We describe here a flow cytometry-based in vivo killing assay that enables examination of immunodominance in cytotoxic T lymphocyte (CTL) responses to a model tumor antigen. We provide examples of how this elegant assay may be employed for mechanistic studies and for drug efficacy testing.
Carboxyfluorescein succinimidyl ester (CFSE)-based in vivo cytotoxicity assays enable sensitive and accurate quantitation of CD8+ cytolytic T lymphocyte (CTL) responses elicited against tumor- and pathogen-derived peptides. They offer several advantages over traditional killing assays. First, they permit the monitoring of CTL-mediated cytotoxicity within architecturally intact secondary lymphoid organs, typically in the spleen. Second, they allow for mechanistic studies during the priming, effector and recall phases of CTL responses. Third, they provide useful platforms for vaccine/drug efficacy testing in a truly in vivo setting. Here, we provide an optimized protocol for the examination of concomitant CTL responses against more than one peptide epitope of a model tumor antigen (Ag), namely, simian virus 40 (SV40)-encoded large T Ag (T Ag). Like most other clinically relevant tumor proteins, T Ag harbors many potentially immunogenic peptides. However, only four such peptides induce detectable CTL responses in C57BL/6 mice. These responses are consistently arranged in a hierarchical order based on their magnitude, which forms the basis for TCD8 “immunodominance” in this powerful system. Accordingly, the bulk of the T Ag-specific TCD8 response is focused against a single immunodominant epitope while the other three epitopes are recognized and responded to only weakly. Immunodominance compromises the breadth of antitumor TCD8 responses and is, as such, considered by many as an impediment to successful vaccination against cancer. Therefore, it is important to understand the cellular and molecular factors and mechanisms that dictate or shape TCD8 immunodominance. The protocol we describe here is tailored to the investigation of this phenomenon in the T Ag immunization model, but can be readily modified and extended to similar studies in other tumor models. We provide examples of how the impact of experimental immunotherapeutic interventions can be measured using in vivo cytotoxicity assays.
Conventional CD8+ T cells (TCD8) play important parts in anticancer immune surveillance. They primarily function in the capacity of cytolytic T lymphocytes (CTLs) that recognize tumor-specific or -associated peptide antigens (Ags) displayed within the closed cleft of major histocompatibility complex (MHC) class I molecules. Fully armed CTLs utilize their cytotoxic arsenal to destroy malignant cells. Anticancer TCD8 can be detected in the circulation or even inside primary and metastatic masses of many cancer patients and tumor-bearing animals. However, they are often anergic or exhausted and fail to eradicate cancer. Therefore, many immunotherapeutic modalities are designed to increase anticancer TCD8 frequencies and to restore and boost their functions.
Tumor proteins harbor many peptides, some of which can be immunogenic and potentially immunoprotective. However, quantifiable TCD8 responses are elicited with varying magnitudes against few peptides only. This creates an “immunodominance hierarchy” among TCD8 clones1. Accordingly, immunodominant (ID) TCD8 occupy prominent hierarchical ranks, which is commonly judged by their abundance. In contrast, TCD8 cells whose T cell receptor (TCR) is specific for subdominant (SD) epitopes occur in lower frequencies. We and others have identified some of the factors that dictate or shape immunodominance in TCD8 responses. These include, among others, the mode of Ag presentation to naïve TCD8 (i.e., direct presentation, cross-presentation, cross-dressing)2,3,4, the type of Ag-presenting cells (APCs) participating in TCD8 activation5, the abundance and stability of protein Ags6,7 and the efficiency and kinetics of their degradation by proteasomes7,8, the relative selectivity of transporter associated with Ag processing (TAP) for peptides9, the affinity of liberated peptides for MHC I molecules9,10, the presence, precursor frequencies and TCR diversity of cognate TCD8 in T cell pools11,12,13, cross-competition among T cells for access to APCs14,15, and the fratricidal capacity of TCD8 clones16. In addition, TCD8 immunodominance is subjected to immunoregulatory mechanisms mediated by several suppressor cell types such as naturally occurring regulatory T (nTreg) cells17, the cell surface co-inhibitory molecule programmed death-1 (PD-1)16, and certain intracellular enzymes such as indoleamine 2,3-dioxygenase (IDO)18 and the mammalian target of rapamycin (mTOR)19. It is important to note, however, that the above factors do not always fully account for immunodominance.
