The Tetramer Transformation Peter C. Doherty J Immunol 2011; 187:5-6; ; This information is current as doi: 10.4049/jimmunol.1101297 of September 24, 2021. http://www.jimmunol.org/content/187/1/5 Downloaded from References This article cites 33 articles, 11 of which you can access for free at: http://www.jimmunol.org/content/187/1/5.full#ref-list-1

Why The JI? Submit online. http://www.jimmunol.org/ • Rapid Reviews! 30 days* from submission to initial decision

• No Triage! Every submission reviewed by practicing scientists

• Fast Publication! 4 weeks from acceptance to publication

*average by guest on September 24, 2021 Subscription Information about subscribing to The Journal of is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts

The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2011 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Tetramer Transformation Peter C. Doherty

wo events that were very significant in my life hap- This is where the field was (9) when I gave my December pened in October 1996. The first was an early 1996 Nobel Lecture in Stockholm (3). Although the overall T morning call from Stockhom telling me that Rolf concepts we were working with at that time remain funda- Zinkernagel and I were to share the Nobel Prize for Physiology mentally sound, tetramer staining (2, 10) experiments done or Medicine. The second was the publication of the peptide 1 through 1997–1998 showed that our 1996 understanding of 1 MHC class I (pMHCI) tetramer staining technology for responder CD8 numbers was at least 10-fold off! 1 identifying HIV-specific CD8 T cells (1). At that time, I was Perhaps the inherent inefficiency of the LDA technique very aware of the former and, being totally distracted, quite reflects that only a small subset of CTL precursors can be ignorant of the latter. That changed in the following year, expanded under these culture conditions. Although, for ex- Downloaded from 1 1 when Rafi Ahmed at Emory University made contact and sug- ample, CD62Lhi and CD62Llo tetramer CD8 precursors gested we should use the tetramer approach to look at the in- are found through both the acute and the early memory 1 fluenza virus-specific CD8 T cell response. Kirsten Flynn phases of the influenza-specific response (11), the T cells mea- traveled there to learn the technique from John Altman, who sured by LDA subsequent to cell sorting all had the more had moved to Atlanta by then, and Kirsten and Gabrielle Belz “activated” CD62Llo phenotype, with the CD62Lhi set then did our first experiments (2) using tetramers made at Emory. emerging as late as a year after the initial priming (6). http://www.jimmunol.org/ For more than a decade before that, part of my research The first tetramer experiments that provided an accurate 1 1 focus had been to put virus-specific CD8 T cell immunity on picture of response kinetics and the extent of CD8 T cell a sound, quantitative basis. The original, 1973–1975 defini- proliferation following virus challenge appeared in 1998 (2, tion of lymphocytic choriomeningitis virus (LCMV)-specific 10), along with an IFN-g ELISPOT analysis from Mike Bevan 1 MHCI-restricted CD8 CTL activity, and the subsequent and Eric Butz (12) that gave much the same results. We retired conceptual interpretation that led to the Nobel Prize, de- our Cobra counter, and it sat gathering dust. Then the intra- pended on the use of the in vitro [51Cr] release