PATHOGENESIS AND IMMUNITY crossm mTOR Promotes Antiviral Humoral Immunity by Differentially Regulating CD4 Helper T Cell and B Cell Responses LilinYe,a,bJunghwaLee,bLifanXu,aAta-Ur-RasheedMohammed,bWeiyanLi,b J.ScottHale,bWendyG.Tan,bTuoqiWu,b*CarlW.Davis,bRafiAhmed,b KoichiArakib D o InstituteofImmunology,ThirdMilitaryMedicalUniversity,Chongqing,Chinaa;EmoryVaccineCenterand w DepartmentofMicrobiologyandImmunology,EmoryUniversitySchoolofMedicine,Atlanta,Georgia,USAb n lo a ABSTRACT mTOR has important roles in regulation of both innate and adaptive im- d Received19August2016 Accepted5 e munity, but whether and how mTOR modulates humoral immune responses have d December2016 yet to be fully understood. To address this issue, we examined the effects of rapa- Acceptedmanuscriptpostedonline14 fro mycin, a specific inhibitor of mTOR, on B cell and CD4 T cell responses during acute December2016 m infection with lymphocytic choriomeningitis virus. Rapamycin treatment resulted in CitationYeL,LeeJ,XuL,MohammedA-U-R,Li h suppression of virus-specific B cell responses by inhibiting proliferation of germinal W,HaleJS,TanWG,WuT,DavisCW,AhmedR, ttp ArakiK.2017.mTORpromotesantiviral : center (GC) B cells. In contrast, the number of memory CD4 T cells was increased in humoralimmunitybydifferentiallyregulating // rapamycin-treated mice. However, the drug treatment caused a striking bias of CD4 C91D:e40h1e6l5p3e-r1T6.chetlltpans:d//dBocie.ollrgre/s1p0o.1n1s2e8s/.JVirol jvi.a T cell differentiation into Th1 cells and substantially impaired formation of follicular JVI.01653-16. s m helper T (Tfh) cells, which are essential for humoral immunity. Further experiments EditorTerenceS.Dermody,Universityof . in which mTOR signaling was modulated by RNA interference (RNAi) revealed that B PittsburghSchoolofMedicine o r Copyright©2017AmericanSocietyfor g cells were the primary target cells of rapamycin for the impaired humoral immunity / Microbiology.AllRightsReserved. o and that reduced Tfh formation in rapamycin-treated mice was due to lower GC B AddresscorrespondencetoKoichiAraki, n cell responses that are essential for Tfh generation. Additionally, we found that [email protected]. M rapamycin had minimal effects on B cell responses activated by lipopolysaccha- *Presentaddress:TuoqiWu,NationalHuman a y ride (LPS), which stimulates B cells in an antigen-independent manner, suggest- GenomeResearchInstitute,NationalInstitutes 6 ofHealth,Bethesda,Maryland,USA. , ing that rapamycin specifically inhibits B cell responses induced by B cell recep- 2 0 tor stimulation with antigen. Together, these findings demonstrate that mTOR 1 signals play an essential role in antigen-specific humoral immune responses by 9 b differentially regulating B cell and CD4 T cell responses during acute viral infec- y tion and that rapamycin treatment alters the interplay of immune cell subsets in- g u volved in antiviral humoral immunity. e s t IMPORTANCE mTOR is a serine/threonine kinase involved in a variety of cellular ac- tivities. Although its specific inhibitor, rapamycin, is currently used as an immuno- suppressive drug in transplant patients, it has been reported that rapamycin can also stimulate pathogen-specific cellular immunity in certain circumstances. How- ever, whether and how mTOR regulates humoral immunity are not well understood. Here we found that rapamycin treatment predominantly inhibited GC B cell re- sponses during viral infection and that this led to biased helper CD4 T cell differenti- ation as well as impaired antibody responses. These findings suggest that inhibition of B cell responses by rapamycin may play an important role in regulation of allograft-specific antibody responses to prevent organ rejection in transplant recipi- ents. Our results also show that consideration of antibody responses is required in caseswhererapamycinisusedtostimulatevaccine-inducedimmunity. KEYWORDS