% inhibition of target cell lysis was then determined and indicated as [nM] 50%. To facilitate comparison, we calculated the relative competitor activity of each peptide as the [nM] 50% of the competitor peptide.
Assessment of the Stability of Peptide/HLA-A*0201 Complexes.
The stability of peptide-HLA-A*0201 complexes was assayed as described previously (12)
. Briefly, T2 cells were loaded with saturating concentrations (10 µM) of the different peptides by overnight incubation at room temperature in presence of ß2m (3 µg/ml) in serum-free medium (X-VIVO 10; BioWhittaker). After peptide removal and addition of emetine (10-4 M; Sigma) to block protein synthesis, cells were incubated at 37°C for the indicated time periods. For each time point, an aliquot of cells was stained with mAb BB7.2 (HLA-A2 specific) to measure HLA-A2 antigen expression. Influenza matrix 5866 peptide, which has been shown to bind to HLA-A*0201 with high affinity and form stable peptide-HLA-A*0201 complexes (15)
, was used as an internal standard. Results are expressed as relative complex stability = 100 x [(mean fluorescence with test peptide - background mean fluorescence)/(mean fluorescence with influenza A matrix peptide - background mean fluorescence)], where background mean fluorescence represents the fluorescence value obtained on a sample of T2 cells treated in similar conditions except for the absence of exogenous peptide.
Tetramers.
Complexes were synthesized as described (11
, 16)
. Briefly, purified HLA heavy chain and ß2m were synthesized by means of a prokaryotic expression system (pET; R&D Systems, Inc., Minneapolis, MN). The heavy chain was modified by deletion of the transmembrane-cytosolic tail and COOH-terminal addition of a sequence containing the BirA enzymatic biotinylation site. Heavy chain, ß2m, and peptide were refolded by dilution. The Mr 45,000 refolded product was isolated by fast protein liquid chromatography and then biotinylated by BirA (Avidity, Denver, CO) in the presence of biotin, ATP, and Mg2+ (all from Sigma Chemical Co., St. Louis, MO). Streptavidin-phycoerythrin conjugate (Sigma) was added in 1:4 molar ratio, and the tetrameric product was concentrated to 1 mg/ml.
mAbs and Flow Cytometry Immunofluorescence Analysis.
Cells were stained with tetramers in 20 µl of PBS-2% BSA during 20 min at 4°C; 50 µl of anti-CD8FITC mAb (Becton Dickinson, San Jose, CA) were then added, and the mixture was incubated for an additional 20 min. Cells were washed once in the same buffer and analyzed by flow cytometry. Data analysis was performed using Cell Quest software. When indicated, CD8+ lymphocytes were enriched from peripheral blood mononuclear cells by positive selection magnetic cell sorting using a miniMACS device (Miltenyi Biotec). The resulting cells, which were >98% CD3+ CD8+, were stained for flow cytometry analysis, as described above.
Chromium Release Assay.
Antigen recognition was assessed using target cells (T2 or melanoma) labeled with 51Cr for 1 h at 37°C and washed twice. Labeled target cells (1000 cells in 50 µl) were then added to varying numbers of effector cells (50 µl) in V-bottomed microwells in presence or absence of 1 µg/ml of the antigenic peptide (50 µl). The effector cells were preincubated for at least 20 min at 37°C in the presence of unlabeled K562 cells (50,000 cells/well) to eliminate nonspecific lysis due to natural killer-like effectors present in stimulated T-cell populations. In the peptide titration experiments, target cells (1000 cells in 50 µl) were incubated in presence of various concentrations of peptide (50 µl) for 15 min at room temperature before the addition of effector cells. Chromium release was measured after incubation for 4 h at 37°C. The percentage specific lysis was calculated as: 100 x [(experimental - spontaneous release)/(total - spontaneous release)]. The concentration of each peptide required to achieve 50% maximal lysis of target cells was then determined and indicated as [nM] 50%. To facilitate comparison, the relative activity of each peptide was calculated as the [nM] 50% of the parental nonapeptide Melan-A AAGIGILTV divided by the [nM] 50% of the tested peptide.