assay and in cellular staining (ICS) assay (13), which uses in vitro vivo adoptive transfer experiments (3). The latter, although peptide stimulation in the presence of brefeldin A (to hold by guest on September 24, 2021 cumbersome and using an approach that was peculiar to the protein in the Golgi), came into general use (14) and confirmed LCMV system, was much more sensitive than the in vitro both the tetramer and the ELISPOT counts. It is much easier assay, which gives numbers but is at best semiquantitative. to make peptide than to produce pMHCI tetramers, so ICS 1 The subsequent years saw the emergence of the techni- has found wide application for the measurement of CD8 cally demanding limiting dilution analysis (LDA) as the “gold T cell responses (15). In addition to being the “poor man’s” standard” for counting Ag-specific T cells (4, 5). By 1996, our counting system, the spectrum of peptide-induced polyfunc- LDA experiments were keeping a 10-channel gamma counter tional cytokine production has also been used as an estimate (the Cobra) running almost continuously. If, for example, of TCR/pMHCI avidity (16). Another way of doing this has we wanted to establish the CD62L or CD44 phenotypes of been to measure the rate of elution for bound tetramers (17). effector or memory T cells, we first had to stain with Ab, Beyond the numbers, though, the tetramers have the ad- separate the cells using the FACS, and then stimulate the vantage over the ICS approach in that they allow us to probe 1 sorted population for 6 d in microculture wells before adding the molecular status of viable, unfixed, Ag-specific CD8 the 51Cr-labeled targets (6). It was very hard work and the T cells recovered directly ex vivo from mice, humans (1), 1 counts were low. In general, ,1:100–1:1000 CD8 T cells nonhuman primates (18, 19), and so forth. Now, if we want 1 were thought to be responders. Even so, the LDA approach to determine the activation phenotype of responding CD8 did provide rigorous evidence to support the, at times, dis- T cells, it is simply a matter of staining for cell-surface ex- 1 puted (7, 8) view that virus-specific CD8 T cell responses pression and measuring the numbers of, for instance, tetra- 1 were characterized by both Ag-driven clonal expansion and mer CD44hiCD62LloIL7RloKLRG1hi cells using the FACS the persistence of memory. (20). The tetramers have allowed us to make direct measure- 1 ments of the extent of CD8 T cell proliferation in “wild- 1 type,” virus-specific CD8 T cell responses (21). That had Department of Microbiology and Immunology, University of Melbourne, Mel- bourne, Australia 3010; and Department of Immunology, St. Jude Children’s been possible for the analysis of adoptively transferred, TCR- Research Hospital, Memphis, TN 38105 transgenic T cells (22), but such experiments gave little insight Address correspondence and reprint requests to Dr. Peter C. Doherty, Department into, for example, the quantitative basis of the highly repro- of Microbiology and Immunology, University of Melbourne, Melbourne, Australia ducible CTL immunodominance hierarchies (21). 3010. E-mail address: [email protected] 1 Tetramers were soon made to probe the CD4 Tcell Copyright Ó 2011 by The American Association of Immunologists, Inc. 0022-1767/11/$16.00 (pMHCII), NK cell (pHLA-E), and NKT cell (aGalCer 1 www.jimmunol.org/cgi/doi/10.4049/jimmunol.1101297 6 PILLARS OF IMMUNOLOGY

