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1From the Laboratory of Cellular Immunology, Department of Medical Anatomy, and the 3Institute of Medical Microbiology and Immunology, The Panum Institute, and the 4Eye Pathology Institute, University of Copenhagen, Copenhagen, Denmark; and the 2Department of Immunology, College of Basic Medicine, Anhui Medical University, Hefei, China.
| Abstract |
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METHODS. Computer-based prediction was used to identify potentially H-2 Kb/Db-binding peptides derived from the interphotoreceptor retinol-binding protein (IRBP), soluble retinal antigen (S-antigen), recoverin, phosducin, and pigment epithelium-derived factor (PEDF). The affinity of the peptides was analyzed by their abilities to upregulate the expression of major histocompatibility complex (MHC) class I on TAP-deficient cells (RMA-S cells) with flow cytometry. C57BL/6 mice were immunized subcutaneously, with individual peptides in incomplete Freunds adjuvant (IFA). Eight days after immunization, splenocytes were isolated for cytotoxic T-lymphocyte (CTL) analysis. A 51chromium-release assay was used to detect specific CTL reactivity generated in the cultures. Eyes were enucleated for histopathological analysis on day 21 after immunization with IRBP or IRBP and the immunogenic peptides.
RESULTS. All the 21 predicted peptides were found to upregulate expression of H-2 Kb/Db on RMA-S cells. Five peptides, the two IRBP-derived peptides IRBP89-96 and IRBP101-108, and the three PEDF-derived peptides, PEDF389-397, PEDF139-147, and PEDF272-279, induced specific CTL responses in vivo, whereas the remaining 16 peptides, including 5 IRBP-derived peptides, 5 S-antigen-derived peptides, 1 recoverin-derived peptide, 1 phosducin-derived peptide, and 4 PEDF-derived peptides, did not induce specific CTL reactivity. The immunogenic peptides alone did not induce inflammation in the eyes, but they could enhance severity of uveitis induced by IRBP.
CONCLUSIONS. Five of 21 H-2 Kb/Db-binding retinal protein-derived peptides were found to be immunogenic, suggesting that these peptides could function as autoantigenic epitopes in the development of inflammatory eye diseases, such as uveitis.
EAU, which is thought to be a CD4+ Th-cellmediated organ-specific autoimmune disease, can be induced by immunization with a group of retinal proteins, such as interphotoreceptor retinol-binding protein (IRBP),7 8 soluble retinal antigen (S-Ag),2 recoverin,9 10 and phosducin.11 12 13 Although it is known that CD4+ T cells or major histocompatibility complex (MHC) class II haplotypes are involved in the pathogenesis of EAU14 15 16 17 18 and sympathetic ophthalmia,19 20 several diseases in humans are known to correlate with MHC class I haplotypes, such as birdshot retinochoroidopathy (HLA-A29, in particular HLA-A29.2),21 22 23 Behçets disease (HLA-B51),24 25 26 and acute iritis-ankylosing spondylitis (HLA-B27).27 28 This indicates that MHC class Irestricted peptides derived from the retinal antigens may also be involved in the pathogenesis of uveitis. In support of this, Shao et al.29 reported that rat CD8+-specific T cells were uveitogenic in Lewis rats, and McPherson et al.30 have clearly shown that CD8+ T-cells can recognize ß-galactosidase expressed in retina, causing inflammation and uveitis. However, the putative role for MHC class Irestricted peptides in the development of uveitis is still unclear. The purpose of this study was therefore to determine whether H-2 Kb/Db-binding peptides derives from retinal proteins, including IRBP, S-Ag, recoverin, phosducin, and pigment epithelium-derived factor (PEDF),31 32 33 34 can cause cytotoxic T-lymphocyte (CTL) reactivity in C57BL/6 mice, in an attempt to find out whether MHC class Irestricted peptides play a role in inflammatory eye diseases, such as uveitis.
| Materials and Methods |
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Peptides
Protein sequences used for prediction of peptides derived from murine retinal antigens (IRBP, S-Ag, recoverin, phosducin, and PEDF) were obtained from the FASTA databases (http://www.ensembl.org/ provided in the public domain by the European Bioinformatics Institute, Hinxton, UK). The peptides were predicted to have a binding affinity for H-2 Kb/Db, using a computer-based prediction program described previously.35 36 SV324-332 (MOCK), an H-2 Kb/Db-binding peptide, representing amino acids FARGNYPAL of the Sendai virus protein, was used as the control peptide in the peptide-binding assay and the cytotoxicity readout assays (described later). HepBcore128-140, a T-helper peptide, representing amino acids TPPAYRPPNAPIL of the hepatitis B virus core protein, was used in the peptide immunization protocol37 (described later). All peptides were synthesized by Schafer-N (Copenhagen, Denmark). Peptides were dissolved in phosphate-buffered saline (PBS). For immunization and for pulsing of target cells, the peptides were further diluted in PBS.
