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Dale and Betty Bumpers Vaccine Research Center National Institute of Allergy and Infectious Diseases National Institutes of Health CD8 T cells in germinal centers are functionally capable of mediating bispecific antibody mediated killing Richard A. Koup, MD July 19, 2014 Bispecific Antibody Concept HIV-expressing CD4 T cell Bispecific antibody VRC07 Fab (Gly Ser ) 4 NN- HIV Env Amar Pegu VL 1 3 anti-CD3 Linker scFv VH CL CD8 T cell (not HIV-specific) VL -C S S VH CH1 -C Redirected lysis CD3 Highest copy number of HIV DNA HIV DNA copies/106 cells Germinal Center TFH: Major Source of Active and Inducible HIV Replication PD-1 CXCR5 PD-1 Source of inducible HIV replication CXCR5 Perreau et al, J Exp Med, 2013 CD8 CTL are Rare in Germinal Centers 2007 Objectives • Evaluate the distribution of CD8 T cells in T and B cell zones of lymph nodes and tonsils – Frequency – Phenotype – Changes with HIV infection? • Determine ability of B cell zone CD8 T cells to mediate bispecific antibody-directed killing of HIV-infected CD4 T cells – In comparison to CD8 T cells in other LN zones Memory CD8 T cells accumulate in HIVinfected human LN Aqualow 3 0 50K 0 4 104 10 3 0 0 10 50K 100K 150K 200K 250K 10 2 10 3 10 4 10 5 10 2 10 2 104 103 0 10 3 10 4 10 5 0 * 80 60 40 10 3 10 4 5 10 CD4 CD3 *** 100 3 5 0 0 SSC FSC-A 10 10 0 10 3 10 4 10 5 CD45RO *** 100 80 60 40 20 0 T HIVLN HIV+ LN ** 100 80 60 40 20 0 T 20 0 T HIVLN HIV+ LN CD27loCD45ROhi [% of CD8 T cells] 0 10 CD27hiCD45ROhi [% of CD8 T cells] 10 5 CD27 100K CD20 Aqua 104 150K CD8 T cells [% of CD3 T cells] FSC-H 200K 5 10 * p < 0.05 ** p < 0.001 CD45RO/CD27 CD4-CD8+ CD20-CD3+ 5 CD8 10 CD27hiCD45ROlo [% of CD8 T cells] Singlets 250K HIVLN HIV+ LN *** 100 * 80 60 40 20 0 T HIVLN HIV+ LN CCR7loCXCR5hi (follicular) CD8 T cells accumulate in HIV+ LNs 10 3 0 10 3 10 4 10 10 5 105 10 4 10 4 104 103 103 0 0 0 102 5 103 104 105 CD45RO 10 3 0 0 102 103 104 105 0 10 2 10 3 10 4 CXCR5 % CCR7hiCXCR5lo 0 5 100 * 80 60 40 20 0 T HIVLN HIV+ LN * 100 * * 80 60 40 20 0 T HIVLN % CCR7hiCXCR5hi 4 CD27loCD45ROhi 10 % CCR7loCXCR5hi 10 CCR7 10 CD27hiCD45ROhi CD27hiCD45ROlo % CCR7loCXCR5lo CD27 CD45RO/CD27 5 HIV+ LN * 100 * 80 60 40 20 0 T HIVLN HIV+ LN * 100 * * 80 60 40 20 0 T HIVLN HIV+ LN 10 5 * p < 0.05 ** p < 0.001 CD8 T cells in human LN CD20 CD20 CD4 CD8 CD8 CD20 CD4 CD8 CD20 CD8 CXCR5 Tonsil HIV- LN HIV+ LN Quantification of GC CD4 and CD8 T cells + HIV+HIV LN GC defined as Ki67+CD20+ Position y Position y LN HIVHIV CD8 CD4 Ki67 + CD20 CD20 Position x CD8 CD8 Position x CD4 CD4 Michael Gerner Follicular CD8 T cells express cytolytic potential 150K 100K 10 4 CD8 Aqua FSC-H 200K 103 50K 0 50K 100K 150K 200K 250K FSC-A 5 10 104 10 3 10 2 0 10 2 10 3 10 4 10 5 104 10 3 0 10 2 10 3 10 4 10 0 10 5 2 10 3 10 4 10 5 CXCR5 CD4 CD3 CD3/CD28/CD2 Beads 5h stimulation 5 102 0 0 0 0 CCR7 vs CXCR5 CD4-CD8+ 10 10 105 10 4 10 4 10 3 10 2 103 0 80 20 % CD107a+Perforin+ MFI Granzyme loCXCR5hiB (CCR7(ex vivo) ) 3 10 4 10 5 0 10 