Received May 1, 2002; returned to author for revision May 20, 2002; accepted June 3, 2002

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1 Virology 301, (2002) doi: /viro A Simian Immunodeficiency Virus Nef Peptide Is a Dominant Cytotoxic T Lymphocyte Epitope in Indian-Origin Rhesus Monkeys Expressing the Common MHC Class I Allele Mamu-A*02 Michael H. Newberg,* Marcelo J. Kuroda,* William A. Charini,* Ayako Miura,* Carol I. Lord,* Jörn E. Schmitz,* Darci A. Gorgone,* Michelle A. Lifton,* Kristine Kuus-Reichel, and Norman L. Letvin*,1 *Division of Viral Pathogenesis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215; and Beckman Coulter, Immunomics Operations, San Diego, California Received May 1, 2002; returned to author for revision May 20, 2002; accepted June 3, 2002 The precise measurement of epitope-specific cytotoxic T lymphocyte (CTL) responses in simian immunodeficiency virus (SIV)- and simian human immunodeficiency virus (SHIV)-infected or vaccinated rhesus monkeys has been important in the evaluation of potential HIV vaccine strategies. This quantitation of CTL has been limited to date by the identification of only one dominant SIV/SHIV epitope in these monkeys. We have recently defined a Nef CTL epitope p199ry (YTSGPGIRY) that is recognized by CD8 T lymphocytes from all SIV/SHIV-infected Mamu-A*02 rhesus monkeys that have been evaluated. We now measure the frequency of p199ry-specific CD8 T lymphocytes in the peripheral blood of these monkeys with quantitative precision, using MHC class I/peptide tetramer staining and peptide-stimulated interferon- Elispot assays. These epitope-specific CD8 T lymphocytes are present at a very high frequency and represent a significant proportion of the entire SIV- or SHIV-specific CD8 T lymphocyte population in SIV/SHIV-infected Mamu-A*02 rhesus monkeys. Knowledge of this dominant CTL epitope should prove valuable in the evaluation of HIV vaccine strategies using this animal model Elsevier Science (USA) Key Words: rhesus; SIV; SHIV; CTL; epitope; immunodominant; Nef; tetramer; Elispot. 1 To whom correspondence and reprint requests should be addressed at the Division of Viral Pathogenesis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Research East Room 113, 330 Brookline Avenue, Boston, MA Fax: (617) nletvin@caregroup.harvard.edu. Nonhuman primate models are playing a vital role in the development of HIV-1 vaccine strategies. Simian immunodeficiency virus (SIV)- and simian human immunodeficiency virus (SHIV)-infected Indian-origin rhesus monkeys are the most common of these models currently being employed (Amara et al., 2001; Barouch et al., 2000b; Daniel et al., 1992; Hirsch et al., 1996; Rose et al., 2001). With abundant evidence that virus-specific cytotoxic T lymphocyte (CTL) responses are critical for controlling both HIV-1 and SIV/SHIV infections (Jin et al., 1999; Koup et al., 1994; Kuroda et al., 1999; Schmitz et al., 1999; Walker et al., 1986), it is important that SIV/SHIVspecific CTL responses be measured in rhesus monkeys in the course of evaluating these vaccine strategies (Letvin, 1998). The precise measurement of SIV/SHIV-specific CTL responses in rhesus monkeys has been made possible by our knowledge of predictable CTL epitopes in these animals. In particular, the elucidation of a dominant SIV Gag CTL epitope, the 9-amino-acid fragment p11c (CT- PYDINQM) presented by the common Indian-origin rhesus monkey MHC class I allele Mamu-A*01, has facilitated the assessment of SIV/SHIV-specific CTL responses (Allen et al., 1998; Miller et al., 1991). SIV/SHIVinfected or vaccinated Mamu-A*01 rhesus monkeys predictably develop high-frequency CTL responses specific for this epitope (Egan et al., 2000; Seth et al., 1998; Shen et al., 1991). A number of nondominant SHIV and SIV epitopes that are presented to CD8 T lymphocytes by Mamu-A*01 have also been defined (Allen et al., 2000a; Egan et al., 1999; Furchner et al., 1999). Complementing cytolytic assays with MHC class I/peptide tetramer staining, enzyme-linked immunospot (Elispot) assays for interferon- production, and flow cytometrybased assays for cytokine production has permitted the measurement of CTL specific for these dominant and subdominant viral epitopes with quantitative precision (Allen et al., 2000b; Egan et al., 1999; Kuroda et al., 1998; McKay et al., 2002). The use of the rhesus monkey SIV and SHIV models for evaluating CTL responses elicited by prototype HIV-1 vaccines has been limited to date by our knowledge of only one dominant SIV/SHIV CTL epitope, the Mamu- A*01-restricted p11c epitope. We have therefore sought to characterize further dominant SIV/SHIV CTL epitopes presented to CD8 T lymphocytes by other common MHC class I alleles of rhesus monkeys. We recently identified an SIV Nef CTL epitope, p199ry (YTSGPGIRY), that is presented by the common rhesus monkey MHC class I molecule Mamu-A*02 (Robinson et al., 2001). In /02 $ Elsevier Science (USA) All rights reserved.