| RESULTS |
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100 nM, compared to the 6 nM required for the high-affinity binder influenza A matrix peptide 5866). Surprisingly, substitution of wild-type residues with alanine (including putative anchor residues at positions 2 and 9) only marginally altered binding affinity of the variant peptides to HLA-A*0201 (Table 1)
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0.01 and 0.03%. According to our current experience with tetramer staining, we consider that these frequencies are not significantly above our flow cytometer detection limit (0.04%).4
Thus, direct A2/tyrosinase tetramer staining of circulating CD8+ T lymphocytes did not allow us to demonstrate unambiguously the presence of tyrosinase peptide-specific cells in blood of melanoma patients. To further investigate this question, we stimulated CD8+-enriched T lymphocytes from each patient with the natural tyrosinase peptide in presence of autologous PBMCs as antigen-presenting cells. On day 7 after stimulation, cultures were monitored for the presence of CD8+ A2/tyrosinase tetramer-positive lymphocytes. Fig. 4
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| DISCUSSION |
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It has been shown previously that the naturally presented tyrosinase peptide 368376 differs from the tyrosinase gene-deduced sequence as a result of posttranslational modification (8)
. The difference involves the replacement of the residue asparagine 370 by aspartic acid. Recognition of the natural tyrosinase peptide YMDGTMSQV by a specific CTL clone derived from an autologous mixed lymphocyte-tumor cell culture was
100-fold more efficient than that of peptide YMNGTMSQV (8)
. In contrast, the two peptides exhibited similar HLA-A*0201-binding activities (8)
. Although a single CTL clone was tested in this analysis, the data suggested that the substitution of residue 370 could selectively and significantly affect CTL recognition of the tyrosinase peptide 368376 expressed on the surface of HLA-A*0201 melanoma cells. As shown here, all of the CTL clones tested, which were derived from precursor cells that were selected according to binding of tetramers containing the natural tyrosinase peptide 368376, efficiently recognized HLA-A*0201 melanoma cells expressing the tyrosinase gene. In contrast, previous studies showed that most of the CTL clones specific for peptide YMNGTMSQV, which were derived from PBMCs of healthy donors, were unable to kill tyrosinase-expressing melanoma cells (9)
. Although the ability of tumoricidal and nontumoricidal CTL clones to recognize peptide YMDGTMSQV was not addressed in these studies, the results suggested that only a fraction of YMNGTMSQV-specific CTLs were able to cross-recognize the natural tyrosinase peptide 368376. The poor cross-reactivity between YMNGTMSQV- and YMDGTMSQV-specific CTLs was recently confirmed in a HLA-A*0201/H2Dd transgenic mice model (19)
. Indeed, specific CTL populations derived after immunization with peptide YMNGTMSQV failed to recognize target cells pulsed with peptide YMDGTMSQV and vice versa. Furthermore, YMDGTMSQV- but not YMNGTMSQV-specific CTLs were able to lyse HLA-A*0201-positive melanomas expressing tyrosinase.
Each of the clones analyzed in our study displayed a unique pattern of fine specificity, thus suggesting functional heterogeneity in epitope recognition by specific CTLs. In addition, substitution of aspartic acid 370 with alanine resulted in significantly decreased peptide recognition for the majority of specific clones, thus emphasizing the importance of aspartic acid 370 for recognition by specific CTLs. Interestingly, two of the tyrosinase peptide variants resulted in heteroclitic T-cell recognition. However, these effects were limited to single-peptide variant/CTL clone combinations.
By performing a functional competition assay, we found that the natural tyrosinase peptide 368376 binds to HLA-A2 with intermediate affinity, as compared to the high-affinity binder influenza matrix 5866 and to the low-affinity binder Melan-A 2635. More importantly, we observed that, in contrast to Melan-A 2635 and similarly to influenza matrix 5866, tyrosinase peptide 368376 forms stable HLA-A2/peptide complexes. This provides support for this peptide as a candidate for a peptide-based vaccine because a strong correlation has been found between the ability of a peptide to form stable HLA-A2 complexes and its immunogenicity (20) .
