A preliminary study on the characterization of follicular helper T (Tfh) cells in rheumatoid arthritis synovium

Rheumatoid arthritis (RA) is a chronic and systematic autoimmune inflammatory disease. Recently, a novel T cell subset, follicular helper CD4 T cell (Tfh cells) was found in relation to the pathogenesis and progression of RA, and increased numbers of circulating Tfh cells were found in RA patients. However, there is little evidence regarding the localization of Tfh cells in synovium tissues from RA patients, owing to the lack of an available method to characterize their localization in tissue. The aim of our present study was to characterize the Tfh cells in rheumatoid synovium tissues from RA patients by using immunohistochemistry and triple-fluorescence immunostaining methods. Our results showed that specific staining of CD4, CXCR5 and ICOS could be found on infiltrating immune cells in rheumatoid synovium tissues. The use of triple-fluorescence immunostaining and confocal laser scanning showed immunolocalization of CD4⁺CXCR5⁺ICOS⁺T cells (Tfh cells) in the rheumatoid synovium tissues, whereas these signals were absent in osteoarthritis (OA) synovium and in normal synovium tissues. Thus the data from our present preliminary study support the notion that CD4⁺CXCR5⁺ICOS⁺Tfh cells could be found in rheumatoid synovium tissues from RA patients, indicating the possibility that this T cell subset in synovium tissues may have important roles in the pathogenesis and progression of RA.     

Anti-CD48 (murine CD2 ligand) mAbs suppress cell mediated immunity in vivo

With the identification of murine CD48 as a homolog of the humanCD2 ligand LFA-3 (CD58) and as a ligand itself for murine CD2,the antl-murine CD48 mAb HM48-1 was administered intravenouslyto investigate the role of CD48 In cell mediated immunity invivo. Antl-CD48 mAb diminished the contact sensitivity responseto the hapten trlnltrophenol (TNP). mAb also inhibited in vivopriming for the subsequent generation of secondary, TNP-speclflc,cytotoxic T lymphocytes (CTL) in vitro. The inhibitory effectwas most effective in the afferent or inductive phase of immunityfor CTL, while antl-CD48 mAb was most inhibitory for the efferentor ellcltatlve phase of contact sensitivity. Addition of antl-CD48mAb directly to secondary CTL cultures also completely inhibitedCTL generation, while addition to the lytic assay showed onlyminimal inhibition of CTL activity. Combining cells from mAbtreated and untreated animals showed no evidence for suppressorcells. Further experiments revealed that mAb administered invivo, as well as to culture, Inhibited development of primary,alloantlgen-speclflc CTL in vitro. Mixed lymphocyte reactionand phytohemagglutlnln proliferation were partially suppressedby mAb administered in vivo or in vitro, whereas other mltogenlcresponses remained unaffected. Flow cytometrlc analysis revealeda moderate down modulation of CD48, CD3 and CD8 after treatmentwith anti-CD48. However, this did not represent T cell depletionsince CD2, Thy-1.2 and ig expression did not change. These resultssupport a major unrecognized role for CD48 In diverse aspectsof cell mediated immunity, affecting both CD4⁺ and CD8⁺ effectorT cell function. The anti-CD48 mAb functions not by depletingrelevant T cell populations, but rather by altering the arrayof cell surface receptors, and subsequent responses to primaryand secondary antlgenlc challenge.     

CD4+ T-cell-mediated cytotoxicity against staphylococcal enterotoxin B-pulsed synovial cells.