2 366 NEWBERG ET AL. TABLE 1 Clinical Status of Mamu-A*02 Rhesus Monkeys Used in This Study Monkeys Mamu-A*01 Immunization before infection Virus CD4 T cells/ l blood (range during study) Viral load (RNA copies/ml plasma) None SHIV None SHIV None SHIV None SHIV Yes a SHIV-89.6P Yes a SHIV-89.6P None SIVmac a Prior to infection, these monkeys were immunized with SIVmac239 Gag and HIV-1 Env 89.6P DNA vaccines and were also inoculated with a plasmid encoding a fusion protein consisting of IL-2 and the Fc portion of IgG, as previously described (Barouch et al., 2000a,b). the present study, we have used tetramer staining and Elispot interferon- production assays to determine the relative dominance of this epitope-specific CTL response. RESULTS Studies were initiated in SIV- and SHIV-infected Mamu-A*02 Indian-origin rhesus monkeys to assess the magnitude of CTL responses specific for the 9-aminoacid Nef epitope p199ry. Four Mamu-A*02 Mamu-A*01 monkeys chronically infected with the nonpathogenic virus SHIV-89.6 were initially selected for evaluation. As expected from previous experience studying SHIV infected monkeys, these animals had normal peripheral blood CD4 T lymphocyte counts and undetectable plasma viral RNA as determined by bdna assay (Table 1). Peripheral blood from these monkeys was first evaluated for the presence of Mamu-A*02/p199RY tetramerbinding CD8 T lymphocytes. Gating on CD8 CD3 lymphocytes, tetramer-binding cells were readily demonstrated in the blood of all the SHIV-89.6-infected monkeys. Moreover, the demonstration of this tetramerbinding cell population was reproducible in repeated evaluations of three to five blood samples from each of these monkeys over a 2-month period of time. Tetramerbinding cells constituted % of CD8 CD3 cells, but 0.01% of CD8 CD3 cells, CD8 CD3 cells, CD8 CD3 cells, or CD8 CD3 cells (Fig. 1, Table 2). There was some variation in the percentage of tetramer-binding CD8 T lymphocytes in the evaluations of repeated blood samples from the same monkey over 2 months ( 50% of the median), but the ranges for each of these four monkeys did not overlap. There was thus a clear hierarchy among the monkeys in the magnitude of their CD8 T lymphocyte response to p199ry. While these data clearly indicated that this Nef epitope-specific CD8 T lymphocyte response was sizeable in the monkeys, they did not allow for an estimation of the proportion of the monkeys total SIV/SHIV-specific CD8 T lymphocyte population committed to this recognition specificity. To evaluate this issue, peripheral blood lymphocytes from the cohort of monkeys were assessed in peptide/interferon- Elispot assays for the recognition of all the structural and some of the regulatory viral gene products of SIVmac239 or SHIV-89.6 (Fig. 2). The peripheral blood lymphocytes from one of these four monkeys (18324) had a high background production of interferon- in the absence of peptide exposure and therefore could not be evaluated (data not shown). Lymphocytes from the remaining three monkeys had high-frequency responses to the pool of 125 overlapping 15-amino-acid peptides FIG. 1. All SIV/SHIV-infected Mamu-A*02 rhesus monkeys have Mamu-A*02/Nef p199ry tetramer-staining CD8 T lymphocytes in their peripheral blood. Whole blood from monkeys (A), (B), (C), and (D) was stained with anti-cd3 APC, anti-cd8 FITC, anti-cd8 ECD, and Mamu-A*02/Nef p199ry tetramer PE and analyzed by flow cytometry. Cells shown are gated on the lymphocyte population that stained positively for CD3 and CD8.

3 A DOMINANT Mamu-A*02-RESTRICTED SIV CTL EPITOPE 367 TABLE 2 Mamu-A*02/Nef p199ry Tetramer Staining of Peripheral Blood of Mamu-A*02 Mamu-A*01 Rhesus Monkeys Monkeys % tetramer staining a (median) Range b a Percentage staining by tetrameric Mamu-A*02/Nef p199ry complex on CD8 T lymphocytes, gating on CD8 CD3 cells. b of 3 5 peripheral blood samples per monkey, drawn at 2-week intervals. that spanned the SIV Gag protein. These lymphocyte populations had a lower frequency response to the pool of 62 overlapping 15-mers that spanned the SIV Nef protein. Importantly, in lymphocyte populations from the two animals (19242 and 26795) with high-frequency responses to the Nef peptide pool, most or all of that response could be accounted for by the response to the p199ry peptide alone. Moreover, the spot-forming cell response to that Nef epitope peptide constituted a large proportion of the entire virus-specific T cell response of these monkeys. Lymphocytes from the third animal (14282) had a low-frequency response to the Nef peptide pool and a low-frequency response to the p199ry peptide. This epitope-specific response also comprised a small proportion of the monkey s T lymphocyte response to the Nef peptide pool. These tetramer and Elispot studies indicate that the T cell immune response to the p199ry Nef epitope can be a dominant one in Mamu- A*02 rhesus monkeys. It was then of interest to determine the dominance of this Nef epitope-specific CTL response relative to other SIV/SHIV epitope-specific CTL responses. We therefore sought to evaluate the frequency of CTL specific for this epitope in monkeys relative to the frequency of CTL specific for the well-studied dominant Mamu-A*01-restricted Gag p11c epitope. Three SIVmac- or SHIV-89.6Pinfected Mamu-A*01 Mamu-A*02 monkeys were selected for study. Peripheral blood was stained with the Mamu-A*02/SIV Nef p199ry tetramer or with tetramers containing Mamu-A*01 and one of the following epitope peptides: the immunodominant SIV Gag p11c (CTPY- DINQM) or the subdominant HIV Env p41a (YAPPITGQI), SIV Env p15 (CAPPGYALL), SIV Env p54 (TVPWPNASL), SIV Pol p68a (STPPLVRLV), or SIV Tat SL8 (TTPESANL). In these three monkeys, Mamu-A*01/p11C tetramerbinding cells constituted 1 9% of the circulating CD8 CD3 lymphocytes (Table 3). Lymphocyte populations from all three monkeys also had Mamu-A*02/ p199ry tetramer-binding CD8 CD3 cells, but the percentage varied greatly between animals. In the peripheral blood of monkey 483, there were consistently more p199ry tetramer-binding CD8 T lymphocytes than p11c tetramer-binding CD8 T lymphocytes, indicating that a greater proportion of the circulating CD8 T lymphocytes in this monkey was specific for the p199ry epitope than the p11c epitope. In monkey 833, however, there were only approximately one-third as many p199ry-specific CD8 T lymphocytes as p11c-specific CD8 T lymphocytes. In monkey 19196, there were 15- to 30-fold fewer p199ry-specific CD8 T lymphocytes than p11c-specific CD8 T lymphocytes. Tetramer analyses of the peripheral blood of these three monkeys were also carried out to quantitate CD8 T lymphocytes specific for Mamu-A*01-restricted subdominant SIV/SHIV epitopes. No CD8 T lymphocytes specific for Pol p68a, SIV Env p15, or SIV Env p54, and FIG. 2. The immune response to p199ry by peripheral blood T lymphocytes from Mamu-A*02 SHIV-infected rhesus monkeys constitutes a significant portion of the T lymphocyte response to the entire virus. PBL from the indicated monkeys were stimulated with peptides or medium alone for 18 h. Peptides used were: p199ry at 1 g/ml; 2 pools containing a combined total of 85 overlapping 20-mers at 4 g/ml each, representing the entire SHIV-89.6 Env protein; a pool of 125 overlapping 15-mers at 1 g/ml each, representing the entire SIVmac239 Gag protein; a pool of 62 overlapping 15-mers at 1 g/ml each, representing the entire SIVmac239 Nef protein; and 2 pools containing a combined total of 225 overlapping 15-mers at 1 g/ml each, representing the entire SIVmac239 Pol protein. Interferon- -producing cells were visualized by Elispot assay as described under Materials and Methods. The number of spot-forming cells per 10 6 PBL is shown as the mean SD of triplicate wells.

4 368 NEWBERG ET AL. TABLE 3 Staining of Peripheral Blood of Mamu-A*02 Mamu-A*01 Rhesus Monkeys by Mamu-A*02/Nef p199ry and Mamu-A*01/Epitope Peptide Tetramers Median percentage tetramer staining a (range) b Monkeys Nef p199ry Gag p11c Pol p68a HIV Env p41a Tat SL8 SIV Env p15 SIV Env p ( ) 1.52 ( ) 0.00 ( ) 0.12 ( ) ( ) 2.01 ( ) 0.01 ( ) 1.36 ( ) ( ) 5.24 ( ) 0.01 ( ) c 0.07 ( ) 0.01 ( ) 0.03 ( ) a Percentage staining by tetramer complex on CD8 T lymphocytes, gating on CD8 CD3 cells. b Of 3 4 peripheral blood samples per monkey, drawn at 2-week intervals. c Monkey was infected with a virus that did not express the epitope contained in the tetramer, and therefore PBL were not assessed for staining with these particular tetramers. very few CD8 T lymphocytes specific for SIV Tat SL8, were demonstrable in the blood of the SIVmac-infected Mamu-A*02 Mamu-A*01 rhesus monkey The peripheral blood of the SHIV-89.6P-infected monkeys 483 and 833 contained CD8 T lymphocytes specific for the HIV Env p41a epitope. However, in the blood of monkey 483, Mamu-A*01/p41A tetramer-staining CD8 T lymphocytes were 10- to 20-fold less frequent than Mamu-A*02/ p199ry tetramer-staining CD8 T lymphocytes. In the blood of monkey 833, Mamu-A*01/p41A tetramer-staining CD8 T lymphocytes were present at a frequency that was greater than that of Mamu-A*02/p199RY tetramer-staining CD8 T lymphocytes and less than that of Mamu-A*01/p11C tetramer-staining CD8 T lymphocytes. The relative frequencies of the SIV/SHIV epitope-specific T lymphocyte populations were then assessed in the peripheral blood of these Mamu-A*02 Mamu-A*01 rhesus monkeys using interferon- Elispot assays. Peripheral blood lymphocytes from all three monkeys had very high frequency T lymphocyte responses to the pool of peptides spanning the SIVmac Gag protein (Fig. 3). This could be entirely accounted for by the responses to the SIV Gag p11c peptide alone. Concordant with the tetramer binding data, monkey 483 had a T lymphocyte response to the Nef peptide pool that was as high in frequency as that to the Gag peptide pool, and the p199ry peptide-specific response was as high in frequency as the monkey s T lymphocyte response to the entire pool of Nef peptides. The T lymphocytes of monkey 833 had a response to the Nef peptide pool that was approximately half as large as their response to the Gag peptide pool, and that response to Nef was also entirely accounted for by the p199ry peptide-specific response. The T lymphocytes of monkey had a much lower frequency response to the Nef peptide pool, and only a small proportion of that response was specific for p199ry. The T lymphocytes of this monkey had a lowfrequency response to Tat SL8, but not to SIV Env p15, SIV Env p54, or Pol p68a. Concordant with the tetramerbinding data, the T lymphocytes of monkeys 483 and 833 demonstrated a low-frequency response to HIV Env p41a, but not to Pol p68a. Thus, the Mamu-A*02-restricted p199ry-specific T lymphocyte population can make up a substantial proportion of the entire virus- FIG. 3. The immune response to p199ry by peripheral blood T lymphocytes from Mamu-A*02 Mamu-A*01 SHIV/SIV-infected rhesus monkeys constitutes a significant portion of the T lymphocyte response to the entire virus. The assay was performed as described in the legend to Fig. 2, with the addition of wells containing the individual Mamu- A*01-restricted epitope peptides p41a, p15, p54, p11c, p68a, and SL8, each at a concentration of 1 g/ml. PBL from monkey were stimulated with SIVmac239 Env peptide pools (two pools containing a combined total of 220 overlapping 15-mers at 1 g/ml each, representing the entire SIVmac239 Env protein) rather than SHIV-89.6 Env peptide pools. The number of spot-forming cells per 10 6 PBL is shown as the mean SD of triplicate wells.

5 A DOMINANT Mamu-A*02-RESTRICTED SIV CTL EPITOPE 369 specific CD8 T lymphocyte population in SIV- and SHIVinfected monkeys. The frequency of Nef p199ry peptide-specific CD8 T lymphocytes in the peripheral blood of most of these SIV/SHIV-infected Mamu-A*02 rhesus monkeys was high enough to account for the majority of the Nefspecific CD8 T lymphocytes in those animals. To determine whether these p199ry-specific T lymphocytes actually constitute a majority of the Nef-specific T lymphocytes in these animals, a peptide pool was constructed consisting of 15-amino-acid peptides overlapping by 11 amino acids and spanning the Nef protein minus the two 15-amino-acid peptides containing the p199ry peptide sequence. This peptide pool was used in interferon- Elispot assays to assess the frequency of interferon- producing T lymphocytes that are specific for Nef epitopes other than p199ry (Fig. 4). In three of the five animals evaluated (483, 833, 19242), the p199ry-specific T lymphocytes comprised almost the entire population that recognized Nef. In the other two animals (26795, 19196), the p199ry-specific T lymphocytes comprised one-third to one-half of the population that recognized Nef. DISCUSSION FIG. 4. The immune response to p199ry by peripheral blood T lymphocytes from Mamu-A*02 SHIV/SIV-infected rhesus monkeys constitutes a majority of the T lymphocyte response to the entire Nef protein in most animals. The assay was performed as described in the legends to Figs. 2 and 3, with the addition of wells containing the Nef peptide pool without the two 15-amino-acid peptides that contain the p199ry epitope sequence. The y axis scales are different for the different animals. The number of spot-forming cells per 10 6 PBL is shown as the mean SD of triplicate wells. The monkeys evaluated in the present study represent an unusual population of infected animals in that they all controlled their SIV/SHIV infections and maintained normal immune function. All of the monkeys had undetectable viral loads and normal peripheral blood CD4 T lymphocyte counts (Table 1). The benign clinical course in these monkeys can be explained by the fact that they either were long-term survivors of SIVmac251 infections or were infected with either the nonpathogenic SHIV-89.6 or the pathogenic SHIV-89.6P following immunization with a gag-env DNA vaccine (Barouch et al., 2000b). Nevertheless, while the CTL responses in these monkeys may have been more robust than might be expected in animals infected with more highly pathogenic SIV or SHIV isolates, the relative representation of CTL specific for a variety of epitopes in a single animal likely reflected what would be seen in an immunosuppressed, infected animal. A pooled peptide Elispot assay was used to evaluate the relative dominance of the SIV Nef p199ry CTL epitope among the other epitopes of the structural and regulatory proteins of SIV. However, because of limitations in reagent availability, the various peptide pools employed in these studies differed in the length of their constituent peptides. The peptides in the pools spanning SIV Env, Gag, Nef, and Pol were all 15 amino acids in length, the peptides in the pools spanning SHIV-89.6 Env were 20 amino acids in length, and the individual epitope peptides were 8 or 9 amino acids in length. It is possible that the longer peptides might stimulate interferon- production by T lymphocytes less efficiently than the shorter peptides. Comparing the magnitude of T lymphocyte responses to the various peptide pools could then be misleading. However, when the two 15-amino-acid peptides included in the Nef peptide pool that contained the p199ry epitope were used individually in the assay, the larger peptides stimulated numbers of T lymphocytes to

6 370 NEWBERG ET AL. produce interferon- that were comparable to those stimulated by the minimal epitope peptide (data not shown). Furthermore, when a peptide pool spanning Nef, but lacking the two 15-amino-acid peptides that contain p199ry, was used to stimulate T lymphocytes, the number of interferon- -producing cells was dramatically reduced in a majority of the monkeys. These findings suggest that it should be valid to draw conclusions from these pooled peptide Elispot studies. An additional caveat that must be stated concerning the Elispot studies is that both CD4 and CD8 T lymphocytes were present in the cell populations that were evaluated. While both CD4 and CD8 T lymphocytes would be stimulated by the pools of 15- or 20-amino-acid peptides, only CD8 T lymphocytes would be stimulated by the 9-amino-acid peptide epitope p199ry. Therefore, the Elispot studies illustrate the proportion of the total T lymphocyte population that is specific for the p199ry epitope, which would have to be less than the proportion of the CD8 T lymphocyte population alone that is specific for p199ry. The Elispot assays thus likely resulted in an underestimate of the relative dominance of the p199ry epitope for CD8 T lymphocytes. The two quantitative assays used in these experiments, tetramer staining and Elispot, yielded comparable results. Among the different monkeys evaluated, those whose peripheral blood lymphocytes (PBL) had a high frequency of p199ry-specific T lymphocytes as determined by one assay also had a high frequency of these cells as determined by the other assay. Moreover, the relative frequency of T lymphocytes responding to p199ry did not vary over months in an individual animal, regardless of the assay used. Additionally, in each individual Mamu-A*02 MamuA*01 monkey, the relative frequencies of peripheral T lymphocyte populations specific for p199ry, p11c, and other epitopes were constant over time and did not vary with the assay used to evaluate them. This consistency validates the use of these assays to measure the strength of epitope-specific T lymphocyte responses with quantitative precision. Dominance is a relative, rather than absolute, attribute of CTL epitopes. In this study, we have demonstrated that Nef p199ry is a relatively dominant epitope for CTL from SIV/SHIV-infected Mamu-A*02 rhesus monkeys. The PBL of all of the seven evaluated monkeys contained a frequency of p199ry-specific T lymphocytes that was high enough to be detected by both tetramer staining and Elispot assay in freshly isolated blood cells. Among these animals, the frequency of Mamu-A*02/p199RY-specific CTL in the peripheral blood varied. In one instance, it was consistently higher than that of Mamu-A*01/p11Cspecific CTL; in another instance, it was more than 10- fold lower. However, in PBL of all the evaluated monkeys, the frequency of p199ry-specific CTL was higher than that of CTL specific for any of the other epitopes evaluated. It has been suggested that a high-frequency epitopespecific CTL response restricted by a given MHC class I molecule can be inhibited at least partially in an individual by the generation of a dominant epitope-specific CTL response restricted by a different MHC class I molecule (Yewdell and Bennink, 1999). In fact, the frequency of p199ry-specific T lymphocytes in PBL of the Mamu- A*01 Mamu-A*02 rhesus monkeys was comparable to the frequency of these cells in PBL of the Mamu- A*01 Mamu-A*02 rhesus monkeys, despite the fact that the Mamu-A*01 Mamu-A*02 monkeys had a high-frequency CTL response to the Gag p11c epitope. Notably, monkey 483 had been immunized with SIVmac239 Gag DNA and had developed Gag p11c-specific CTL prior to infection with SHIV-89.6P. Nevertheless, following infection, the frequency of Nef p199ry-specific T lymphocytes was actually higher than that of Gag p11c-specific T lymphocytes in this monkey s blood. Thus, no evidence of competition between potential dominant epitopes was observed in these monkeys. Knowledge of a dominant SIV/SHIV CTL epitope and the MHC class I molecule that presents that epitope peptide to CD8 T lymphocytes allows one to monitor AIDS vaccine trials in rhesus monkeys expressing that MHC class I molecule with relative ease and extreme quantitative precision. Evaluating the consequence of infections in this subpopulation of monkeys also allows a sophisticated analysis of viral escape from CTL recognition. Since the Mamu-A*01-restricted SIV Gag p11c epitope was the only dominant SIV/SHIV epitope previously defined in rhesus monkeys, highly quantitative AIDS vaccine trials could only be performed in Mamu- A*01 monkeys, animals that constitute approximately 20% of Indian-origin rhesus monkeys (Knapp et al., 1997). With the definition of a second dominant SIV/SHIV epitope presented to CD8 T lymphocytes by another MHC class I allele, the number of rhesus monkeys that can be used in these types of studies increases substantially. Since Mamu-A*02 is expressed by approximately 20% of Indian-origin rhesus monkeys (unpublished observations), immunologically sophisticated AIDS vaccine studies can now be carried out in 40% of all available animals of this species. Moreover, observations made in SIV/SHIV-infected Mamu-A*01 rhesus monkeys can now be confirmed in rhesus monkeys using a different MHC class I restriction element. MATERIALS AND METHODS Animals All animals used in this study were Indian-origin rhesus monkeys (Macaca mulatta). The monkeys had been shown to express Mamu-A*02 by PCR typing (Robinson et al., 2001). PCR typing documented that monkeys 19196, 483, and 833 also expressed Mamu-A*01 (Barouch et al., 2000a; and data not shown). Monkey 19196

7 A DOMINANT Mamu-A*02-RESTRICTED SIV CTL EPITOPE 371 was chronically infected with SIVmac251. Monkeys 26795, 14282, 18324, 19242, 483, and 833 were chronically infected with SHIV-89.6 or SHIV-89.6P (Karlsson et al., 1997; Reimann et al., 1996). The clinical status of the monkeys during the course of the study is shown in Table 1. Rhesus monkeys used in this study were maintained in accordance with the guidelines of the Institutional Animal Care and Use Committee for Harvard Medical School and the Guide for the Care and Use of Laboratory Animals (Institute of Laboratory Animal Resources (U.S.) Committee on Care and Use of Laboratory Animals, 1996). CD4 counts and viral loads Peripheral blood CD4 T lymphocyte counts were determined by multiplying the total lymphocyte count (measured with a Coulter T-540, Beckman Coulter, Miami, FL) by the percentage of CD3 CD4 T lymphocytes assessed by flow cytometry. Plasma viral RNA levels were measured by SIV RNA 3.0 bdna assay using a Quantiplex bdna System 340, performed by Bayer Diagnostics (Emeryville, CA), using probes which hybridize to the pol gene of the viral RNA. Peptides Synthetic peptides were obtained from Quality Controlled Biochemicals (Hopkinton, MA), a division of Biosource (Camarillo, CA). Peptides included SIVmac251 Nef p199ry (YTSGPGIRY), Gag p11c (CTPYDINQM), Pol p68a (STPPLVRLV), Tat SL8 (TTPESANL), Env p15 (CAP- PGYALL), Env p54 (TVPWPNASL), and HIV 89.6 Env p41a (YAPPITGQI). Individual 15-amino-acid-length peptides, overlapping by 11 amino acids and spanning the proteins Env, Gag, Pol, and Nef from SIVmac239, as well as individual 20-amino-acid-length peptides, overlapping by 10 amino acids, and spanning the Env protein from SHIV- 89.6, were obtained from the NIH AIDS Reagent Program (McKesson BioServices Corp., Rockville, MD). They were reconstituted in DMSO at 50 or 100 mg/ml and promptly pooled to a concentration of 800 (SHIV-89.6 Env) or 400 g/ml (SIV pools). The Env and Pol peptides were so numerous that two pools were required to span each protein. Pools and individual peptides were stored at 80 C. Construction of Mamu-A*02/p199RY tetrameric complexes DNA coding for the extracellular region of Mamu-A*02 was amplified by PCR with the 5 primer GTCACTGAATT- CAGGAGGAATTTAAAATGGGCTCTCACTCCATGAGG and the 3 primer GGACTGGGATCCCGGCTCCCATCTCAGG- GTGAGGGG using a Mamu-A*02 plasmid provided by Dr. David Watkins (University of Wisconsin) as the template (Watanabe et al., 1994). The PCR product was digested with EcoRI and BamHI and subcloned into the expression plasmid Mamu-A*01/GlySer/BSP (BSP, BirA substrate peptide) (Altman et al., 1996; Kuroda et al., 1998), which contains the BSP at the 3 end. Subsequently, to increase the level of expression, the DNA coding for the extracellular region of Mamu-A*02 was reamplified from this plasmid by PCR with the 5 primer GCACGCGCATATGGGTTCTCACTCTATGCGTTACTTCTA- CACATCCGTG and the 3 primer GCCAAGCTTTTAACG- ATGATTCC. The PCR product was ligated into the pcr-ii vector using the TA Cloning Kit (Invitrogen, Carlsbad, CA), and digested with NdeI and SacI, and subcloned into the expression plasmid PET23a /Mamu-A*01/BSP (PET23a from Novagen, Madison, WI). This resulted in an MHC fusion gene in which the sequence encoding the first 230 amino acids including the polymorphic peptide-binding/epitope-determining 1 and 2 domains and half of the conserved 2 -microglobulin- and CD8- binding 3 domain was derived from Mamu-A*02; the sequence encoding the last 46 amino acids the other half of the 3 domain was from Mamu-A*01. In addition, use of a consensus primer resulted in a conservative substitution of valine for methionine at position 12. The expressed protein was refolded in vitro with human 2 -microglobulin ( 2 m) in the presence of specific peptide as described (Garboczi et al., 1992). The optimal 9-amino-acid peptide epitope of SIVmac251 Nef, p199ry (YTSGPGIRY; Robinson et al., 2001), was used to induce refolding of Mamu-A*02. The Mamu-A*02/p199RY/ 2 m monomers were purified by gel filtration on a Superdex 200 column (Pharmacia, Peapack, NJ) and biotinylated enzymatically with BirA enzyme (Avidity, Denver, CO), following the manufacturer s instructions. The efficiency of biotinylation was 80%. A Superdex 200 column was used to remove free biotin from the monomers, and then the biotinylated monomers were mixed with phycoerythrin (PE)-labeled streptavidin (Prozyme, San Leandro, CA) at a molar ratio of 4:1 and titrated drop-wise to maximize tetramer formation. The tetramer was stored at a concentration of 25 g/ml in phosphate-buffered saline (PBS) containing 0.3% bovine serum albumin, 0.1% sodium azide, and Protease Inhibitor Cocktail Set I (containing AEBSF, aprotinin, E-64, EDTA, and leupeptin; Calbiochem, San Diego, CA) at 4 C. Mamu-A*02/p199RY tetramer was used for staining at 125 ng per sample. Tetramer staining of peptide-specific CD8 T lymphocytes and flow cytometry Soluble tetrameric complexes containing Mamu-A*01 and either p11c, p68a, p15, p54, p41a, or SL8 were prepared as described elsewhere (Allen et al., 2000a; Egan et al., 1999; Kuroda et al., 1998). PE-labeled tetrameric complexes were used with fluorescein isothiocyanate (FITC)-labeled anti-human CD8 (SK1; BD Biosciences, San Diego, CA), energy-coupled dye (ECD)-labeled anti-human CD8 (2ST8-5H7; Beckman

8 372 NEWBERG ET AL. Coulter), and allophycocyanin (APC)-labeled anti-rhesus CD3 (FN18; custom conjugated by Beckman Coulter) to stain epitope-specific CD8 T lymphocytes. One hundred microliters of EDTA-preserved whole blood from rhesus monkeys was incubated, first with PE-labeled tetramer for 15 min at room temperature and then with anti-cd8 FITC, anti-cd8 ECD and anti-cd3 APC for 15 min at room temperature. The stained blood was then lysed on an Immunoprep Reagent Q-Prep Workstation (Beckman Coulter), washed with 4 ml of PBS, and fixed in 0.5 ml PBS containing 1.5% paraformaldehyde. Samples were analyzed by four-color flow cytometry on a Becton Dickenson FACSCalibur. To measure peripheral blood CD4 T lymphocyte counts, the percentage of CD3 CD4 T lymphocytes was assessed using PE-labeled anti-human CD4 (19Thy5D7; custom conjugated by Beckman Coulter), anti-cd8 FITC, anti-cd8 ECD and anti- CD3 APC as above. Elispot analysis EDTA-preserved whole blood from rhesus monkeys was subjected to Ficoll diatrizoate density-gradient centrifugation to isolate leukocytes, and cells were then seeded into 96-well plates (Millipore MultiScreen) that had been coated overnight with anti-human interferon- antibody (B27; PharMingen, San Diego, CA) at 10 g/ml in Dulbecco s phosphate-buffered saline (DPBS; GIBCO/ Invitrogen). Plates were then washed three times with 0.25% Tween 20 in DPBS (PBST). Plates were next blocked for 2 hours at 37 C with 5% fetal calf serum (FCS) in DPBS and then washed three times with PBST and once with RPMI 1640 supplemented with 10% FCS. Cells were seeded in RPMI with 10% FCS at a density of cells per well in triplicate in the presence of peptide (1 g/ml for 8-15-amino-acid peptides; 4 g/ml for 20-amino-acid peptides), phytohemagglutinin (PHAM) (5 g/ml; Sigma Chemical Co., St. Louis, MO), or medium alone. Plates were then incubated for 18 h at 37 C in a 5% CO 2 atmosphere. Plates were washed nine times with PBST and once with water and then incubated in the presence of 2 g/ml biotinylated rabbit polyclonal antihuman interferon- antiserum (Biosource) for2hatroom temperature. Plates were then washed again and incubated with streptavidin alkaline phosphatase (Southern Biotechnology, Birmingham, AL) for 2hatroom temperature. After a final rinse, a chromogenic substrate was added (1-Step NBT/BCIP, Pierce, Rockford, IL). After min, plates were washed thoroughly with water and air dried. Spots were counted on an imaging system (Hitech Instruments, Inc., a division of Olympus Scientific Instruments, Edgemont, PA) using Image-Pro Plus image-processing software. ACKNOWLEDGMENTS This work was supported by Public Health Service Grants AI85343 (N.L.L.), AI20729 (N.L.L.), AI28691 (N.L.L.), AI48400 (M.J.K.), and AI01745 (W.A.C.) from the National Institute for Allergy and Infectious Diseases and the Dana-Farber Cancer Institute/Beth Israel Deaconess Medical Center/Children s Hospital Center for AIDS Research Grant P30 AI28691 (M.J.K.). REFERENCES Allen, T. M., O Connor, D. H., Jing, P., Dzuris, J. L., Mothe, B. R., Vogel, T. U., Dunphy, E., Liebl, M. E., Emerson, C., Wilson, N., Kunstman, K. J., Wang, X., Allison, D. B., Hughes, A. L., Desrosiers, R. C., Altman, J. D., Wolinsky, S. M., Sette, A., and Watkins, D. I. (2000a). Tat-specific cytotoxic T lymphocytes select for SIV escape variants during resolution of primary viraemia. Nature 407, Allen, T. M., Sidney, J., del Guercio, M. F., Glickman, R. L., Lensmeyer, G. L., Wiebe, D. A., DeMars, R., Pauza, C. D., Johnson, R. P., Sette, A., and Watkins, D. I. (1998). 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