1510000 40 10 10 20 5 TT HIVHIVLN LN HIV+ HIV+ LN LN 5000 5 0 0 4 10 3 10 2 10 3 10 4 10 5 0 10 2 10 3 10 CCR7hi CCR7lo lo TCXCR5 HIV- CXCR5 HIV+hi LN LN 2000 1500 1000 500 0 CCR7hi CXCR5lo 4 Perforin 2500 15000 20 60 15 2 GrzB MFI Perforin (ex vivo) % CD107a+Granzyme % Granzyme B+ B+ loCXCR5hi) (CCR7 Perforin+ (ex vivo) 10 10 0 GrzB Newly Ex vivoformed 0 0 105 0 0 Perf+107a+ GrzB+107a+ 5 CD107a Perforin GrzB+Perf+ Ex vivo CD107a AqualoCD3+ 105 CCR7 Singlets 250K CCR7lo CXCR5hi 10 5 Function CD20 CD8 GrzB CD8 GrzB CD8 GrzB CD20 HIVLN HIV+ LN HIV+ LN (GC) % Lysi Bispecific-mediated Killing (Specificity) 40 20 P1 0 P9 60 VRC07 control aCD3/VRC07 aCD3/isotype 40 10:1 Effectors:Target 8 hours Quantification ofVRC07 Aqua+AnexinV+ CEM Isotype control 20 CD45RO CXCR5 P9 P8 CCR7lo lo CD27hi hi CCR7hi hi CCR7hi hi CD27 CCR7 CCR7 CCR7 CXCR5hi CD45ROlo lo CXCR5lo lo CXCR5hi hi hi P7 0 CXCR5 P1 0 % Lysis CEM % Aqua+AnnexinV+ P7 0 CXCR5 Bispecific-mediated Killing in HIV+ LNs Memory markers 10 104 CD27hiCD45ROhi 5 10 103 CCR7 CCR7 104 103 0 0 103 0 104 CD45RO 50 105 5 CCR7hi CXCR5lo 104 CCR7hi CXCR5hi 103 CCR7lo CXCR5hi 0 0 102 103 104 105 CXCR5 0 102 103 104 105 CXCR5 Tonsil HIV+ LN 40 % Lysis CD27 10 CD27hiCD45ROlo 5 30 20 10 0 CD27 hi CD45ROlo CCR7 hi CXCR5lo CCR7lo CXCR5hi Bispecific-mediated Killing (Mechanism) Memory markers 10 104 CD27hiCD45ROhi 5 10 103 CCR7 104 CCR7 CD27 10 CD27hiCD45ROlo 5 103 0 0 0 103 104 105 CD45RO 5 CCR7lo CXCR5hi 0 0 102 103 104 105 0 102 CXCR5 103 104 105 CXCR5 Supernatants CCR7loCXCR5hi Control + Z-VAD (50 uM) 0.25 80 8 hours 19 hours 0.20 60 pg/mL % Lysis CCR7hi CXCR5hi 103 Caspase inhibitor 40 20 0 CCR7hi CXCR5lo 104 0.15 0.10 0.05 CD27 hi CD45ROlo CCR7 hi CXCR5lo CCR7lo CXCR5hi 0.00 sFasL Granzyme B Perforin Conclusions • Recruitment of CD8 T cells into the B cell follicles (germinal centers) during HIV infection – Defined by high CXCR5 and low CCR7 by flow cytometry – Confirmed by confocal imaging • Increased cytolytic potential of CD8 T cells in B cell follicles compared to extrafollicular CD8 T cells, especially in HIVinfected LNs – CD107a, granzyme, and perforin – Co-localization of granzyme and CD8 T cells on confocal imaging • CD8 T cells within the B cell follicle are capable of mediating bispecific antibody-mediated killing of HIV-infected cells – Caspase-dependent – Associated with secretion of perforin and granzyme Acknowledgments Immunology Laboratory Sara Ferrando-Martinez Constantinos Petrovas Kristin Boswell Joseph Cassaza Takuya Yamamoto David Ambrozak Irene Primmer David Kotlyar Virology Laboratory Amar Pegu Mangai Asokan John Mascola Laboratory of Systems Biology NIAID Michael Gerner Ronald Germain National Institute of Respiratory Diseases, Mexico City Gustavo Reyes-Teran Perla del Rio CIENI Yuria Ablanedo Terrazas Amaranta Rivero Arrieta Hospital Civil de Guadalajara Luz Alicia González Jaime Andrade Villanueva Laboratory of Immunovirology Sevilla, Spain Manuel Leal Ezequiel Ruiz-Mateos Children’s National Hospital, DC Patients and donors