Apoptosis of synovial cells in rheumatoid arthritis (RA) synovium determined in vivo is suggested to counteract the overgrowth of synovium. Immunohistological examination has revealed the infiltration of activated CD4+ T cells, which express Fas ligand (FasL), in RA synovium. The presence of a putative antigen (Ag) of autoimmune disorders in a target organ may induce the activation of specific T cells in the inflammatory region such as RA synovium. We examined the possible role of CD4+ T cells activated by synovial cells in a staphylococcal enterotoxin B (SEB)-dependent manner, inducing synovial cell apoptosis. Synovial cells were cultured with or without interferon-gamma (IFN-gamma) and further incubated with CD4+ T cells in the presence of SEB. After the cocultivation, both the cytotoxicity and FasL expression of CD4+ T cells were investigated. Constitutive Fas expression was detected on both unstimulated and IFN-gamma-stimulated synovial cells. CD4+ T cells did not kill SEB-pulsed unstimulated synovial cells efficiently. In contrast, when CD4+ T cells were incubated with IFN-gamma-stimulated synovial cells with SEB whose human leucocyte antigen (HLA)-DR and -DQ expression was markedly induced, significant cytotoxicity by these cells against synovial cells was detected. The addition of anti-HLA-DR and -DQ monoclonal antibodies (mAbs) or human Fas chimeric protein (hFas-Fc) reduced this cytotoxicity. FasL expression of CD4+ T cells cocultured with IFN-gamma-stimulated synovial cells with SEB was significantly induced. Furthermore, the addition of mAbs against CD54, CD58 and CD106 inhibited both the cytotoxicity and FasL expression of CD4+ T cells induced by IFN-gamma-stimulated synovial cells in the presence of SEB, indicating the importance of costimulatory molecules on synovial cells in activating CD4+ T cells. Our results suggest that CD4+ T cells are activated by synovial cells by an SEB-dependent manner and express FasL, inducing Fas-mediated apoptosis of the latter cells. These phenomena may regulate the overgrowth of synovial cells in RA synovium.     

Role of CD4+CD45RA+ T cells in the development of autoimmune diabetes in the non-obese diabetic (NOD) mouse

The non-obese diabetic (NOD) mouse spontaneously develops aT cell-mediated autoimmune disease, sharing many features withhuman insulin-dependent diabetes mellltus (IDDM), leading toinsulin-secreting ß cell destruction. The role ofCD4⁺ T cells has been evidenced at two levels. First, CD4⁺ Tcells from diabetic animals are required to transfer diabetesto non-diabetic recipients in conjunction with CD8⁺ effectorT cells. Second, suppressive CD4⁺ T cells have been characterizedin non-diabetic NOD mice. T cells with different functions canthus share the CD4⁺ phenotype. Since CD4⁺ T cells can be dividedinto at least two subgroups on the basis of CD45 isoform expression,we evaluated the distribution of CD4⁺ T cells expressing theCD45RA isoform on NOD mouse thymocytes and peripheral T cells.The percentage of CD45RA⁺ cells was dramatically increased amongthe most mature CD3^bright thymocytes and among CD4⁺ T cellsin lymph nodes of the NOD mouse as compared with control strains.This increase was related to the development of insulitls. Interestingly,the CD45RA isoform was expressed on most CD4⁺ T cells invadingthe islets. In vivo treatment with an antl-CD45RA mAb preventedthe development of insulitls and spontaneous diabetes in femaleanimals but not the transfer of diabetes by T cells collectedfrom diabetic NOD donors. These results indicate that anti-CD45RAmAb is only effective if given before the full commitment ofeffector T cells to the destruction of islet ß cells.ThusCD4⁺CD45RA⁺ T cells play a key role in early activation stepsof anti-islet immunity.     

Fas (CD95)-independent regulation of immune responses by antigen-specific CD4 CD8+ T cells

Antigen-activated T cells of the CD4⁺CD8^– and the CD4^–CD8⁺phenotype are susceptible to antigen receptor-stimulated celldeath. This form of apoptotic cell death has been shown to bedependent on the expression of the Fas (CD95) antigen and canoccur via an autocrine mechanism involving the concomitant up-regulationof Fas and its ligand on activated T cells. Mutations in genesencoding Fas (lpr) and the Fas ligand (gld) contribute to thedevelopment of an autoimmune syndrome similar to systemic lupuserythematosus in mice. These observations led to the suggestionthat the Fas signaling pathway is an important regulator ofimmune responses in vivo. Here we evaluated the importance ofthe Fas pathway in regulating immune responses by male antigen-specificCD4^–CD8⁺ T cells. We found that the in vivo eliminationof male antigen-activated cells was independent of Fas expressionby these cells. However, the elimination of these activatedcells was inhibited by the transgenic expression of Bcl-2, aprotein that inhibits multiple forms of apoptotic cell death.The transgenic Bcl-2 protein also inhibited the death of maleantigen-activated cells following IL-2 deprivation. Cell deathresulting from IL-2 deprivation occurred efficiently in maleantigen-activated Fas^- cells. We propose that the rapid deletionof male antigen-activated Fas^– cells in vivo is due tolimiting amounts of IL-2 that are available in the microenvironmentof the activated cells at the peak of the response.     