Bcellresponses,CD4Tcells,Th1/Tfhresponse,humoralimmunity, immunization,mTOR,rapamycin,viralimmunity,viralinfection February2017 Volume91 Issue4 e01653-16 JournalofVirology jvi.asm.org 1 Yeetal. JournalofVirology Asanevolutionarilyconservedserine/threoninekinase,mTORregulatesseveralkey cellular processes, including cell growth, proliferation, and metabolism, in re- sponsetovariousenvironmentalcues(1–3).Rapamycin,adrugthatspecificallyinhibits mTOR function, is currently used in transplant patients as an immunosuppressant to prevent immune responses against allografts (4, 5). One potential mechanism under- lyingthistreatmentisthatrapamycininhibitstheproliferationofalloreactiveTcells(6), but recent findings suggest that rapamycin has a variety of effects on the immune system and that there may be more complex mechanisms resulting in immunosup- pression (7). A better understanding of the exact target cells and mechanisms of rapamycin-mediated immune suppression will facilitate the development of more effectiveandrationalregimenstoinhibitalloreactiveimmuneresponseswithminimal suppressionofpathogen-specificimmunity. Despite generally being considered an immunosuppressive drug, rapamycin also exhibits immunostimulatory effects in certain circumstances. Several reports have D shownthatrapamycinenhancesinflammatorycytokinesecretionandantigenpresen- o w tationinmacrophagesandmyeloiddendriticcells(8,9).Moreover,inhibitingmTORin n CD8 T cells can promote memory T cell differentiation in response to infection and lo a vaccination (10, 11). Thus, modulating mTOR activity has now become an attractive d e strategytoenhancedendriticcell-orCD8Tcell-mediatedimmunityduringvaccination. d However, considering that most successful vaccines confer protective immunity by f r o inducingantibodyresponses(12),itiscriticaltounderstandwhetherandhowmTOR m regulates the generation of antigen-specific antibodies. Recent studies examined the h role of mTOR in B cells and found that mTOR signals are required for production of tt p high-affinityantibodies(13–15).ThesestudiesfocusedonBcellresponses(13–15),but : / / the interplay between CD4 T cells and B cells remains unclear in cases where mTOR jv signals are inhibited in both CD4 T cells and B cells in vivo, such as by rapamycin i.a s treatment.Thus,examiningtherelationshipbetweenCD4TcellandBcellresponsesis m importantforacomprehensiveunderstandingoftheeffectsofrapamycinonhumoral .o immunity,sinceantibodyresponsesarecoordinatedbybothCD4TcellsandBcells. rg / Following acute viral infections, antigen-specific naive CD4 T cells predominantly o differentiateintoTh1andfollicularhelperT(Tfh)cells(16–19).Th1cellsplayacritical n M roleinmediatingcellularimmunity,whileTfhcellsaretheprincipalTcellsthatprovide a necessary help to B cells for the initiation and maintenance of germinal center (GC) y reaction. Although the mTOR pathway has been shown to regulate differentiation of 6 , naive CD4 T cells into effector CD4 T cells (20–23), how in vivo rapamycin treatment 2 0 influences effector and memory CD4 T cell differentiation has yet to be fully under- 1 9 stood. Similar to that in CD4 T cells, the function of mTOR in B cell responses also b remainstobedetermined. y g Inthepresentstudy,weattemptedtoexaminehowrapamycininfluencesBcelland u CD4Tcellresponsesinvivobyusingamousemodelofacuteinfectionwithlympho- e s cytic choriomeningitis virus (LCMV). Our results showed that rapamycin treatment t inhibitedthegenerationoflong-termantibodyresponsesbyreducinggerminalcenter B cell formation. We also found that Tfh responses were significantly inhibited in rapamycin-treatedmice,althoughthedrugtreatmentenhancedoverallmemoryCD4 Tcelldevelopment.Tofurtherdissecttheeffectofrapamycin,weinvestigatedtherole ofmTORintrinsicallyinCD4TcellsandBcellsinthisstudy.OurresultsshowthatmTOR promotesantiviralhumoralimmunitybydifferentiallyregulatingCD4helperTcelland Bcellresponses. RESULTS