Cells and Reagents
RAM-S cells were transporter-associated with antigen processing (TAP)-deficient and derived from the T-lymphoma cell line RMA.38 RMA-S cells were cultured in RPMI-1640 medium (Invitrogen-Gibco, Rockville, MD) supplemented with 10% FCS, 2 mM L-glutamine and antibiotics at 37°C and 5% CO2 in humidified air. Affinity-purified IRBP was isolated from bovine retinas by concanavalin-A-Sepharose chromatography.39 Human ß2-microglobulin (ß2m) was prepared and purified from the urine of uremic patients, as described previously.40 The anti-H-2b-specific antibody 8F12 was obtained from our own laboratory at the Panum Institute41 and used as the primary antibody to MHC-peptide complexes. FITC-conjugated rabbit anti-mouse IgG (FITC-RAM) for flow cytometry was purchased from Dako (Copenhagen, Denmark). Incomplete Freunds adjuvant (IFA) and complete Freunds adjuvant (CFA) were purchased from Sigma-Aldrich (St. Louis, MO). Human recombinant IL-2 was purchased from Chiron (Emeryville, CA). Na251CrO4 was purchased from DuPont NEN (Boston, MA). L-glutamine, PBS, and supplements (fetal calf serum; penicillin-streptomycin) were obtained from the culture medium facility of the Department of Medical Microbiology and Immunology at the Panum Institute (Copenhagen, Denmark).
Peptide-Binding Assay with Flow Cytometry
A peptide-binding assay with flow cytometry was performed as described elsewhere.42 Briefly, RMA-S cells were cultured at 26°C overnight and washed with serum-free medium. Then the cells (1 x 106), in 200 µL of 10% RPMI-1640, were added to tubes containing 30 µg of peptide. The cells were incubated at 37°C in a water bath for 1 hour and washed twice with cold (4°C) PBS. The cells were incubated for 30 minutes on ice with 50 µL of the antibody 8F12. After two washes with cold PBS, the cells were incubated for 30 minutes on ice with 50 µL of FITC-RAM (Dako) at a dilution of 1:40. The cells were then washed three times with cold PBS, after which fluorescence intensity was measured with a flow cytometer (FACScan; BD Biosciences, Mountain View, CA). The upregulation of MHC class I molecules versus background (i.e., no peptide-pulsed cells), was calculated as a fluorescence index (FI: the mean fluorescence of the experimental sample divided by the mean fluorescence of the background).
Immunization and Expansion of CTL In Vitro
Female 6- to 8-week-old C57BL/6 mice were subcutaneously injected with 100 µL of emulsion containing 30 µg of peptide along with 120 µg of HepBcore128-140 in 50 µL of IFA. Eight days after immunization, spleens were removed to prepare responder cells, and spleens from nonimmunized mice were also taken to prepare stimulator cells. Stimulator cells were pulsed with 30 µg/mL of the indicated peptide and 10 µg/mL human ß2m in 2% RPMI-1640 for 1 hour at 37°C in a water bath, after which the stimulator cells were irradiated (3000 rads). Responder cells, 5 x 106, were cocultured with 5 x 106 irradiated syngeneic stimulator cells, which had been pulsed with the appropriate peptide, in 1 mL 10% RPMI-1640 in 24-well plates. The next day, 100 U/mL IL-2 was added to the cultures, which were incubated in vitro for 5 days at 37°C, 5% CO2 in humidified air.
51Chromium-Release Assay
Cytotoxicity of CTL was assessed by a 51chromium-release assay, which was performed as previously described.43 Briefly, after 5 days of culture, the responder cells were harvested, pooled, counted, and adjusted to 2 x 106/mL in 10% RPMI-1640. RMA-S cells were loaded with peptides as indicated at 37°C for 1 hour, then labeled with 100 µCi of Na251CrO4 containing 30% FCS at 37°C for 1 hour, after which they were washed three times with 2% RPMI-1640 and adjusted to 2 x 104/mL in 10% RPMI-1640. Responder cells were cocultured with target cells (2 x 103) in 200 µL of 10% RPMI-1640 medium in 96-well round-bottomed plates at titrated effector-to-target (E:T) ratios of 100:1, 50:1, 25:1, and 12.5:1. Target cells were cultured alone, either in 10% RPMI-1640 to measure spontaneous release or in 3% CH3COOH solution to measure maximum release. After 4 hours, 30 µL of supernatant was collected, and radioactivity was measured using a gamma counter (1470 Wizard; Wallac, Turku, Finland). CTL reactivity was calculated as the specific release of 51Cr from target cells using the following equation:
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Induction of EAU
C57BL/6 mice were immunized subcutaneously with 0.2 mL of emulsion containing 100 µg of IRBP in CFA (1:1) containing 5 mg/mL Mycobacterium tuberculosis H37Ra (Difco Laboratories, Detroit, MI) along with additional subcutaneously injection of 0.2 mL emulsion supplemented with or without a mixture of five immunogenic peptides (30 µg of each peptide) plus 120 µg of HepBcore128-140 in CFA. Concurrent with immunization, 1 µg PTX was injected intraperitoneally. On day 21 after immunization, eyes were collected and immersed in 4% formaldehyde in phosphate buffer until further processed.