Immunolocalization of MMP-2 and MMP-9 in human rheumatoid synovium

Matrix metalloproteinase (MMP)-2 and MMP-9, two important members of the matrix metalloproteinase family, have been shown critical contributions in intra-tumor angiogenesis and invasion of tumor progression, and they might also play important roles in the angiogenesis as well as the pannus formation of rheumatoid arthritis (RA). In the present study, we used the immunohistochemistry, the immunofluorescence staining and the con-focal scanning methods to characterize the immunolocalization of MMP-2 and MMP-9 in RA synovium tissues. Our results showed that both MMP-2 and MMP-9 immunostaining could be found in synoviocytes and vascular endothelial cells. Moreover, our con-focal scanning also showed that MMP-2 could be found in infiltrating CD14⁺ monocytes and CD68⁺ macrophages, and MMP-9 could be found in infiltrating CD68⁺ macrophages in RA synovium tissues, while weak or negative staining of these two MMPs could be found in infiltrating CD20⁺B cells and CD3⁺T cells in RA synovium. Thus, our finding suggests that both MMP-2 and MMP-9 expressed by synoviocytes as well as certain infiltrating immune cells role importantly in the angiogenesis in RA progression.     

Centrocytes rapidly adopt a memory B cell phenotype on co-culture with autologous germinal centre T cell-enriched preparations

B cells, after mutating their Ig V-region genes in germinalcentres (GC), undergo apoptosis, unless they receive antigen-dependentselection signals. The signals appear to be delivered by GCT cells, require CD40 ligand expression and may induce differentiationto memory cells. Cultured GC B cells are prevented from enteringapoptosis by ligating their surface CD40, but the resultingphenotype is not that associated with B cells found in vivo.Conversely, GC B cells rapidly adopt a memory B cell phenotypeon culture with autologous memory CD4⁺ T cells that have beeninduced to express CD40 ligand transiently. This effect is preventedby blocking CD4⁺ ligand. Naive CD4⁺ T cells, induced to expressCD40 ligand, do not prevent GC B cells undergoing apoptosis.     

Selective accumulation of CCR5+ T lymphocytes into inflamed joints of rheumatoid arthritis

Chemokines and their receptors play critical roles in the selectiverecruitment of various subsets of leukocytes. Recent studieshave indicated that some chemokine receptors are differentiallyexpressed on T_h1 and T_h2 cells. However, available data concerningthe presence of T cells with a T_h1 or a T_h2 character and theexpression of chemokine receptors on infiltrating T cells inthe rheumatic joint are still limited. In this study, we investigatedthe expression of CC chemokine receptor 4 (CCR4) and CCR5, whichhave been shown to be preferentially expressed on T_h2 and T_h1respectively on T cells from rheumatoid arthritis (RA) patients.Although both CCR5⁺ and CCR4⁺ CD4⁺ T cell populations were observedin peripheral blood mononuclear cells from healthy controlsand osteoarthritis patients, these cell populations were decreasedin patients with active RA. In contrast, the vast majority ofsynovial fluid (SF) T cells from active RA patients expressedCCR5 but not CCR4. CCR5 ligands, MIP-1 and RANTES, were foundin RA SF at high levels. CCR5⁺ CD4⁺ T cells from SF mononuclearcells of RA patients produced IFN- but not IL-4 in responseto anti-CD3 stimulation in vitro. These results indicated thatdifferential expression of chemokine receptors plays a criticalrole for selective recruitment of pro-inflammatory T cells intothe joints of RA.     