RapamycininhibitsBcellresponsesduringviralinfectionandvaccination.To understand the role of mTOR in humoral immunity during acute viral infections, rapamycin was administered to mice infected with LCMV strain Armstrong, which causesasystemicacuteinfection,withvirusbeingclearedwithin8daysafterinfection. SerumIgMandIgGantibodiesspecificforLCMVwereexaminedatdays8,15,and 60 postinfection (p.i.). We found comparable serum IgM titers between treated and February2017 Volume91 Issue4 e01653-16 jvi.asm.org 2 mTORPromotesAntiviralHumoralImmuneResponse JournalofVirology D o w n lo a d e d f r o m h t t p : / / jv i. a s m . o r g / o n M a y 6 , 2 0 1 9 FIG1Rapamycin(Rapa)inhibitsBcellresponsesduringacuteviralinfection.B6micewereinfectedwithLCMVArmstrong,andrapamycinwas b administeredfromdays(cid:2)1to30postinfection.(A)AnalysisofLCMV-specificserumIgM(left)andIgG(right)levelsattheindicatedtimepoints y postinfection.(B)(Left)FrequenciesofPNAhighFAShighB220(cid:3)germinalcenter(GC)Bcellsareshowninflowcytometryplots.(Right)Numbersof g GCBcellsinthespleenattheindicatedtimepoints.(C)GChistologyinspleensectionsfromLCMV-infectedmicetreatedwitheithervehicleor u e rapamycinfromdays(cid:2)1to9andsacrificedonday10postinfection.Bars,10(cid:2)m.(D)NumbersofLCMV-specificantibody-secretingcells(ASCs) s inbonemarrowonday60postinfection(rapamycintreatmentwasperformedondays(cid:2)1to30postinfection),calculatedbyELISPOTassay. t Individualrepresentativewellsforvehicle-andrapamycin-treatedmiceareshownabovethebargraph.(E)LCMV-specificmemoryBcellnumbers, analyzedonday60postinfection(rapamycintreatmentwasperformedondays(cid:2)1to30postinfection).(F)LCMVNP-specificIgGinserumon day60afterLCMVinfectionwasdetectedbyELISAformicetreatedornotwithrapamycin.Foraffinitymeasurements,NP-capturedIgGwas washedwithPBSor8Mureabeforedetection.(G)Todeterminerelativeaffinity,theratiooftheODwithureatotheODwithoutureawas calculated at a 1:200 serum dilution. Data show means and standard errors of the means (SEM) (n (cid:4) 4 mice for each time point) and are representativeoftwoindependentexperimentsforpanelsAtoE.ForpanelsFandG,datafromtwoindependentexperimentswerecombined (n(cid:4)8miceforvehiclegroupandn(cid:4)5miceforrapamycingroup). untreatedmiceatday8postinfection(Fig.1A,leftpanel).Althoughrapamycin-treated micehadslightlyhigherlevelsofvirus-specificIgMtitersonday15afterinfection,IgM responsesinbothgroupsweretransientandwerebelowthedetectionlimitonday60 after infection (Fig. 1A, left panel). In sharp contrast, rapamycin treatment led to reduced LCMV-specific IgG titers (Fig. 1A, right panel). The significant reduction in LCMV-specific IgG in rapamycin-treated mice was already seen at an early stage of infection (day 8) (Fig. 1A, right panel). Although IgG titers were increased at day 15 postinfectioncomparedtothoseonday8forrapamycin-treatedmice,theyweremuch February2017 Volume91 Issue4 e01653-16 jvi.asm.org 3 Yeetal. JournalofVirology D o w n lo a d e d f r o m h t FIG 2Rapamycin inhibits IgG responses in protein and Ad5 immunization models. B6 mice were tp immunizedwitheitherNP-KLH(precipitatedinalum)(A)orAd5(B).Rapamycinwasinjectedintraperi- :/ / toneallydailyfor30days.Serumwasharvestedontheindicateddays,andtheantigen-specificIgGtiter jv wasquantifiedbyELISA.GraphsshowmeansandSEM(n(cid:4)5mice/timepointforeachgroup).Data i. a representativeoftwoindependentexperimentsarepresented. s m . o lower than those of control animals (Fig. 1A, right panel), suggesting that rapamycin rg / inhibitsordelaysBcellactivation/proliferationduringtheearlystageofBcellresponses o after viral infection. Importantly, this reduction was maintained at the memory stage, n M andLCMV-specificIgGtitersinrapamycin-treatedmicewere10-foldlowerthanthose a in vehicle controls at day 60 postinfection (Fig. 1A, right panel). The lower IgG titers y during the memory stage for the rapamycin treatment group suggest that the drug 6 , may negatively regulate GC