CD1) responses (23–25). Marc Jenkins (26) worked out how to 8. Ku¨ndig, T. M., M. F. Bachmann, P. S. Ohashi, H. Pircher, H. Hengartner, and use pMHCII tetramers, in combination with very demanding R. M. Zinkernagel. 1996. On T cell memory: arguments for dependence. 1 Immunol. Rev. 150: 63–90. enrichment procedures, to isolate naive CD4 T cells from 9. Doherty, P. C., D. J. Topham, and R. A. Tripp. 1996. Establishment and persistence of virus-specific CD41 and CD81 T cell memory. Immunol. Rev. 150: 23–44. peripheral lymphoid tissue. Application of that approach (21, 10. Murali-Krishna, K., J. D. Altman, M. Suresh, D. Sourdive, A. Zajac, and 27) has allowed us to look at both the size and the spectrum of R. Ahmed. 1998. In vivo dynamics of anti-viral CD8 T cell responses to different 1 TCR diversity for naive CD8 T cell repertoires and to follow epitopes. An evaluation of bystander activation in primary and secondary responses to viral infection. Adv. Exp. Med. Biol. 452: 123–142. how that translates into effector and memory T cell responses 11. Kedzierska, K., J. Stambas, M. R. Jenkins, R. Keating, S. J. Turner, and following Ag challenge. Our own group has made extensive P. C. Doherty. 2007. Location rather than CD62L phenotype is critical in the early establishment of influenza-specific CD81 T cell memory. Proc. Natl. Acad. Sci. use of single-cell sorting and RT-PCR to characterize in- USA 104: 9782–9787. dividual TCRb and, more recently, TCRab CDR3 regions 12. Butz, E. A., and M. J. Bevan. 1998. Massive expansion of antigen-specific CD81 T cells during an acute virus infection. Immunity 8: 167–175. (28). Knowing the CDR3ab sequence at both the amino acid 13. Jung, T., U. Schauer, C. Heusser, C. Neumann, and C. Rieger. 1993. Detection of and the nucleotide level means that individual clonotypes can intracellular by flow cytometry. J. Immunol. Methods 159: 197–207. 14. Suni, M. A., L. J. Picker, and V. C. Maino. 1998. Detection of antigen-specific be followed from the initial response through to long-term T cell cytokine expression in whole blood by flow cytometry. J. Immunol. Methods memory (11). In general, the results confirm the extraordinary 212: 89–98. stability of the memory T cell compartment, at least for mouse 15. Maecker, H. T., J. Hassler, J. K. Payne, A. Summers, K. Comatas, M. Ghanayem, M. A. Morse, T. M. Clay, H. K. Lyerly, S. Bhatia, et al. 2008. Precision and populations held under specific pathogen-free conditions. The linearity targets for validation of an IFNgamma ELISPOT, cytokine flow cytom- same type of approach can be used to characterize the pro- etry, and tetramer assay using CMV peptides. BMC Immunol. 9: 9. 16. Slifka, M. K., and J. L. Whitton. 2001. Functional avidity maturation of CD8(1) gressive expression and loss of mRNA for various effector mol- Downloaded from 1 T cells without selection of higher affinity TCR. Nat. Immunol. 2: 711–717. ecules, such as the granzymes and perforin, as the CD8 17. Kalergis, A. M., N. Boucheron, M. A. Doucey, E. Palmieri, E. C. Goyarts, Z. Vegh, I. F. Luescher, and S. G. Nathenson. 2001. Efficient T cell activation requires an T cell response progresses and then contracts following the optimal dwell-time of interaction between the TCR and the pMHC complex. Nat. cessation of Ag challenge (29). Immunol. 2: 229–234. Tetramer technology (1, 23) thus transformed T cell im- 18. Rollman, E., M. Z. Smith, A. G. Brooks, D. F. Purcell, B. Zuber, I. A. Ramshaw, and S. J. Kent. 2007. Killing kinetics of simian immunodeficiency virus-specific CD81 munology by enabling accurate quantitation, facilitating the T cells: implications for HIV strategies. J. Immunol. 179: 4571–4579. rigorous definition of activation phenotypes and receptor rec- 19. Kuroda, M. J., J. E. Schmitz, D. H. Barouch, A. Craiu, T. M. Allen, A. Sette, http://www.jimmunol.org/ D. I. Watkins, M. A. Forman, and N. L. Letvin. 1998. Analysis of Gag-specific ognition, and allowing the direct analysis of molecular ex- cytotoxic T lymphocytes in simian immunodeficiency virus-infected rhesus mon- pression profiles for TCRs and effector molecules in viable keys by cell staining with a tetrameric major histocompatibility complex class I-peptide complex. J. Exp. Med. 187: 1373–1381. lymphocytes taken directly from the spleen of an infected 20. Hand, T. W., M. Morre, and S. M. Kaech. 2007. Expression of IL-7 receptor alpha mouse or the arm of a sick human being (28–30). The process is necessary but not sufficient for the formation of memory CD8 T cells during viral infection. Proc. Natl. Acad. Sci. USA 104: 11730–11735. of technological development continues and, for example, 21. La Gruta, N. L., W. T. Rothwell, T. Cukalac, N. G. Swan, S. A. Valkenburg, staining with combinations of pMHCI tetramers labeled K. Kedzierska, P. G. Thomas, P. C. Doherty, and S. J. Turner. 2010. Primary CTL with different fluorochromes now permits the characterization response magnitude in mice is determined by the extent of naive T cell recruitment and subsequent clonal expansion. J. Clin. Invest. 120: 1885–1894.

