MHC class I (MHC-I) molecules present short (8-10 amino acids) peptides derived from proteins synthesized by each cell. MHC-I molecules on healthy cells present self peptides derived from endogenous proteins. Viral infection leads to presentation of non-self virus-derived peptides on MHC-I, but even infected cells present non-self peptides in the presence of large amounts of self peptide-MHC (pMHC). MHC-I is recognized by the T cell receptor (TCR) and the CD8 co-receptor on T cells. TCR binding affinity to peptide pMHC is highly dependent on the sequence of presented peptides, whereas CD8 binding is peptide-independent. TCR binding to non-self agonist pMHC complex leads to T cell activation and effector functions. Non-stimulatory self pMHC complexes do not induce T cell activation and effector functions, but can enhance T cell responses to agonist pMHC, through a process termed co-agonism1,2,3. Co-agonism has been observed in mouse CD4+ T cells4,5,6 as well as in mouse and human CD8+ T cells7,8,9,10,11,12,13. Under physiological conditions, T cells need to recognize limited quantities of agonist pMHC on antigen presenting cells (APCs) co-presenting high levels of non-stimulatory pMHC complexes, suggesting that co-agonism contributes to optimal T cell responses in vivo. Total cell surface MHC class I levels are frequently downregulated during viral infections14 and on tumors15. This immune evasion strategy decreases agonist pMHC presentation, but also reduces the amount of co-agonist pMHC I available for T cell activation enhancement. Moreover, high cell surface expression levels of the MHC class I molecule HLA-C have been shown to correlate with improved HIV control16, suggesting a critical role for total MHC class I expression in T cell activation. Despite the physiological significance of co-agonism, its molecular mechanism is still incompletely understood. This is largely due to technical challenges of experimentally controlling the amount of presented co-agonist pMHC while keeping agonist pMHC constant.
We developed an experimental system to investigate co-agonism during human CD8+ T cell activation by expressing human MHC class I molecules presenting pre-determined peptide as single polypeptide (single chain MHC-I, Figure 1A) in a xenogeneic cell line9,10. Single chain (sc) agonist pMHC was expressed under control of tetracycline-inducible promoter in the hamster-derived T-REx CHO cell line expressing tetracycline repressor; this allows very low “leaky” expression of sc agonist pMHC in the absence of tetracycline and high sc agonist pMHC expression after addition of tetracycline (Figure 1B,C). The sc agonist pMHC-expressing T-REx CHO cells were then supertransfected with non-stimulatory, co-agonist sc pMHC-I under control of a constitutively active promoter (Figure 1B,C). Use of this experimental system allowed us to compare CD8+ T cell responses to agonist pMHC in the presence or absence of high levels of non-stimulatory pMHC. Critically, since peptide and MHC-I heavy chain are covalently linked in the scMHC-I format, this allows introductions of mutations into MHC molecules presenting pre-determined peptides. Use of scMHC-I technology thus allowed us to specifically modulate TCR or CD8-binding properties of agonist or co-agonist pMHC.
Co-agonism in CD8+ T cell activation has been observed using purified MHC-I complexes presenting agonist and co-agonist peptides in the form of heterodimers11,17 or presented on quantum dots12,13. Early work on co-agonism in CD8+ T cell activation in the context of agonist pMHC recognition on APC used TAP2-deficient cell lines as APCs. TAP is required for peptide transport from the cytoplasm to the endoplasmic reticulum, and TAP-deficiency severely reduces the pool of available MHC class I-binding peptides. In the absence of peptides, the nascent complex of MHC class I heavy chain and β2-microglobulin is unstable, resulting in very low MHC-I cell surface expression. Initially, comparison of T cells stimulated with antigen loaded on TAP-sufficient and -deficient mouse RMA and RMA-S cell lines, respectively, as APCs, did not reveal any evidence for co-agonism during mouse T cell activation18. However, use of this experimental system did not allow precise control over the amount of agonist pMHC presented independently of non-stimulatory self pMHC. Moreover, these two cell lines may also differ in expression of other molecules that modulate T cell activation, such as ligands to T cell co-stimulatory or inhibitory receptors, or adhesion molecules.
Subsequently, we developed a protocol for loading TAP2-deficient RMA-S cells with exogenous peptides to allow presentation of a fixed amount of agonist pMHC in the presence or absence of non-stimulatory pMHC. This was achieved through the following: incubation of TAP2-deficient RMA-S cells at lower temperatures (28 °C, instead of the usual 37 °C) to stabilize empty MHC class I heavy chain/β2 microglobulin complexes19; incubation at 28 °C with exogenous agonist peptide; incubation at 28 °C in the presence or absence of exogenous non-stimulatory peptide; and incubation at 37 °C to reduce cell surface expression of empty MHC class I complexes8,9. Use of this experimental set-up revealed that the presence of non-stimulatory pMHC enhanced activation of mouse thymocytes, naïve peripheral CD8+ T cells and CTLs8. Mechanistically, the presence of non-stimulatory pMHC can induce CD8 recruitment to the T cell:APC immune synapse even in the absence of agonist pMHC, and non-stimulatory pMHC can enhance TCR interaction with CD8 coreceptor7,8. However, this experimental system does not allow testing the relative contributions of TCR and CD8 coreceptor binding to agonist and co-agonist pMHC in mediating the activation enhancement, as any modifications altering TCR or CD8 binding to MHC class I would affect all MHC molecules, regardless of the presented peptide. We therefore used MHC class I single chain technology to overcome this problem.