reaction, because the generation of long-term LCMV- 2 0 specific IgG responses is strictly GC B cell dependent (24). In agreement with this 1 9 notion,rapamycin-treatedmiceexhibitedamuchlowerfrequencyofPNAhighFAShigh b GCBcellsatbothdays8and15postinfection(Fig.1B,leftpanel),andthetotalnumber y g ofPNAhighFAShighBcellsinrapamycin-treatedmicewasabout10-foldlowerthanthat u in vehicle-treated mice at both time points (Fig. 1B, right panel). Likewise, the drug e s treatmentblockedtheformationofnormalGCclusters(Fig.1C).Inkeepingwiththese t data,GC-derivedLCMV-specificantibody-secretingcells(ASCs)inthebonemarrowand memoryBcellsinthespleenwerefoundtobegreatlydecreasedinrapamycin-treated micecomparedtovehicle-treatedmiceatday60postinfection(Fig.1DandE,respec- tively). We also measured affinity maturation of antibody by using an enzyme-linked immunosorbent assay (ELISA) combined with a urea wash after the antibody had boundtotheantigenontheplate(Fig.1FandG).Wefoundthatrapamycinmodestly impairedaffinitymaturationofLCMV-specificIgG(Fig.1FandG). We next tested whether the inhibitory effects of rapamycin on B cell responses could be generalized to other immunization systems. To examine this, mice were immunizedwithNP-KLHinthepresenceorabsenceofrapamycin,andnucleoprotein (NP)-specificIgGtitersweremeasuredatdays8,15,and30postimmunization.Signif- icantly lower IgG titers were observed in rapamycin-treated mice than in vehicle- treated mice at day 8 postimmunization (Fig. 2A). Similar to the results for LCMV infection, rapamycin-treated mice showed increased IgG titers at days 15 and 30 postimmunization,butthetitersneverreachedthelevelsseenforvehicle-treatedmice February2017 Volume91 Issue4 e01653-16 jvi.asm.org 4 mTORPromotesAntiviralHumoralImmuneResponse JournalofVirology D o w n FIG3RapamycininhibitsearlybutnotlateBcellresponses.B6micewereinfectedwithLCMVArmstrong,and lo rapamycinwasinjectedattheindicatedtimes.(A)LCMV-specificIgGtitersinserumfortheindicatedrapamycin a treatmentperiods.Thetiterwasmeasuredatday31postinfection(rapamycintreatmentdays(cid:2)1to14or16to de 30) or day 121 postinfection (rapamycin treatment days 90 to 120). (B) Numbers of LCMV-specific antibody- d secretingcells(ASCs),analyzedatday31postinfection.(C)NumbersofmemoryBcells(MBCs),analyzedatday31 f r postinfection.(D)NumbersofLCMV-specificASCs,analyzedatday121postinfection.GraphsshowmeansandSEM o (n(cid:4)5mice/group).Datarepresentativeoftwoindependentexperimentsarepresented. m h t t p (Fig.2A).Wealsoexaminedtheeffectofrapamycinduringvaccinationwithanonrep- : / / licatingadenovirusserotype5vector(Ad5).Consistently,rapamycintreatmentresulted jv in reduced Ad5-specific IgG titers throughout the observation period, and the drug- i.a s treatedmiceshowedabout5-foldlowerIgGtitersthanthoseofthevehiclecontrolsat m day 30 postvaccination (Fig. 2B). Collectively, these data indicate that rapamycin . o treatmentsignificantlyinhibitsIgGBcellresponsesafterviralinfectionorvaccinations. rg / RapamycininhibitsearlybutnotlateBcellresponses.Next,inordertoexamine o whichstageoftheBcellresponseisinhibitedbyrapamycin,wetreatedLCMV-infected n micewithrapamycinduringtheearlyphase(days(cid:2)1to14p.i.),thelatephase(days M a 16to30p.i.),orthememoryphase(days90to120p.i.)ofBcellresponses.Incontrast y to the severe inhibition of LCMV-specific IgG responses with rapamycin administered 6 , fromdays(cid:2)1to14,rapamycintreatmentatthelatephaseormemoryphaseofBcell 2 0 responses had minimal to no effect on antibody titers as well as the formation of 1 9 memoryBcells/long-livedplasmacells(Fig.3AtoD).ThesedatasuggestthatmTORis b dispensableduringthelateandmemoryphasesofBcellresponsesbutiscrucialduring y the early phase, when B cells are actively proliferating with antigen stimulation and g u formGC. e s Effect of rapamycin on expression of survival/apoptosis-related molecules in t GC B cells. The reduction in GC B cell number by rapamycin