of multiple T cell specificities within a single, small sample of 22. Zinkernagel, R. M., D. Moskophidis, T. Ku¨ndig, S. Oehen, H. Pircher, and by guest on September 24, 2021 human blood (31, 32). In general, the tetramers are playing H. Hengartner. 1993. Effector T-cell induction and T-cell memory versus periph- eral deletion of T cells. Immunol. Rev. 133: 199–223. a major part as we seek to translate the insights gained from 23. Crawford, F., H. Kozono, J. White, P. Marrack, and J. Kappler. 1998. Detection of experimental animal models for application in humans. Be- antigen-specific T cells with multivalent soluble class II MHC covalent peptide complexes. Immunity 8: 675–682. yond that, they also contribute enormously to the process of 24. Braud, V. M., D. S. Allan, C. A. O’Callaghan, K. So¨derstro¨m, A. D’Andrea, developing new insights from the direct analysis of cell- G. S. Ogg, S. Lazetic, N. T. Young, J. I. Bell, J. H. Phillips, et al. 1998. HLA-E binds to mediated immunity in outbred species like us (33). natural killer cell receptors CD94/NKG2A, B and C. Nature 391: 795–799. 25. Matsuda, J. L., O. V. Naidenko, L. Gapin, T. Nakayama, M. Taniguchi, C. R. Wang, Y. Koezuka, and M. Kronenberg. 2000. Tracking the response of natural killer T cells to a glycolipid antigen using CD1d tetramers. J. Exp. Med. 192: Disclosures 741–754. 26. Moon, J. J., H. H. Chu, M. Pepper, S. J. McSorley, S. C. Jameson, R. M. Kedl, The author has no financial conflicts of interest. and M. K. Jenkins. 2007. Naive CD4(1) T cell frequency varies for different epitopes and predicts repertoire diversity and response magnitude. Immunity 27: 203–213. 27. Obar, J. J., K. M. Khanna, and L. Lefranc¸ois. 2008. Endogenous naive CD81 References T cell precursor frequency regulates primary and memory responses to infection. 1. Altman, J. D., P. A. H. Moss, P. J. R. Goulder, D. H. Barouch, M. G. McHeyzer- Immunity 28: 859–869. Williams, J. I. Bell, A. J. McMichael, and M. M. Davis. 1996. Phenotypic analysis 28. Dash, P., J. L. McClaren, T. H. Oguin III, W. Rothwell, B. Todd, M. Y. Morris, of antigen-specific T lymphocytes. Science 274: 94–96. J. Becksfort, C. Reynolds, S. A. Brown, P. C. Doherty, and P. G. Thomas. 2011. 2. Flynn, K. J., G. T. Belz, J. D. Altman, R. Ahmed, D.L. Woodland, and Paired analysis of TCRa and TCRb chains at the single-cell level in mice. J. Clin. P. C. Doherty. 1998. Virus-specific CD81 T cells in primary and secondary in- Invest. 121: 288–295. fluenza pneumonia. Immunity 8: 683–691. 29. Jenkins, M. R., K. Kedzierska, P. C. Doherty, and S. J. Turner. 2007. Heteroge- 3. Doherty, P. C. 1997. The Nobel Lectures in Immunology. The Nobel Prize for neity of effector phenotype for acute phase and memory influenza A virus-specific Physiology or Medicine, 1996. Cell mediated immunity in virus infections. Scand. CTL. J. Immunol. 179: 64–70. J. Immunol. 46: 527–540. 30. Gras, S., L. Kedzierski, S. A. Valkenburg, K. Laurie, Y. C. Liu, J. T. Denholm, 4. Swain, S. L., P. R. Panfili, R. W. Dutton, and I. Lefkovits. 1979. Frequency of M. J. Richards, G. F. Rimmelzwaan, A. Kelso, P. C. Doherty, et al. 2010. Cross- allogeneic helper T cells responding to whole H-2 differences and to an H-2K reactive CD81 T-cell immunity between the pandemic H1N1-2009 and H1N1- difference alone. J. Immunol. 123: 1062–1067. 1918 influenza A viruses. Proc. Natl. Acad. Sci. USA 107: 12599–12604. 5. Allouche, M., J. A. Owen, and P. C. Doherty. 1982. Limit-dilution analysis of weak 31. Newell, E. W., L. O. Klein, W. Yu, and M. M. Davis. 2009. Simultaneous de- influenza-immune T cell responses associated with H-2Kb and H-2Db. J. Immunol. tection of many T-cell specificities using combinatorial tetramer staining. Nat. 129: 689–693. Methods 6: 497–499. 6. Tripp, R. A., S. Hou, and P. C. Doherty. 1995. Temporal loss of the activated 32. Hadrup, S. R., A. H. Bakker, C. J. Shu, R. S. Andersen, J. van Veluw, L-selectin-low phenotype for virus-specific CD81 memory T cells. J. Immunol. P. Hombrink, E. Castermans, P. Thor Straten, C. Blank, J. B. Haanen, et al. 2009. 154: 5870–5875. Parallel detection of antigen-specific T-cell responses by multidimensional encoding 7. Eichmann, K., K. Fey, R. Kuppers, I. Melchers, M. M. Simon, and H. U. Weltzien. of MHC multimers. Nat. Methods 6: 520–526. 1983. Network regulation among T cells; conclusions from limiting dilution 33. Davis, M. M. 2008. A prescription for human immunology. Immunity 29: 835– experiments. Springer Semin. Immunopathol. 6: 7–32. 838.