LETTERS to NATURE Lymphocytes Bearing Antigen- Specific Yo T -Cell

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LETTERS to NATURE Lymphocytes Bearing Antigen- Specific Yo T -Cell LETTERS TO NATURE 24 25 clonal anergy observed in B cells • • It is likely that our findings and immunological functions of these T cells remains enigmatic. will contribute to better understanding of the obviously complex We report here that in contrast to the normal low frequency of mechanisms involved in the induction of unresponsiveness in yB-bearing cells in lymphoid tissues, peripheral blood, or normal the mature immune system. D skin, the frequency is increased five to eightfold in particular granulomatous reactions of leprosy. TCR yfi+ lymphocyte lines from these leprosy skin lesions proliferate in vitro specifically to Received 14 February; accepted 14 April 1989. mycobacterial antigens. This reactivity to foreign antigens appears 1. Kappler. J. W .. Roehm, N. & Marrack. P. Cell 49, 273-280 (1987). to require presentation in the context of self-molecules. Moreover, 2. Kappler, J. W. Staerz. U.. White, J. & Marrack, P. C. Nature 332, 35-40 (1988). 3. MacDonald. H. R. et a/. Nature 40-45 (1988). culture supernatants from activated yfi T lymphocytes induce 4. Kisielow. P.. BIUthmann. H.. Staerz. U. D., Steinmetz. M & von Boehmer, H. Nature 333,742-746 adhesion and aggregation of bone-marrow monocytes in the (1988) 5. Jacobson, J.. Ullieh66k, B. & Blomgren. H. Scand. J. lmmun. 4, 181-191 (1975). presence of granulocyte monocyte-colony stimulating factor 6. Ulliehook, B .. Jacobson, H. & Blomgren. H. Scand. J. lmmun. 4, 209-216 (1975). (CSF), suggesting that products of yB-bearing T cells may play 7. Miller. S. D.. Sy, M.-S. & Claman. H. N. Eur. J. lmmunol 7, 165-170 (1977). 8. Brondz, B. D .. Karanlov, A. V, Abronina,l. F. & Blandova. L. K. Scand J. lmmun.13, 517-534 (1981). a role in the immune response, possibly by stimulating granuloma 9. Jenkins. M K. & Schwartz. R. H. J. exp. Med 165, 302-319 (1987). formation. 10 von Boehmer, H. Teh. H. S. & Kisielow. P lmmun. Today 10, 57-61 (1989). Leprosy comprises a varied clinical spectrum that parallels 11. Markmann, J. eta/. Nature 336, 476-479 (1988). 12. Lamb, J. R. eta/. J. exp. Med. 157, 1434-1447 (1983). cell-mediated immunity, the skin lesions of which are readily 13. Lamb, J. R. & Feldmann. M. Nature 306, 72-74 (1984). accessible for studl. Tuberculoid leprosy lesions contain rela­ 14. Quill, H. & Schwartz, R. H. J. /mmun. 138, 3704-3712 (1987). 15. Jenkins, M. K., Pardoll. D. M., Mizuguchi, J., Chused, T. M. & Schwartz. R. H. Proc. natn. Acad. Sci. tively few organisms, and the host mounts a strong cell-mediated US.A. 84, 5409-5413 (1987). immune response which restricts growth of the bacilli. In 16. Festenstein, H. Transplantn Rev. 15, 62-88 (19731. 17. Abe. R. & Hodes. R. J. lmmun. Today 9, 230-235 (1988). lepromatous leprosy, however, numerous skin lesions are found 18. Halle-Pannenko. 0 .. Pntchard, L. L. & Bruley-Rosse!, M. Eur. J. lmmun. 17, 1751-1755 (1987). containing high numbers of acid fast bacilli, and the host exhibits 19. von Boehmer. H. & Schubrger. K. Eur J. lmmun. 14, 1048-1052 (1984). 7 unresponsiveness to Mycobacterium leprae antigens • Superim­ 20. Ready, A. R.. Jenkinson. E. J.. Kingston. R. & Owen. J. J. I. Nature 310, 231-233 (1984). 21. Flajnik, M. F., DuPasqurer. L. & Cohen, N. Eur. J. lmmun. 15, 540-547 (1985). posed on this spectrum are reactional states including reversal 22. Ohki. H., Martin, C., Corbel, C .. Colley, M. & Le Douarin. N. M. Science 237, 1032-1035 (1987). reactions and lepromin skin tests. Reversal reactions appear to 23. Marrack. P. eta/. Cell 53, 627-634 (1988) 24. Nossal. G. J. V. & Pike, B. L. Proc. natn Acad Sci. US.A. 77, 1602-1606 (1980). be acute delayed-type hypersensitivity reactions characterized 25. Goodnow. C. C. eta/. Nature 334, 676-682 (1988). by erythematous tumid lesions containing organized granulomas 26. Janeway, C. A .. Jr .. Fischer-Undahl. K. & Hammerling, U. lmmun. Today 9, 125-126 (1988). 8 in which CD4+ T cells predominate . Patients with tuberculoid 27. Payne, J. et a/. Proc. natn. Acad. Sci. US.A. 85, 7695-7698 (1988). 28. Dialynas, D. P. eta/. J. lmmun. 131, 2445-2451 (1983). leprosy and reversal reactions manifest positive lepromin skin 29. Malek. T. R., Robb, R. J. & Shevach. E. M. Proc. natn. Acad. Sci USA. 80, 5694-5698 (1983). tests (Mitsuda reactions) which are organized granulomatous 30. Ceredig, R.. Lowenthal. J. W .. Nabholz. M. & MacDonald, H. R. Nature 314, 98-100 (1985). 