It is conceivable that self-reactive T lymphocytes that are specific for a peptide that is very efficiently processed and abundantly presented at the cell surface would be relatively rare due to tolerance mechanisms. Indeed, in a recent report, a specific CTL response against the natural tyrosinase peptide 368376 was detected in only 1 of 26 melanoma patients and 10 normal donors tested (21) . However, the analysis of peptide-specific CTL responses has, until recently, been limited by the difficulty of directly isolating T cells of defined antigen specificity, especially when they are present at a very low frequency.
The development of tetrameric complexes of antigenic peptide/HLA class I molecules that allow direct identification of antigen-specific T cells has opened new possibilities (16)
. We have recently found that A2/Melan-A tetramer-positive lymphocytes are present at relatively high frequencies (up to 3%) in ex vivo tumor-invaded lymph nodes and that their percentage increases upon in vitro culture for 23 weeks with cytokines (11)
. In contrast, A2/tyrosinase tetramer-positive lymphocytes were detected at frequencies that were, in most cases, close to or below our estimated detection limit for tetramer staining of TILNs (
0.2%; Ref. 11
). Here, frequencies of tyrosinase peptide 368376-specific cells detected by staining with A2/tyrosinase tetramers in circulating CD8+ T lymphocytes of melanoma patients were also close or below our estimated detection limit in PBMCs (
0.04%).4
However, upon stimulation with peptide-pulsed autologous antigen-presenting cells, a significant expansion of CD8+ tetramer-positive lymphocytes was observed in 6 of 10 patients. These results suggest that a large fraction of HLA-A*0201 melanoma patients may respond to vaccination protocols aimed at stimulating tyrosinase peptide 368376-specific CTLs. In addition, polyclonal T-cell populations specific for this peptide could be easily obtained from responder patients by tetramer-guided sorting of in vitro stimulated PBMCs and used for adoptive transfer therapy.
Although here we focused on CD8+ T-cell responses of HLA-A2+ melanoma patients to the natural tyrosinase peptide 368376, there are other clinical conditions that may also lead to such responses. In particular, there is suggestive evidence that vitiligo, a common progressive depigmentary disease, may involve the destruction of epidermal melanocytes by melanocyte-specific CTLs. Indeed, the presence of relatively high frequencies of circulating A2/Melan-A tetramer-positive CD8+ T cells was recently demonstrated in 7 of 9 vitiligo patients (22) . Although no detectable A2/tyrosinase peptide tetramer-positive CD8+ T cells were observed in the same populations, it remains to be seen whether such cells would be detectable in short-term cultures, as described here. Moreover, development of a vitiligo in untreated and treated melanoma patients has been reported to be associated with good prognosis and tumor responses, respectively (23) . Using both A2/Melan-A and A2/tyrosinase tetramers, we are currently investigating in melanoma patients whether there is any association between the occurrence of vitiligo and the frequency of circulating CD8+ T cells directed against either of these antigenic peptides.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 This work was supported in part by the Federal Office for Education and Science (Switzerland) and European Community Contract BMH4-CT95-1627. V. C. and R. D. were partially funded by the United Kingdom Medical Research Council and the Cancer Research Campaign. ![]()
2 To whom requests for reprints should be addressed, at Division of Clinical Onco-Immunology, Ludwig Institute, CHUV-BH 19-602, 1011 Lausanne, Switzerland. Phone: 41 21 314 01 78; Fax: 41 21 314 74 77; E-mail: Danila.Valmori{at}inst.hospvd.ch ![]()
3 The abbreviations used are: TILN, tumor-infiltrated lymph node cell; IL, interleukin; PHA, phytohemagglutinin; mAb, monoclonal antibody;, ß2m, ß2-microglobulin. ![]()
4 M. J. Pittet, D. Valmer, P. R., Dunbar, D. Steiser, D. Liénard, F. Rejeune, K. Fleischhauer, V. Cerumdolo, J-C. Cerottini, and P. Romero. High frequencies of naive/MART-1 specific CD8+ cells in a large proportion of HLA-AZ individuals, submitted for publication. ![]()
Received 3/ 5/99. Accepted 6/17/99.
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