Apart from the basic biology of TCD8 immunodominance, the examination of this intriguing phenomenon has important implications in cancer immunology and immunotherapy. First, an ID status does not necessarily confer upon a given TCD8 clone the ability to prevent tumor initiation or progression20. Whether and how ID and SD TCD8 contribute to antitumor immunity may be dependent upon the type and the extent of malignancy and the experimental system employed. Second, it is thought that ID TCD8 clones may be ‘too visible’ to the immune system and consequently more prone to central and/or peripheral tolerance mechanisms16,21. Third, heterogeneic tumors may contain neoplastic cells that avoid detection by many, if not most, CTLs by displaying only a narrow spectrum of peptide:MHC complexes. Under these circumstances, TCD8 responses of insufficient breadth are likely to afford such tumor cells a survival advantage, thus potentiating their outgrowth22. It is for the above reasons that many view immunodominance as a hurdle to successful TCD8-based vaccination and therapies against cancer.
Inoculation of C57BL/6 mice with simian virus 40 (SV40)-transformed cells that express large tumor Ag (T Ag) provides a powerful preclinical system to study TCD8 immunodominance. This model offers several benefits. First, the peptide epitopes of this clinically relevant oncoprotein are well-characterized in this mouse strain23 (Table 1). Second, T Ag epitopes, which are called sites I, II/III, IV, and V, trigger TCD8 responses that are consistently arranged in the following hierarchical order: site IV >> site I ≥ site II/III >> site V. Accordingly, site IV-specific TCD8 mount the most robust response to T Ag. In contrast, sites I and II/III are subdominant, and site V-specific TCD8 are least abundant and usually only detectable in the absence of responsiveness to other epitopes23,24. Third, the T Ag+ tumor cell line utilized in the protocol described herein, namely C57SV fibrosarcoma cells, and those used in our previous investigations16,17,18,19,25,26, are transformed with subgenomic SV40 fragments25. Therefore, they are unable to assemble and release SV40 virions that could potentially infect host APCs. In addition, C57SV cells are devoid of classic costimulatory molecules such as CD80 (B7-1), CD86 (B7-2), and CD137 ligand (4-1BBL)16. The above attributes make these lines ideal for examination of in vivo TCD8 activation via cross-priming. Cross-priming is a major pathway in inducing TCD8 responses, especially those launched against tumor cells of non-hematopoietic origin that fail to directly prime naïve T cells25.
Antitumor TCD8 frequencies and/or functions can be monitored by MHC I tetramer staining, intracellular staining for effector cytokines (e.g., interferon [IFN]-γ) or lytic molecules (e.g., perforin), enzyme-linked immunospot (ELISpot) assays and ex vivo cytotoxicity assays. Since their inception in the 1990s27,28, carboxyfluorescein succinimidyl ester (CFSE)-based in vivo killing assays have enabled evaluation of cytotoxic responses mediated by antiviral CTLs29,30,31, antitumor CTLs16,32, natural killer (NK) cells33, glycolipid-reactive invariant natural killer T (iNKT) cells34, and preexisting and de novo donor-specific alloantibodies26. Therefore, their applications can be of interest to a wide readership, including but not limited to investigators working in the areas of tumor immunology and immunotherapy, anti-pathogen immunity, and preventative and therapeutic vaccine design.