IgM+CD27+ B cells possessed regulatory function and represented the main source of B cell-derived IL-10 in the synovial fluid of osteoarthritis patients

Synovial inflammation is observed in patients with osteoathritis (OA) and likely contributed to its exacerbation. Regulatory B (Breg) cells are shown to suppress inflammation in various diseases, including rheumatoid arthritis (RA). To examine whether Breg cells also participated in OA, we examined the synovial fluid from OA patients, and compared with that in RA patients. In OA synovial fluid, IL-10-producing B cells were present directly ex vivo and were increased upon stimulation, indicating that B cells were a source of IL-10 directly at the affected site of OA patients. Interestingly, the frequency of IL-10⁺ cells in synovial B cells was higher in OA patients than in RA patients, but the total number of IL-10⁺ B cells in OA was lower than that in RA, suggesting that OA patients presented lower B cell infiltration than RA patients. Phenotypical analysis demonstrated that the IL-10⁺ B cells were IgM⁺ and CD27⁺, but not CD24^hi or CD38^hi. To allow functional analysis of IgM⁺CD27⁺ B cells, the IgM⁺CD27⁺ B cells in the blood of OA patients were examined. These blood IgM⁺CD27⁺ B cells expressed more IL-10, but less CD80 and CD86 than non-IgM⁺CD27⁺ B cells. Blood IgM⁺CD27⁺ B cells suppressed the proliferation and IFN-γ expression of autologous T cells, and this effect could be reverted if IL-10 was inhibited. Furthermore, we found that patients with more severe OA presented lower levels of IL-10⁺ B cells in the synovial fluid. Together, our study described an IgM⁺CD27⁺ B cell subset in OA patients, which represented the major IL-10-secreting B cell type in the synovial fluid of OA patients and possessed regulatory function.     

Engagement of CD45 during in vitro priming enhances antigen-specific Th cell frequencies

CD45 is a transmembrane protein tyrosine phosphatase expressedby all lymphoid cells including T cells. Substantial experimentaldata has shown that CD45 maintains a permissive state for TCRsignaling. The highly glycosylated extracellular domain of CD45may be the site of Interaction with regulatory lectin-like counter-receptorson antigen-presenting cells. The mAb NDA5, recognizing a uniquebut broadly distributed epitope of CD45, was used to study thepossible immunoregulatory role of CD45 during antl-CD3 and antigen-specificCD4⁺ T cell activation. In vitro priming of peripheral bloodmononuclear cells with peptlde antigens in the presence of mAbNDA5 results in a higher frequency of antigen-specific T cells.The responses of both naive and memory T cells to peptide antigenswere sensitive to mAb NDA5-enhanced priming. Anti-CD3 activationof normal resting T cells, in the presence of mAb NDA5, resultedIn enhancement of tyrosine phosphorylation of specific intracellularproteins associated with TCR signal transduction. In cultureswithout antigen, mAb NDA5 down-regulated the cell surface expressionof both CD3 and CD4, yet did not stimulate proliferation ofresting T cells. Together these results suggest that engagementof CD45 during in vitro priming has a significant effect onthe development of antigen-specific T cell populations.     

Activation interferes with the APO-1 pathway in mature human T cells

One of the mechanisms to terminate a specific immune responsemay involve elimination of antigen activated T cells by programmedcell death, apoptosis. Apoptosis in activated T cells may beinduced via the TCR-CD3 complex or/and cell surface moleculeslike the APO-1 (Fas) antigen, a new member of the nerve growthfactor/tumor necrosis factor receptor superfamily. To investigateapoptosis in activated T cells we studied expression of APO-1and sensitivity to APO-1 mediated apoptosis in human peripheralT lymphocytes. APO-1 is not expressed on cord blood and themajority of resting T cells, but on activated T cells. One dayactivated T cells in culture showed activation induced resistanceto apoptosis (ARA). However, after prolonged in vitro culture,6 day activated T cells acquired sensitivity to activation inducedsensitivity to apoptosis (ASA). Restimulation of the ASA⁺ activatedT cells by triggering TCR-CD3 or CD2 induced prollferation andapoptosis in a fraction of the cells. In the surviving fractionof ASA⁺ activated T cells, however, this treatment reinduceda transient ARA⁺ phenotype. Thus, activation of resting matureT cells or restimulation of activated T cells may induce a translentresistance to apoptotic signals. Activation signals may interferewith the APO-1 pathway and may prevent elimination of activatedT cells in the periphery (peripheral selection).     