treatment may be attributedtolowersurvivalofthesecellsthanofcellsexposedtovehicletreatment.To test this, we analyzed the expression of the survival/apoptosis-associated molecules Mcl-1,Bcl-xl,Bim,andactivepan-caspaseonGCBcellsinspleensfromrapamycin-or vehicle-treated mice on day 10 after infection. We observed comparable expression levelsofMcl-1,Bcl-xl,andBimonGCBcellsfrombothgroupsandlowerlevelsofactive pan-caspase for the rapamycin-treated group than for the vehicle-treated group (Fig. 4AtoD).Sinceactivepan-caspaseisamarkerofcellsundergoingapoptosis,ourdata indicatethatapoptosisofGCBcellsisnottheprimaryreasonfortheimpairedBcell responsesinducedbyrapamycintreatmentduringacuteviralinfection. RapamycininhibitstheproliferationofgerminalcenterBcells.Oneofthekey features of GC B cells is their ability to proliferate rapidly and extensively during the early phase of the B cell response. To examine whether rapamycin inhibits GC B cell proliferation, LCMV-infected mice that had been treated with rapamycin or vehicle were given bromodeoxyuridine (BrdU) for 3 h before sacrifice on days 9 and 11 February2017 Volume91 Issue4 e01653-16 jvi.asm.org 5 Yeetal. JournalofVirology FIG4 Effectofrapamycinonexpressionofsurvival/apoptosis-relatedmoleculesingerminalcenter(GC)Bcells. D LCMVArmstrong-infectedB6miceweretreateddailywithrapamycinfromday(cid:2)1postinfection.Flowcytometry o w analysisofthesurvival/apoptosis-relatedmoleculesBim(A),Bcl-xl(B),Mcl-1(C),andactivatedpan-caspase(D)on n PNAhighFAShighB220(cid:3)germinalcenterBcellsfromvehicle-orrapamycin-treatedmicewasperformedonday10 lo postinfection.Datarepresentativeoftwoindependentexperimentsarepresented(n(cid:4)4mice/group). a d e d postinfection.TheamountofBrdUincorporatedintoPNAhighFashighBcellswas2-to f r o 3-foldlowerinrapamycin-treatedmiceatbothtimepoints(Fig.5A),indicatingthatthe m proliferation of GC B cells was inhibited by rapamycin. Moreover, we found that h compared to control mice, rapamycin-treated mice had a smaller fraction of CD86low tt p CXCR4highdark-zoneGCBcells(Fig.5B),whichpossessintrinsicallyhigherproliferation : / / potentialthantheirlight-zonecounterparts(25).Wealsoanalyzedtheexpressionofthe jv transcription factor B cell lymphoma 6 (Bcl-6; increases the proliferation of PNAhigh i.a s Fashigh B cells), and we found that rapamycin-treated mice had fewer Bcl-6(cid:3) PNAhigh m Fashigh B cells than vehicle-treated mice (Fig. 5C). Finally, rapamycin treatment also .o impaired ongoing GC B cell proliferation when administered from days 9 to 14 rg / postinfection (Fig. 5D). Together, these data show that rapamycin inhibits the prolif- o erationofGCBcells,andthisseemstobeaprimarycauseoftheimpairedformation n M ofmemoryBcellsandlong-livedplasmacells. a Rapamycin enhances the formation of virus-specific CD4 T cell memory. The y results described above clearly establish that rapamycin treatment inhibits B cell 6 , responses. Because CD4 T cell help is required for optimal B cell responses, we next 2 0 examined if rapamycin-treated mice would develop normal CD4 T cell responses. 1 9 LCMV-specific CD4 T cell responses were monitored using the I-Ab GP tetramer. 66–77 b Interestingly, the administration of rapamycin from day (cid:2)1 to day 30 postinfection y g substantiallyenhancedthenumberofvirus-specificCD4Tcellsatday60postinfection u (Fig.6A).Weobservedsimilarnumbersofantigen-specificCD4Tcellsatthepeakofthe e s responses(days8to15p.i.)betweenbothgroups,butrapamycintreatmentincreased t thesurvivalofantigen-specificCD4Tcellsduringthecontractionphase(Fig.6A).This reduced contraction is consistent with previously published data showing that rapa- mycin enhanced memory CD8 T cell formation (10). To examine the functionality of thesememoryCD4Tcellsinducedinthepresenceofrapamycin,westimulatedspleen cells with the LCMV GP peptide. Mice treated with rapamycin had around 3-fold 61–77 