To assess cell-mediated cytotoxicity in typical scenarios, two populations of naïve splenocytes that display either an irrelevant Ag or a cognate Ag(s) are labeled with two different doses of CFSE, mixed in equal numbers and injected into naïve (control) or killer cell-harboring mice. The presence/absence of each target population is then examined by flow cytometry.
We have optimized and employed in vivo killing assays in our studies on immunodominance in both antiviral and antitumor TCD8 responses12,16,17. Here, we provide a detailed protocol for the simultaneous assessment of ID and SD TCD8 responses to T Ag epitopes, which can be readily adopted for similar investigations in other experimental systems. We also provide representative results demonstrating that nTreg cell depletion and PD-1 blockade can selectively enhance ID TCD8– and SD TCD8-induced cytotoxicity, respectively. At the end, we will discuss multiple advantages of in vivo killing assays as well as some of their inherent limitations.
The experiments described here follow animal use protocols approved by institutional entities and adhered to established national guidelines.
1. Inoculation of C57BL/6 Mice with T Ag-expressing Tumor Cells
2. Treatment Regimens
3. Preparation of Target Splenocytes
4. Coating Target Splenocytes with Irrelevant and Cognate Peptides
5. Labeling target splenocytes with CFSE
6. Examination of Adequate/Equal CFSE Labeling of Target Splenocyte Populations
7. Injection of CFSE-labelled Target Cells into Naïve and T-Ag-primed Recipients
8. Data Acquisition
9. Data Analysis
The goal of the experiment whose results are depicted in Figure 1 was to determine whether the presence and functions of nTreg cells shape or alter the immunodominance hierarchy of T Ag-specific TCD8. C57BL/6 mice were injected i.p. with PBS or with 0.5 mg of an anti-CD25 mAb (clone PC-61.5.3 [PC61]) four days before they received 2 x 107 C57SV tumor cells i.p. In separate experiments, a rat IgG1 isotype control was used in lieu of PBS. Successful nTreg cell depletion by PC61 was confirmed by flow cytometry17.
Nine days after C57SV cell inoculation, a time point at which T Ag-specific TCD8 responses reach their maximum23, each animal received an i.v. injection of a cell suspension containing 3 distinct populations of CFSE-labeled target cells. Control target cells were syngeneic naïve splenocytes concomitantly pulsed with two irrelevant peptides (GP33-41 and gB498-505) and labeled with a low dose of CFSE (0.02 μM). To prepare cognate target cells, syngeneic naïve splenocytes were pulsed with either T Ag-derived site I peptide or site IV peptide (Table 1), and subsequently labeled with CFSE at 0.2 μM and 2 μM, respectively. Control and cognate target cells were washed and mixed in equal numbers (at a 1:1:1 ratio) before they were injected into naïve (control) and T Ag-primed C57BL/6 mice. Two hours after target cell injection, mice were sacrificed for their spleen in which the presence/absence of CFSE-labeled target cells was determined by flow cytometry. Target cells were distinguished based on their differential CFSE staining intensities.
As expected, near-equal peaks corresponding to control and cognate target cells were detectable in naïve mice (Figure 1, left panel). In contrast, site IV-displaying target cells were almost completely absent in T Ag-primed mice regardless of their prior treatment with PC61 or PBS (Figure 1). Interestingly, nTreg cell depletion by PC61 augmented in vivo CTL-mediated lysis of site I-pulsed target cells17. These results prompted us to conclude that nTreg cells selectively inhibit site I-specific cytotoxicity. Therefore, nTreg cell-depleting/inactivating agents may enhance the cytolytic effector function of CTLs recognizing certain tumor-derived epitopes.
The above set-up provides an example of how in vivo cytotoxicity assays can be employed to simultaneously test the lytic function of ID and SD CTL clones in the same animal.