Molecular mechanisms of salivary gland destruction in patients with Sjogren's syndrome. ]

IFNgamma plays an important role to induce several functional molecules on salivary epithelial cells, including class II MHC, Fas and CD40 in salivary glands from patients with Sjogren's syndrome (SS). IFNgamma also contributes to the development of lymphocytic infiltrates by inducing T cell attracting chemokines in SS salivary epithelial cells, such as IP-10 (CXCL10), Mig (CXCL9), and I-TAC (CXCL11). IFNgamma dysregulation in SS salivary gland may attribute to the decreased production of TGFbeta from salivary epithelial cells in some patients. Expression of Fas and CD40 was significantly higher in SS salivary epithelial cells than in normal cells after IFNgamma stimulation. Although neither anti-Fas (CH11) nor anti-CD40 mAb alone could induce typical apoptosis, the two together and preincubation with IFNgamma efficiently induced apoptosis in SS salivary epithelial cells. This apoptosis was almost completely blocked by neutralizing anti-Fas mAb (ZB4). c-FLIP, an important inhibitory molecule in the Fas death pathway, was strongly expressed in SS salivary epithelial cells, but its expression was downregulated, at the protein level, by anti-CD40 mAb. CD40 signals promote Fas-dependent death of SS salivary epithelial cells by downregulating c-FLIP expression. The presence of c-FLIP in these cells may explain their resistance to undergo apoptosis in response to either anti-Fas or anti-CD40 mAb, despite their surface expression of both proteins. These findings suggest that SS salivary epithelial cell death requires the cooperation of Fas and CD40.     

CD147分子通过VEGF促进类风湿关节炎滑膜组织中的血管新生

目的观察类风湿关节炎(RA)滑膜组织中CD147表达强度与血管内皮生长因子(VEGF)表达水平间的相关性,并探讨成纤维样滑膜细胞(FLS)表面CD147的水平变化对VEGF表达的影响。方法收集15例RA患者滑膜,以4例骨关节炎(OA)患者滑膜作对照,采用免疫组织化学SP染色方法检测滑膜组织中CD147和VEGF的表达;体外原代培养FLS细胞,分别加入CD147抗体,PI3K通路阻断剂,MAPK通路的ERK1/2、P38及JNK阻断剂等作用FLS细胞,ELISA检测细胞培养上清中VEGF的表达水平。结果与4例OA滑膜组织CD147和VEGF表达相比,15例RA滑膜组织中均有CD147、VEGF均高表达。其中,表达CD147的细胞主要为成纤维样滑膜细胞、单核-巨噬细胞和淋巴细胞;表达VEGF的细胞主要为成纤维样滑膜细胞、微血管周围成纤维样细胞及血管平滑肌细胞。滑膜组织中CD147和VEGF的表达强度间具有统计学意义。ELISA结果显示,在使用LY294002或抗HAb18GmAb阻断CD147表达后,VEGF的表达量显著下降(P<0.05);而MAPK阻断剂(PD98059、SP600125和SB203580)等对VEGF表达水平无统计学意义(P>0.05)。结论CD147经PI3K-Akt信号通路在RA滑膜组织中上调VEGF促进血管新生。提示CD147在RA血管新生和血管翳形成中有重要意义。     