Histologic Analysis
Enucleated eyes were fixated in Lillys fluid (Bie & Berntsen, Rødovre, Denmark) for 24 hours. Before fixation, the superior calottes of the eyes were dissected to ensure optimal fixation and later to facilitate infiltration with paraffin. After fixation, the central ring of the eyes, containing the anterior chamber, lens, and optic disc, and the surgical lesion, was cut out, embedded in paraffin, and sectioned in series of sections, each of 4 µm thickness. Sections were stained with hematoxylin and eosin, and coverslipped. Histologically, any sign of retinouveitis was graded as follows: grade 0, no pathologic changes; grade 0.5, five or fewer inflammatory cells per eye, no tissue damage; grade 1, mild infiltration with inflammatory cells, retinal edema, focal retinal detachment, 0 to 2 small granulomas in choroid and retina, and perivasculitis; grade 2, moderate infiltration, retinal edema and detachment, focal retinal photoreceptor damage, medium-sized granulomas, perivasculitis and vasculitis; grade 3, moderate inflammation, marked retinal edema and detachment, retinal photoreceptor damage, many medium-sized granulomas, subretinal neovascularization; grade 4, heavy infiltration, complete retinal detachment with subretinal bleeding, extensive photoreceptor damage, large confluent granulomas, subretinal neovascularization. Grading was performed in a blinded fashion by two independent observers (i.e., sections were independently graded twice). In the event of discrepancy, a consensus was reached, producing a validated score for all eyes.
Statistics
Wilcoxons test was used to analyze the difference between the percentage of specific release for the immunizing peptide and the corresponding control peptide. The Mann-Whitney test (one-tailed probability) was used to analyze the difference between groups with different immunization for EAU induction. A probability below 0.05 was considered significant.
| Results |
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| Discussion |
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Despite the immune-privileged status of the eye, uveitis can still occur occasionally, probably due to an autoimmune etiology. Experimental autoimmune uveitis in mice, which can be induced by immunization of retinal antigens or peptides derived from retinal antigens, has therefore become an important model for studying uveitis of presumed autoimmune etiology.
Several investigators have reported that sympathetic ophthalmia19 20 and EAU14 15 16 17 18 are MHC class IIrestricted diseases. Thus, it is well recognized that MHC class IIrestricted peptides derived from IRBP can induce EAU in mice. However, some forms of uveitis are also reported to correlate strongly with MHC class I, including birdshot retinochoroidopathy (HLA-A29, in particular HLA-A29.2),21 22 23 Behçets disease (HLA-B51)24 25 26 and acute iritis/ankylosing spondylitis (HLA-B27),27 28 suggesting that MHC class Irestricted peptides could be involved in the mechanisms of uveitis. We therefore decided to investigate whether MHC class Irestricted peptides derived from retinal antigens could be immunogenic. There are so far no reports on the uveitogenicity of PEDF, but it is a natural extracellular component of the retina, it has neuroprotective activity and can protect photoreceptors from degeneration.32 33 34 Because of the high level of PEDF expression, peptides derived from PEDF could be expressed together with MHC-I and therefore be a potential target for CD8+ T-cells; thus PEDF was included in this study besides IRBP, S-Ag, recoverin, and phosducin.
Nowadays, prediction strategies for peptides binding to MHC class I molecules are available,35 36 45 46 47 so it is possible to predict MHC class Irestricted peptides according to different MHC class Ibinding motifs. From the known autoantigens IRBP, S-antigen, recoverin, phosducin, and PEDF derived from the eye, 21 peptides were predicted to bind to H-2b with a computer-based program.35 36 We were interested in whether these proteins contained putative CTL-inducing and therefore potentially pathogenic MHC class Irestricted peptides.