higherfrequenciesofIFN-(cid:3)(cid:3)TNF-(cid:4)(cid:3)andIFN-(cid:3)(cid:3)IL-2(cid:3)CD4Tcellsthanmicetreated with the vehicle control (Fig. 6B). Thus, rapamycin was shown here to enhance the formationoffunctionalantigen-specificmemoryCD4Tcells. Rapamycin treatment alters the balance between Th1 and Tfh cell differenti- ation. The observation that rapamycin markedly impaired antigen-specific B cell re- sponsesdespitealargernumberofmemoryCD4Tcellspromptedustoinvestigateif the drug treatment would modulate the differentiation program of antigen-specific CD4Tcells.AcuteLCMVinfectionisknowntoinducetwodistinctCD4Tcellsubsets: Th1andTfhcells(17).Therefore,acriticalquestiontoaddresswaswhetherthebalance of the differentiation of antigen-specific Th1 and Tfh subsets would be altered in February2017 Volume91 Issue4 e01653-16 jvi.asm.org 6 mTORPromotesAntiviralHumoralImmuneResponse JournalofVirology D o w n lo a d e d f r o m h t t p : / / jv i. a s m . o r FIG5RapamycininhibitsgerminalcenterBcellproliferation.B6micewereinfectedwithLCMVArmstrong.(A)Rapamycinwasadministereddailyfromday g (cid:2)1ofinfection,andBrdUwasgivenintraperitoneally3hpriortosacrifice.ThepercentagesofBrdU(cid:3)cellsinPNAhighFAShighgerminalcenter(GC)Bcellsat / o theindicatedtimepointsareshownintheflowplots.(B)Flowcytometryanalysisofdark-zoneGCBcells(CXCR4highCD86low;gatedonGCBcells)atday8 n postinfection (rapamycin treatment was performed on days (cid:2)1 to 7). The bar graph shows percentages of dark-zone B cells among total GC B cells. (C) M FrequenciesofBcl-6(cid:3)cellswithinthePNAhighFAShighB220(cid:3)GCBcellpopulationonday8postinfection(rapamycintreatmentwasperformedondays(cid:2)1to a 7)asanalyzedbyflowcytometryandsummarizedinabargraph.(D)ThefrequencyofPNAhighFAShighGCBcellsisshownforLCMV-infectedmicetreatedwith y rapamycinorvehiclefromdays9to14postinfection(left;gatedonBcells).BrdUstainingisshownontherightforthesePNAhighFAShighGCBcells(3-hpulse 6 ofBrdU)at15dayspostinfection.GraphsshowmeansandSEM(n(cid:4)4or5mice/group).Datarepresentativeofthreeindependentexperimentsarepresented. , 2 0 1 9 b rapamycin-treated LCMV-infected mice in which GC B cell responses were compro- y mised. To extensively analyze Tfh responses, we took advantage of the LCMV I-Ab g u GP -specific T cell receptor (TCR)-transgenic Smarta CD4 T cell system. Smarta e 66–77 s chimericmiceweremadebyadoptivelytransferringnaiveSmartaCD4TcellsintoB6 t mice,andthesechimericmiceweresubsequentlyinfectedwithLCMV.Consistentwith the results seen with endogenous virus-specific memory CD4 T cells, rapamycin in- creasedthenumberofmemorySmartaCD4Tcells(datanotshown).Usingthissystem, we first analyzed CXCR5 expression, which is one of the key features of Tfh cells, directing the migration of primed Tfh cells to B cell follicles (26). We found that rapamycinstronglyinhibitedCXCR5expressiononSmartacellsatday8postinfection (Fig.7A),suggestingthatTfhcellgenerationwasimpairedinrapamycin-treatedmice. TofurthercharacterizeTfhdifferentiationinthepresenceofrapamycin,theexpression of several other canonical markers of Tfh cells was examined. ICOS and PD-1 are well-known cell surface markers of Tfh cells, and we observed markedly decreased numbersofICOShighCXCR5highandPD-1highCXCR5highantigen-specificCD4Tcellsin rapamycin-treatedmice(Fig.7BandC).Suchdecreasednumbersofantigen-specificTfh cells were also confirmed by lower expression of Bcl-6 (Fig. 7D), the transcriptional factor governing Tfh lineage differentiation (27). Together, these data indicate that rapamycintreatmentimpairsformationoftheTfhcellpopulation. February2017 Volume91 Issue4 e01653-16 jvi.asm.org 7 Yeetal. JournalofVirology D o FIG 6 Rapamycin enhances virus-specific CD4 T cell responses. B6 mice were infected with LCMV w Armstrong, and rapamycin was administered from days (cid:2)1 to 30 postinfection. (A) Numbers of I-Ab n GP66–77tetramer-positiveLCMV-specificCD4Tcellsinthespleen(n(cid:4)4micepergroup).