On the mechanism of human T cell suppression

Previous evidence from several laboratories suggests that CD8⁺T suppressor cells may be important regulatory elements governingspecific unresponsiveness of lepromatous leprosy patients toM.leprae. To analyse the mechanism of suppression, CD8⁺ Ts cloneswere established from lesions and peripheral blood of lepromatouspatients and tested for ability to suppress antigen-responsiveCD4⁺ Th clones or PBL. Suppression required induction by specificM.leprae antigen, but was effected in an antigen-non-specificfashion. The Ts clones failed to exhibit cytotoxicity of fourantigen-exposed MHC-matched target cells: (i) an ori-SV4O transformedmacrophage line; (ii) EBV transformed B cell lines; (iii) primarymacrophages; and (iv) M.leprae responsive CD4⁺ cells. The possibllitythat Ts clones induce functional inactivation of CD4⁺ clonesin vitro was investigated. M.leprae-responsive CD4⁺ clones werepreincubated with Ts CD8⁺ clones, APC, and antigen for 16 h,after which the CD8⁺ cells were removed. The CD4⁺ clones withM.leprae and APC remained unresponsive to restimulation withAPC and antigen for at least 10 days, although they respondedto IL-2. Addition of IL-2 to the pre- or post- incubation culturesneither prevented the induction of unresponsiveness, nor reversedit. Earlier models of tolerance have suggested that receptoroccupancy in the absence of second signals induces tolerancein B and T cells. Under conditions in which antigen responsesof Th clones were HLA-DR-restricted, the Ts clones were ableto suppress the response of DR mismatched Th clones. Thus, theeffect of the Ts cells, like mechanisms requiring antigen presentationwithout a second signal, appears to be induction of clonal anergyin Th cells, perhaps by a novel mechanism.     

CD4+CD45RA+T cells from adults respond to recall antigens after CD28 ligation

The leukocyte common antigen isoforms CD45RA and CD45RO havelong been used to discriminate human naive and memory T cellsrespectively. This model was largely based on the observationthat CD45RO⁺ T cells respond preferentially to and show a higherfrequency of precursors specific for recall antigens. However,CD45RA⁺ T cells have more stringent requirements for stimulationand standard in vitro assays may favour CD45RO⁺ cells in thisrespect. We tested the hypothesis that CD45RAf T cells respondpoorly to in vitro stimulation with recall antigens becauseof inadequate stimulation rather than a lack of precursors.Limiting dilution analyses (LDA) for tetanus toxoid (lT)-specificT cells were performed in the presence or absence of exogenousantLCD28 antibody. Addition of antLCD28 yielded no proliferationin the absence of specific antigen. The precursor frequencyfor lT in the CD4⁺ CD45RO⁺ population was –1:4000, whilethe frequency of CD4⁺ CD45RA⁺ T cells specific for lT was 4-to >>20-fold lower. Addition of anti-CD28 antibody didnot significantly alter the apparent precursor frequency forCD45RA⁺ cells but yielded an enhancement of the value for CD45RA⁺cells by 3- to >>5-fold. No enhancement of antigen-specificproliferation by antLCD28 was observed with CD45RA⁺ T cellsderived from cord blood, although phytohemagglutinin responsesof these cells were amplified by CD28 antibody. These resultsindicate that conventional LDA underestimate the true precursorfrequency of antigen-specific cells within the adult CD45RA⁺population and support the possibility that a small number ofcells revert from a primed (CD45RO⁺) to an unprimed (CD45RA⁺)state. The majority of memory T cells, however, appear to residein the CD45RO⁺ population     

Human CD4/CD45RA+ and CD4/CD45RA T cell subsets express CD4-p56lck complexes, CD4-associated lipid kinases, TCR/CD3-p59fyn complexes, and share similar tyrosine kinase substrates

T cell activation appears to be regulated by an interplay betweenprotein tyrosine kinases (PTKs) and protein tyrosine phosphatases(PTPases). p56^lck and p59^fyn have been found to associate withCD4 and TCR-CD3 respectively. The CD45 family of transmembranePTPases has been shown to be able to regulate the activitiesof these receptor-associated PTKs in vitro. In man, CD45 containsfive different isoforms whose distribution defines subsets ofT cells having distinct activation requirements and in vitrofunctions.Several groups have reported a physical interaction betweendistinct isoforms of CD45 and CD2, CD4, and the TCR-CD3 complex.Given the potential regulatory interaction between CD45 andPTKs in CD4⁺ subsets expressing different CD45 isoforms, wehave examined CD4 associated and TCR-CD3^– associated PTKactivities, associated phosphatidyl inositoi (PI) kinases andsubstrates of tyrosine phosphoryiation in CD45RA⁺and CD45RA^–CD4⁺ T cell lines derived from peripheral blood. Both subsetsexpress CD4-assoclated p56^lck and TCR-CD3-associated p59^fynkinases which exhibit identical in vitro phosphoryiation atthe Y-394 and Y-420 autophosphorylation sites respectively.Further, both subsets exhibited PI kinases activity associatedwith CD4-p56^lck. Consistent with these observations, anti-CD3crosslinklng induced the phosphoryiation of a similar spectrumof intracellular substrates in these CD45RA⁺and CD45RA^–CD4⁺ T cell lines. These observations indicate that despitethe possible interaction between CD45 isoforms and CD4 or TCR-CD3,the mere expression of the CD45RA isoform does not in and ofitself alter the presence of receptorassociated kinases or theirintracellular targets.     