We found that all the predicted peptides with high (<50 nM) to intermediate (50 to 100 nM) affinity could upregulate the expression of MHC class I molecules on the TAP-deficient RMA-S cell line. The ability to upregulate MHC class I was in some instances comparable to the known good binder MOCK. These results indicate that the prediction program we used was reliable because all the peptides with predicted binding affinities less than 100 nM could upregulate H-2 Kb/Db molecules on RMA-S cells, and therefore this prediction program may also be useful to predict MHC-binding peptides from other ocular antigens.
Among the predicted peptides, the two IRBP-derived peptides IRBP89-96 and IRBP101-108 and the three PEDF-derived peptides PEDF389-397, PEDF139-147, and PEDF272-279 induced specific CTL responses in vivo in up to half the immunized mice, whereas the remaining 16 peptides, including 5 IRBP-derived peptides, 5 S-antigen-derived peptides, 1 recoverin-derived peptide, 1 phosducin-derived peptide and 4 PEDF-derived peptides, did not induce specific CTL reactivity. More potential immunogenic peptides could have been identified by increasing the E:T cell ratio, but in the present study, we focused on those which most readily induced a CTL response.
Although 5 of 21 predicted peptides generated CTL responses, they did not induce CTL reactivities in all the immunized mice, as described earlier. For IRBP89-96 and PEDF139-147, three of six immunized mice generated cytotoxic responses, whereas only one of six mice immunized with PEDF272-279 generated CTL activity. In a previous study, we found that self-peptide emulsified in IFA induces strong CTL responses in the regional lymph nodes.43 This suggests that draining lymph nodes should also be included when testing for CTL reactivity.
Additional unspecific cytotoxic activity was generated in the presence of MOCK peptide, which most likely is due to bystander generation of natural killer celllike activity in the system by IL-2 exogenously added or is produced by the specific CTL response.48 The different unspecific response observed was due to variability of the individual cultures tested, but most of the cytotoxicity generated was shown to be specific against the immunized peptide.
Five MHC class Irestricted peptides generated specific CTLs, and we tested whether immunization with these peptides along with HepBcore128-140 would induce uveitis. We found that immunogenic peptides alone did not induce uveitis (data not shown), but these peptides enhanced the severity of IRBP-induced uveitis, which means CTL may contribute to inflammation in the eyes, providing uveitogenic CD4+ T cells are present. These data indicate that a threshold level exists for induction of uveitis. In the work by McPherson et al.,30 it was found that only activated and not resting CD8+ T cells specific for ß-galactosidase induced uveitis by adoptive transfer in mice where ß-galactosidase was expressed under the control of eye-specific promoters. In our study, a mixture of immunogenic peptides alone did not induce inflammation in the eyes, probably because of quiet specific CD8+ T cells induced by the immunogenic peptides. It seems that additional stimulation of CD8+ T-cells is needed and that this threshold level is achieved by simultaneous immunization with IRBP, because the MHC class II helper peptide HepBcore128-140 together with the MHC class I peptides do not induce uveitis. Thus, how CD8+ T cells cross-talked with CD4+ T cells in EAU induction remains to be resolved.
In the present study, it was shown that a mixture of five peptides found to induce specific CTL in vivo could enhance the induction of uveitis when added together with IRBP. In the retina, a combination of each of these peptides would most likely be presented on the cell surface bound to MHC-I, and a larger number of clones could be generated because of there being more epitopes, in agreement with the approach used for peptide-based immunization to treat tumors.49 It may be that the effect observed in our study is caused by some peptides in the mixture being immunodominant in the response. However, competition of peptides for MHC binding will not significantly reduce CTL recognition, even in the presence of limited antigen-presenting cells.50 Because the number of antigen-presenting cells in vivo are not limited, all the peptides can be presented to induce specific CTL.
C57BL/6 mice were chosen for this study, as there are good computer-based algorithms for prediction of MHC class Irestricted peptides for the H-2b haplotype, and this mouse strain is known to be susceptible to induction of uveitis. Further information could have been obtained by using B10.RIII mice, which are highly prone to the induction of uveitis. However, the B10.RIII mouse is of the H-2r haplotype, and binding data do not currently exist for computer-based algorithms.
In conclusion, this is the first time that H-2 Kb-binding retinal protein-derived peptides have been reported to be immunogenic, suggesting that these peptides could function as autoantigenic epitopes, which play a role in the development of inflammatory eye diseases, such as uveitis.
| Footnotes |
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Submitted for publication February 7, 2006; revised April 24 and May 19, 2006; accepted July 17, 2006.
Disclosure: M. Wang, None; F. Bai, None; M. Pries, None; S. Buus, None; J.U. Prause, None; M.H. Nissen, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Mingjun Wang, Department of Medical Anatomy, The Panum Institute, Building 18.3, Blegdamsvej 3C, DK-2200 Copenhagen N, Denmark; wang{at}mai.ku.dk.
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