Figure 1: Representative cytofluorimetric analysis of TCD8-mediated cytotoxicity against T Ag-derived epitopes in the presence or absence of nTreg cells. Target splenocytes pulsed with control peptides, site I or site IV, which were differentially labeled with CFSE, were tracked by flow cytometry in the spleen of a naïve mouse (left panel), a PBS-injected T Ag-primed mouse (middle panel), and a PC61 (nti-CD25)-injected (nTreg-depleted) T Ag-primed mouse (right panel). Percent specific killing of target cells was calculated using the formula described in the protocol, and representative numbers are shown. This figure is adopted, with permission, from Haeryfar et al.17. Copyright 2005. The American Association of Immunologists, Inc. Please click here to view a larger version of this figure.
In a more recent investigation, we asked whether blocking PD-1 affects the ‘breadth’ of the TCD8 response to T Ag16 (Figure 2). This was a clinically relevant question in light of the observed therapeutic benefits of PD-1-based ‘checkpoint inhibitors’ in several malignancies. Although such inhibitors are thought to work primarily by reversing T cell exhaustion, we were curious to know whether interfering with PD-1-PD-L1 interactions may additionally widen (or narrow) anticancer TCD8 responses. In our T Ag recognition model, intracellular cytokine staining (ICS) experiments revealed that treatment with either anti-PD-1 or anti-PD-L-1 selectively expands IFN-γ-producing TCD8 recognizing sites I and II/III16. We then extended our study to examine the in vivo cytolytic effector function of these SD CTLs. C57BL/6 mice were injected i.p. with 100 μg of an anti-PD-1 mAb (clone RMP1-14) or a rat IgG2a isotype control (clone 2A3) two hours before C57SV cell inoculation. Mice received two additional doses of anti-PD-1 or isotype three and six days after tumor cell injection. On day 9 post-priming, cohorts of naïve and primed mice were given, via lateral tail veins, a cell mixture containing equal numbers of CFSElow (CFSE labeling dose: 0.025 μM), CFSEint (CFSE labeling dose: 0.25 μM), and CFSEhi (CFSE labeling dose: 2 μM) syngeneic naïve splenocytes pulsed with gB498-505, site II/III, and site I, respectively. Four hours later, animals were euthanized, and CFSE-labeled target cells were tracked cytofluorimetrically in their spleen. Representative FACS plots (Figure 2A) and data from 3 animals per cohort (Figure 2B) are illustrated. While PD-1 blockade did not affect the ID TCD8 response against site IV16, sites I- and II/III-specific SD responses were invigorated. We thus concluded that interfering with PD-1-PD-L1 interactions may induce ‘epitope spreading’ in anticancer TCD8 responses.
The above set-up represents in vivo killing assays that enable quantitation of cytotoxicity elicited by two SD CTL clones in the same animal.
Figure 2: In vivo cytotoxicity of T Ag-specific TCD8 in anti-PD-1-treated mice. (A) Representative histogram plots demonstrate CFSE peaks corresponding to target splenocytes pulsed with an irrelevant peptide (CFSElow), site II/III (CFSEint), and site I (CFSEhigh) in T Ag-primed mice that received an isotype (left panel) or a PD-1-blocking mAb (right panel). (B) Percent specific killing of each cognate target cell population was calculated using CFSE+ event numbers in T Ag-primed mice (n = 3 per group) and naïve recipients (not shown) and the formula described in the protocol. Error bars represent standard errors of the mean (SEM), and ** denotes a statistical difference with p < 0.01 by unpaired Student’s t-tests. This figure is adopted, with permission, from Memarnejadian et al.16. Copyright 2017. The American Association of Immunologists, Inc. Please click here to view a larger version of this figure.