Superantigen-reactive T cells that display an anergic phenotype in vitro appear functional in vivo

Clonal deletion and/or inactivation establishes tolerance toself antigens. Endogenous and exogenous (bacterial) superantigens,like the staphylococcal enterotoxlns, induce ligand-specificclonal anergy in vivo and thus are believed to mirror aspectsof post-thymic tolerance mechanisms in mature peripheral T cells.Here we analyzed the level of anergy of ligand-responsive V_ß8⁺T cells from staphylococcal enterotoxin B (SEB)-primed micein vivo and in vitro. Upon in vitro restimulation with SEB,CD4⁺V_ß8⁺ and CD8⁺V_ß8⁺ T cells failed toproduce IL-2. However, functional IL-2 receptors were triggered,since supplementation with IL-2 induced clonal growth in virtuallyall CD4⁺V_ß8⁺ and CD8⁺V_ß8⁺ T cells as determinedby limiting dilution analyses. Thus in vitro unresponslvenessof lymphocytes from SEB-primed mice reflects the inability ofSEB-reactlve V_ß8⁺ T cells to produce IL-2. Surprisingly,anergy as defined in vitro was at variance with that in vivo.Following further challenge with SEB, systemic and acute lymphokineproduction (Including IL-2 and tumor necrosis factor) occurredwith almost identical peak values and kinetics to primary invivo responses, and D-galactosamlne-sensltlzed mice succumbedto lethal shock. Polymerase chain reaction analyses revealedthat CD4⁺V_ß8⁺ expressed IL-2-specific mRNA in vivoupon restimulatlon with SEB. While lymphokine production andexpression of the IL-2 receptor was similar to the responseto in vivo primary stimulation, only CD8⁺V_ß8⁺ T cellsexpanded clonally upon reintroductlon of SEB in vivo. Henceprimed V_ß8⁺ T cells challenged with SEB display invitro anergy yet in vivo responsiveness, at least in part. Weconclude that the state of anergy is reversible, dependent uponthe quality of activation signals provided in in vivo ratherthan in in vitro culture conditions.     

Aberrant integrin activation induces p38 MAPK phosphorylation resulting in suppressed Fas-mediated apoptosis in T cells: Implications for rheumatoid arthritis

Delayed Fas-mediated apoptosis in T cells is associated with inflammatory diseases including rheumatoid arthritis (RA). CD3⁺ T cells in RA synovia expressed high amounts of phospho-p38 MAPK. Exposure to RA synovial fluid or soluble collagen, a degradation product of extracellular matrix abundant in RA synovium, induced the phosphorylation of p38 MAPK in Jurkat T cells accompanied by resistance against Fas-mediated apoptosis. Blocking β1 integrin by antibody diminished this effect. In addition, ectopic expression of auto-activated β1 integrin variant in T cells profoundly induced the phosphorylation of p38 MAPK. Suppression of p38 MAPK sensitized T cells to Fas-mediated apoptosis and increased caspase-8 and caspase-3 cleavage. A physical interaction of p38 MAPK and caspase-8 was demonstrated by using confocal microscopic imaging and co-immunoprecipitation assay. RA synovial fluid markedly increased the formation of phospho-p38 MAPK/caspase-8 complex in Jurkat T cells. In conclusion, abnormal activation of p38 MAPK to prevent Fas-mediated apoptosis may represent a common survival mechanism of RA synovial T cells contributing to the persistent inflammation of affected synovium.