(B)Cytokine lo production by LCMV-specific CD4 T cells following stimulation with the GP peptide at 35 days a 61 postinfection (gated on CD4 T cells). Data representative of three independent experiments are d e presented. d f r o m GiventhatonlyTh1andTfhsubsetsareinducedinresponsetoLCMVinfection,the h negativeroleofrapamycininTfhdifferentiationsuggestedthatitmayinsteadpromote t t Th1 differentiation. To test this hypothesis, we compared Th1 responses between p : / rapamycin-treated and untreated mice. We first measured the frequencies of gamma /jv interferon (IFN-(cid:3))-producing cells in antigen-specific CD4 T cells after ex vivo stimula- i. a tionwithpeptide.Inthepresenceofrapamycin,around75%ofantigen-specificCD4T s m . o r g / o n M a y 6 , 2 0 1 9 b y g u e s t FIG 7 Rapamycin treatment modulates helper CD4 T cell differentiation. LCMV-specific transgenic CD4 T cells (Smarta cells; Thy1.1(cid:3)) were adoptivelytransferredtoB6mice(Thy1.2(cid:3)),followedbyinfectionwithLCMVArmstrong.Thesemiceweretreatedwithrapamycinfromday(cid:2)1 today7.Smartacellsinthespleenwereanalyzedatday8postinfection.(A)CXCR5expressiononSmartacells.MFI,meanfluorescenceintensity. (B)FlowcytometryanalysisofICOShighCXCR5(cid:3)andPD-1highCXCR5(cid:3)Tfhcells(gatedonSmartacells).(C)NumbersofTfhcells(ICOShighCXCR5(cid:3)), summarizedfromthedatainpanelB.(D)PercentagesofBcl-6highCXCR5(cid:3)TfhcellsamongtotalSmartacells.(E)ProductionofIFN-(cid:3)bySmarta cellsafterstimulationwiththeLCMVGP peptide.(F)FrequenciesofTh1cells(CXCR5(cid:2)granzymeB(cid:3))inSmartacells.Forallexperiments,n(cid:4) 61 4to6mice/group.GraphsshowmeansandSEM.Dataarerepresentativeof3independentexperiments. February2017 Volume91 Issue4 e01653-16 jvi.asm.org 8 mTORPromotesAntiviralHumoralImmuneResponse JournalofVirology cellswerefoundtosecreteIFN-(cid:3),whereasonlyabout50%oftheircounterpartsfrom vehicle-treated mice secreted IFN-(cid:3) (Fig. 7E). Next, the expression of another Th1 marker,granzymeB(GZB),wasalsoexaminedonantigen-specificCD4Tcellsobtained fromLCMV-infectedmiceinthepresenceorabsenceofrapamycintreatment.Likewise, thepercentageofGZB(cid:3)CXCR5lowcellswassubstantiallyincreasedbyrapamycin(Fig. 7F). Together, these data indicate that rapamycin skews virus-specific effector CD4 T celldifferentiationfromTfhtoTh1subsets. CD4Tcell-intrinsicinhibitionofmTORsignalsimpairsTh1formation.Ourdata clearly show that inhibiting mTOR with rapamycin reduces both Tfh and B cell re- sponses.SinceTfhandGCBcellsreciprocallyregulateeachother(28),itisimportant tounderstandwhetherrapamycinintrinsicallyinhibitsBcellorCD4Tcellresponses.To examinethis,weinhibitedmTORsignalingexclusivelyinantigen-specificCD4Tcellsby usingaretroviralgeneknockdownsystem(Fig.8A).Retrovirus-transducedornontrans- duced Smarta cells were adoptively transferred into B6 mice, followed by LCMV D o infection(Fig.8A).ThissystemallowedustodirectlycompareTh1andTfhdifferenti- w ationpatternsoftransduced(GFP(cid:3))andnontransduced(GFP(cid:2))Smartacellswithinthe n lo sameanimal(Fig.8B).Incontrasttotheeffectofrapamycinadministration,wefound a that mTOR knockdown in antigen-specific CD4 T cells resulted in inhibition of Th1 d e differentiation, as demonstrated by lower frequencies of the CXCR5low GZBhigh popu- d f lation(Fig.8C).Furthermore,mTORknockdownalsoinhibitedtheexpressionoftheTh1 r o lineage-associated transcription factor T-bet (Fig. 8D). Conversely, mTOR knockdown m increasedthefrequenciesofTfhcells,characterizedasCXCR5highPD-1highcells(Fig.8E). h t t Notably, all these results were faithfully recapitulated by the knockdown of raptor (a p : necessarycomponentofmTORC1),withadecreasedCXCR5lowGZBhighTh1subsetas // jv wellasreducedT-betandincreasedCXCR5(cid:3)PD-1highTfhpopulations(Fig.8FtoH). i. a Since we transferred Smarta transgenic CD4 T cells immediately after retrovirus s m transduction (before expressing green fluorescent protein [GFP]) in the above- . o