Protein Antigen Source | Peptide Epitope | Designation | Sequence | MHC I Restriction |
SV401 Large T Ag2 | T Ag206-215 | Site I | SAINNYAQKL | H-2Db |
SV40 Large T Ag | T Ag223-231 | Site II/III | CKGVNKEYL | H-2Db |
SV40 Large T Ag | T Ag404-411 | Site IV | VVYDFLKC | H-2Kb |
SV40 Large T Ag | T Ag489-497 | Site V | QGINNLDNL | H-2Db |
HSV-13 Glycoprotein B | gB498-505* | gB498-505 | SSIEFARL | H-2Kb |
LCMV4 Glycoprotein | GP33-41* | GP33-41 | KAVYNFATC | H-2Db |
1Simian Virus 40 | ||||
2Large Tumor Antigen | ||||
3Herpes Simplex Virus type 1 | ||||
4Lymphocytic Choriomeningitis Virus | ||||
*used as an irrelevant peptide |
Table 1. Peptides introduced in this protocol
CFSE-based in vivo cytotoxicity assays offer several advantages over traditional killing assays such as radioactive chromium (51Cr) release and colorimetric lactate dehydrogenase (LDH) release assays. First, they permit the monitoring of CTL function within an architecturally intact secondary lymphoid organ.
Second, the specific killing of target cells in in vivo cytotoxicity assays reflects the absolute number of Ag-specific TCD8, which is usually, but not always, a function of TCD8 frequencies present in the spleen. This is in contrast with 51Cr/LDH release assays in which a constant number of cells are employed as a source of effector TCD8. Consequently, 51Cr/LDH release assays fail to reliably estimate the total number of Ag-specific TCD8 that may be available to the host to eliminate tumor cells or to combat infections. This is important since in many cases and conditions, the size and the cellularity of secondary lymphoid organs/tissues that accommodate Ag-specific TCD8 are altered. For instance, a hypothetical scenario can be envisaged in which a viral infection elevates the total number of TCD8 specific for peptide X while also expanding multiple other TCD8 clones harboring other specificities. As a result, the frequency of X-specific TCD8 among total splenic TCD8 may not increase, in which case a 51Cr/LDH release assay will not be helpful. As another example, we recently demonstrated that certain bacterial superantigens expand memory TCD8 specific for NP147-155, an immunodominant peptide epitope of influenza A viruses in BALB/c mice, which correlated well with increased in vivo lysis of NP147-155-pulsed target cells31. Since exposure to superantigens provokes T cell proliferation non-specifically, it would have been highly unlikely to demonstrate substantial NP147-155-specific cytotoxicity using 51Cr/LDH release assays.
Third, target cells pulsed with peptides that bind to the same MHC class I molecule can be labeled with different doses of CFSE, mixed and used in in vivo cytotoxicity assays. The concomitant analysis of CTL functions towards such peptides is not an option in 51Cr/LDH release assays.
Fourth, in vivo cytotoxicity assays allow for mechanistic studies during priming, effector and recall phases of CTL responses. For example, tumor cell inoculation or antitumor vaccination can be conducted in genetically altered mice for the assessment of CTL induction. Moreover, splenocytes from gene knock-in and knock-out mice can be used as target cells during the effector phase. Finally, various agents (e.g., pharmacological inhibitors and drug candidates) can be administered before priming, during the effector phase, or both. Therefore, in vivo cytotoxicity assays provide a powerful platform for drug/vaccine efficacy testing in a truly in vivo setting. In this body of work, we have provided examples of immunological interventions that boost in vivo CTL responses (Figure 1 and Figure 2).
Like other routinely used killing assays, in vivo cytotoxicity assays do not provide any direct information regarding the ability of CTLs to recycle from one target to another before they become exhausted. In addition, we have tested several tumor cell types as potential target cells in in vivo cytotoxicity assays, albeit to no avail so far. This is simply because tumor cells do not reach the spleen at least in detectable numbers after they are injected i.v. Therefore, relying on mouse splenocytes as target cells may be considered an inherent limitation of in vivo cytotoxicity assays. It is noteworthy, however, that adoptively transferred target splenocytes can be easily found in several other organs (in addition to the spleen), for instance in the liver. Therefore, Ag-specific CTL function can be assessed in multiple organs or tissues.
We have optimized in vivo cytotoxicity assays for the examination of immunodominance in T Ag-specific TCD8 responses16,17. Numerous tools and reagents are available for studying these responses in the contexts of antitumor immunity and therapy. The fibrosarcoma cell line used in the protocol described here (i.e., C57SV cells) does not give rise to tumors in immunocompetent mice. Therefore, it is a useful tool in investigating antitumor vaccination. T Ag-driven neoplastic transformation in select tissues has generated several valuable models of autochthonous cancer. For example, SV11 mice that develop choroid plexus papillomas inside their brain ventricles35 do not harbor endogenous T Ag-specific TCD8 because these cells are selected against and deleted in the thymus. However, transferring C57BL/6 splenocytes into sublethally irradiated, tumor-bearing SV11 mice leads to extended control of the tumors, which is reportedly associated with in vivo priming of site IV-specific TCD836,37. In the transgenic adenocarcinoma of the mouse prostate (TRAMP) model38, the site IV-specific response dwindles away with progression of the malignancy. However, the otherwise immunorecessive site V-specific TCD8 cells escape negative selection in the thymus and also avoid peripheral tolerance mechanisms21. This provides ample opportunities for experimental therapeutic interventions revolving around site V-specific TCD8 functions. In vivo cytotoxicity assays should prove informative in studying and potentially reversing immunological tolerance in various model systems, including in the T Ag recognition model.
Immunodominance is a consistent feature of TCD8 responses generated not only against tumor Ags but also towards pathogen-derived epitopes. In fact, we have previously used in vivo cytotoxicity assays to study immunodominance in anti-influenza TCD8 responses12. Therefore, the optimized assay described in this protocol can be modified and used in a broad range of immunological applications.
The authors have nothing to disclose.
This work was supported by Canadian Institutes of Health Research (CIHR) grants MOP-130465 and PJT-156295 to SMMH. JC is partially supported by a Queen Elizabeth II Graduate Scholarship in Science and Technology from the Ontario Ministry of Training, Colleges and Universities. CEM was a recipient of an Alexander Graham Bell Canada Graduate Scholarship (doctoral) from Natural Sciences and Engineering Research Council of Canada (NSERC).
0.25% Trypsin-EDTA (1X) | Thermo Fisher Scientific | 25200-056 | |
ACK Lysing Buffer | Thermo Fisher Scientific | A1049201 | |
Anti-mouse CD25 (clone PC-61.5.3) | Bio X Cell | BE0012 | |
Anti-mouse PD-1 (clone RMP1-14) | Bio X Cell | BE0146 | |
CFSE | Thermo Fisher Scientific | C34554 | |
DMEM (1X) | Thermo Fisher Scientific | 11965-092 | |
Fetal bovine serum (FBS) | Wisent Bioproducts | 080-150 | Heat-inactivate prior to use |
GlutaMAX (100X) | Thermo Fisher Scientific | 35050-061 | |
HEPES (1M) | Thermo Fisher Scientific | 15630080 | 10 mM final concentration |
MEM Non-Essential Amino Acids Solution (100X) | Thermo Fisher Scientific | 11140-050 | |
Penicillin/Streptomycin | Sigma-Aldrich | P0781 | Stock is 100X |
Rat IgG1 (clone KLH/G1-2-2) | SouthernBiotech | 0116-01 | Isotype control |
Rat IgG1 (clone HRPN) | Bio X Cell | BE0088 | Isotype control |
Rat IgG1 (clone TNP6A7) | Bio X Cell | BP0290 | Isotype control |
Rat IgG2a (clone 2A3) | Bio X Cell | BP0089 | Isotype control |
RPMI 1640 (1X) | Thermo Fisher Scientific | 11875-093 | |
Sodium Pyruvate (100 mM) | Thermo Fisher Scientific | 11360-070 | 1 mM final concentration |