The single chain (sc) MHC class I format has been used before to improve antigenic pMHC presentation for therapeutic strategies, and to answer fundamental questions on mechanisms of TCR and NK cell receptor activation and function20,21. scMHC-I consists of peptide, β2-microglobulin and MHC-I heavy chain joined by two flexible serine/glycine-rich linkers (Figure 1A), several different linker sequences have been developed and tested22. scMHC-I can fold independently of the TAP complex and chaperone proteins required for conventional pMHC complex assembly20. scMHC-I have been shown to fold correctly, as determined using conformation-specific antibody staining22 and by solving sc structure with X-ray crystallography23. The basic scMHC-I design has been modified to improve binding of low affinity peptides24,25.
This protocol describes the use of human scMHC-I to investigate co-agonism during human CTL clone activation. The protocol has been optimized for human CTL clone specific for an epitope of Hepatitis B virus (HBV). HBV is a severe healthcare burden worldwide, as there are 350 million people infected with HBV and chronic HBV infection can lead to development of hepatocellular carcinoma (HCC). HCC cells resulting from HBV infection can usually present HBV-derived epitopes and can be recognized by specific human T cells. HBV and HCC clearance relies on the human T cell responses26, but HCC patients often suffer from T cell exhaustion and reduced T cell responses27. Introduction of HBV-specific TCR into T cells of HBV has been tried as a potential immunotherapy strategy to eliminate chronic HBV infection28. However, it is unknown if this method will be effective in a clinical setting, due to the low levels of surface MHC-I in human hepatocytes29. Therefore, understanding the mechanism of coagonism may provide alternative perspectives for immunotherapy of HBV, possibly by enhancing the presentation of endogenous pMHC to induce co-agonism-mediated T cell responses. The protocol covers all the necessary steps for research on human co-agonism: transfection of T-REx CHO cells with agonist and co-agonist sc pMHC, generation of stable T-REx CHO cell lines, culture of HBV-specific human CTL CD8+ T cell line and CTL activation experiments quantifying cytokine production and degranulation in response to T-REx CHO cells. Although we focus on using the sc MHC class I technology to investigate co-agonism during HBV T cell activation, it must be noted that the presented methods can easily be adapted for research on other aspects of T cell activation in human T cell systems with known pMHC-I specificity.
This protocol uses a human CD8+ CTL line specific for HBV-derived peptide E183-91 (FLLTRILTI: "E183")30 presented on HLA-A2. sc HLA molecules consisting of a signal sequence from human β2-microglobulin, a HLA-A2 binding peptide of interest, a glycine/serine linker, a human β2-microglobulin, a glycine/serine linker and a A2 heavy chain can be commercially synthesized (Figure 1A). Plasmids encoding scA2 constructs with agonist E183 peptide, or coagonist HIV GAG (SLYNTVATL)31 peptides are available from the authors upon request. The peptide sequence can be changed using site directed-mutagenesis. A tetracycline-inducible vector pcDNA5/TO was used to express the agonist single chain HLA-A2 with E183 peptide (sc E183-HLA-A2). In the presence of tetracycline repressor, the pcDNA5/TO plasmid allows only very low, “leaky” expression of the protein of interest; high expression can be induced by the addition of tetracycline (Figure 1B,C). Use of a tetracycline-inducible expression system allows control over the amount of cell surface agonist pMHC expression. A constitutive expression plasmid pcDNA3.1 was used to express coagonist scA2 with GAG peptide (sc GAG-HLA-A2). The tetracycline-regulated expression (T-REx) CHO cell line (hamster cell line, no endogenous human MHC) was used to express agonist and co-agonist sc-HLA-A2 constructs. This experimental system allows precise control over pMHC presentation (Figure 1C): no pMHC presentation (untransfected T-REx), a high amount of co-agonist pMHC presentation (constitutive sc GAG-HLA-A2 expression), a low amount of agonist pMHC presentation (sc E183-HLA-A2 in the absence of tetracycline), a high amount of agonist pMHC presentation (sc E183-HLA-A2 in the presence of tetracycline), a low amount of agonist pMHC presentation and high expression of co-agonist pMHC (sc E183-HLA-A2 in the absence of tetracycline, and constitutive sc GAG-HLA-A2 expression). Use of this experimental system allows precise control of cell surface amounts of agonist and coagonist pMHC.