9 reactions to M. leprae of three to four weeks duration . ACKNOWLEDGEMENTS. We thank Jan Klein for his continuous support, Hans Hengartner for providing We compared the occurrence of lymphocytes bearing TCR yo the 44-22-1 hybridoma, Stefan Faath for technical assistance, and Lynne Yakes for preparing the manuscript. Th1s work was supported in part by Sonderforschungsbereich No. 120 or TCR af3 in each of these immunological reactions to M. leprae using immunoperoxidase staining of skin biopsy speci­ mens with specific monoclonal antibodies. TCR af3+ lym­ phocytes across the disease spectrum and in each of these reactional states were detected by staining with monoclonal Lymphocytes bearing antigen­ antibody {3F1 (ref. 10) (reacts with shared determinants present on all human TCR f3 chains), whereas TCR yo+ T cells were specific yo T-cell receptors detected by staining with monoclonal antibody anti-TCRo 1 (ref. accumulate in human 11) (reacts with shared determinants present on all human TCR o chains). In both lepromin skin tests and in reversal reactions, infectious disease lesions TCRo1 + lymphocytes comprised 25-35 per cent of CD3+ cells in the lesions compared to -5 per cent of the CD3+ cells in Robert. L. Modlin*t, Claude Pirmezt, lesions of other forms of the spectrum (Figs 1 and 2) or in Florence M. Hofmant, Victoria Torigian*t, normal lymphoid organs. This suggests that TCR yo lym­ phocytes may be involved in early active granulomatous Koichi Uyemurat, Thomas H. Rea*, responses (such as lepromin skin tests and reversal reactions), Barry R. Bloom+ & Michael B. Brenner§ in contrast to the more chronic and/ or immunologically un­ responsive leprosy lesions. * Section of Dermatology, and t Department of Pathology, Localized American cutaneous leishmaniasis is another in­ University of Southern California School of Medicine, Los Angeles, 12 fectious disease with granulomatous skin reactions • We found California 90033, USA similarly that TCR yo+ cells also were present in large numbers t Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York 10461, USA in these lesions. Twenty per cent of the CD3+ cells in such §Laboratory of Immunochemistry, Dana-Farber Cancer Institute and lesions stained with anti-TCRo1, corresponding to a sevenfold Department of Rheumatology and Immunology, Brigham and Women's increase over the percentage of these lymphocytes in peripheral Hospital. Harvard Medical School, Boston, Massachusetts 02115, USA blood from the same patients, or in Montenegro skin reactions ( 48 h delayed type hypersensitivity responses to leishmania anti­ THE majority ofT cells bear the T -cell receptor (TCR) ap complex gen) or in mucocutaneous leishmaniasis (a chronic destructive which recognizes foreign antigen peptides only in the context of form of the disease) where typically only 5% of the CD3+ cells 1 self major histocompatibility complex (MHC) molecules • Such express a TCR o chain (Figs 1 and 2). T cells function in a variety of effector roles and secrete cytokines The specific recognition of antigens by TCR yo lymphocytes that mediate the activation and differentiation of other cells in the has been difficult to demonstrate. These lymphocytes have been 13 14 15 immune system. Recently, a small subpopulation T cells was found noted to lyse tumour cells ' as well as allogeneic target cells . 2 to bear a distinct TCR composed of y and B subunits • In man, But evidence for y8 T cells with specificity for soluble antigens TCR yfi+ cells are distributed as -5 per cent of the CD3+ cells or exhibiting self-restricted recognition of foreign antigens has in all organized lymphoid organs as well as in the skin- and been lacking. To examine the antigen specificity of lymphocytes 3 gut-associated lymphoid tissues • Although a limited number of accumulated in leprosy lesions, we derived T-cell lines from germ-line genes encode the TCR y and B subunits, extensive skin lesions and peripheral blood as previously described (Fig. junctional variation particularly in the B gene, results in unpre­ 3; see ref. 16). One T-cellline was obtained from the biopsy of 4 5 cedented diversity for this receptor ' The nature of the specificity a lepromin skin test of a patient with tuberculoid leprosy in 544 NATURE · VOL 339 · 15 JUNE 1989 © 1989 Nature Publishing Group LETTERS TO NATURE reversal reaction. This line was expanded in vitro with M. leprae were unequivocally higher than control stimulations using the antigens and with interleukin-2 (11-2), and then was subjected same culture conditions except for medium lacking in these to cell sorting to isolate lymphocytes unreactive with monoclonal antigens (256 c.p.m.). antibodies against TCR a/3 (WT31) and CD4 (which is rarely Because the TCR a/3 complex recognizes antigens in the expressed on TCR y8+ cells). The resulting cell line was enriched context of self-MHC molecules, it was of interest to ask whether for y8 T cells (99% TCR81 +and 1% WT31 +).This line prolifer­ antigen recognition by TCR y8 cells requires self antigen pres­ ates specifically in response to M. leprae cell-wall antigens entation. Experiments using antigen-presenting cells (APCs) of (15,256 c. p.m.) and tuberculin purified protein derivative (PPD) differing HLA types revealed that the TCR y8 lymphocytes (27 ,478 c. p.m.) but not to the 65K (relative molecular mass) appear to require self or matched antigen-presenting cells.
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