describedexperiments,howmanyretrovirus-transducedSmartacellswereadoptively r g transferred into the recipient mice was unknown. This prevented us from examining / whether the number of GFP(cid:3) Tfh cells was increased by mTOR or raptor knockdown on compared to the control level in this experimental setting. To address this issue, we M sorted GFP(cid:3) retrovirus-transduced Smarta cells (raptor-specific short hairpin RNA a y [raptor-shRNA]orvectorcontrol)andthentransferredthesamenumberofthesecells 6 , into recipient mice, followed by LCMV infection. The total number of raptor-shRNA- 2 transducedSmartacellswasmuchlowerthanthatofvector-transducedSmartacellson 0 1 day 8 after infection (Fig. 8J). In particular, the reduction in cell numbers was much 9 b more severe for Th1 cells (Fig. 8K and L). Taken together, consistent with previous y observations(21,23),thedatashowthatselectiveattenuationofthemTORC1signaling g u pathwayinantigen-specificCD4TcellsinhibitsthegenerationofTh1cellsafteracute e s viralinfection.Inaddition,ourresultsalsosuggestthattheincreasedTh1cellformation t observedinrapamycin-treatedmicewasnotduetoreducedmTORactivityinantigen- specificCD4Tcells. mTOR acts intrinsically in B cells to regulate germinal center responses. The above-describedRNAinterference(RNAi)experimentsindicatethatTfhcellsarenotthe primary target cells of rapamycin for the impaired humoral immunity observed in drug-treated mice after viral infection or immunization. Therefore, we next asked if rapamycin has any intrinsic effects on B cell responses. To address this issue, we generatedrapamycin-insensitiveBcellsbyknockingdownFKBP12,whichisanessen- tialbindingpartnerforrapamycintoinhibitmTORC1signals(2).Wetransducedbone marrow (BM) hematopoietic stem cells (HSCs) with an FKBP12 shRNA retrovirus and subsequently transferred the transduced HSCs into lethally irradiated recipient mice (Fig.9A).Afterreconstitution,thesebonemarrowchimericmiceallowedustoanalyze the intrinsic effect of rapamycin on B cells (Fig. 9A). In this experimental setting, we observed that approximately 10% to 30% of total donor B cells were transduced, as they were GFP positive (Fig. 9B). In addition, we observed normal matured B cell February2017 Volume91 Issue4 e01653-16 jvi.asm.org 9 Yeetal. JournalofVirology D o w n lo a d e d f r o m h t t p : / / jv i. a s m . o r g / o n M a y 6 , 2 0 1 9 b y g u e s t FIG8InhibitingmTORsignalsintrinsicallyinantigen-specificCD4TcellsimpairsTh1cellformation.(A) ExperimentaldesignformTORorraptorknockdowninLCMV-specifictransgenicCD4Tcells(Smarta cells).Retrovirus-transducedSmartacellsweretransferredintoB6mice,followedbyLCMVArmstrong infection.ThedifferentiationofSmartacellsintoTh1andTfhcellsinthespleenwasanalyzedatday10 postinfection.(B)Retrovirus-transduced(GFP(cid:3))andnontransduced(GFP(cid:2))Smartacellswerecompared inthesameanimal.(CtoE)InmTORknockdownexperiments,thefrequencyofCXCR5(cid:2)granzymeB(cid:3) Th1cells(C),theMFIofT-bet(D),andthefrequencyofPD-1highCXCR5(cid:3)Tfhcells(E)wereanalyzed.(F toH)Inraptorknockdownexperiments,similaranalysesweredone.Fortheseexperiments,n(cid:4)4to6 animalspergroup.Datarepresentativeof3independentexperimentsarepresented.(I)Experimental designfortheexperimentsperformedforpanelsJtoL.Retrovirus-transducedSmartacellswerecultured for3days.GFP(cid:3)SmartacellsweresortedandthentransferredtoB6mice,followedbyLCMVArmstrong infection.TotalnumbersofGFP(cid:3)Smartacells(J),Th1cells(K),andTfhcells(L)werecalculated.Data representativeoftwoindependentexperimentsarepresented(n(cid:4)4mice/group). populations(Fig.9C).TovalidatetheeffectofFKBP12knockdownonBcellsinresponse to rapamycin, we compared mTOR activities by measuring phosphorylated S6 in FKBP12 shRNA-transduced or non-shRNA-transduced B cells upon anti-B cell receptor (anti-BCR) stimulation in the absence or presence of rapamycin. FKBP12 shRNA- February2017 Volume91 Issue4 e01653-16 jvi.asm.org 10
Description: