Simultaneous correlation of cytokine production with Treg and Th17 cell proliferation

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Simultaneous correlation of cytokine production with Treg and Th17 cell proliferation Jurg Rohrer, PhD Director, R&D BD Biosciences 23-11773-00 For Research Use Only. Not for use in diagnostic or therapeutic procedures.

Overview T helper (Th) cell overview Experimental setup Data analysis Conclusions

Introduction to Th biology

Th17 cells Developmentally distinct from Th1 and Th2 cells Immunity against bacterial and fungal infections Play a key role in autoimmune diseases (tissue injury) Controlling Th17 activity could aid in the treatment of autoimmune diseases TGF-β, IL-6, IL-21, IL-1β, and IL-23 appear to drive Th17 development Produce IL-17A, IL-17F; also IL-21, IL-22, IL-26, and less TNF and IL-6

Treg cells Actively suppress T cell proliferation, crucial for T cell homeostasis FoxP3, transcription factor is a specific marker for Treg FoxP3 is necessary for both development and function of Treg ntreg develop in the thymus, itreg require TGFβ, IL-2 and RA Produce TGFβ and IL-10 and express high levels of CD25 and low levels of CD127 Dampening Treg activity could improve anti-tumor responses and responses to vaccinations and chronic infections Boosting Treg activity could be useful in the treatment of T cell induced diseases

Experimental model Enrich Balb/c splenocytes by positive selection via CD4 + panning Load isolated cells with VPD450 1μM, 10 minutes Set up cultures as follows: CD3/CD28 CD3/CD28/IL-6/IL-1β CD3/CD28/IL-6/IL-1β/TGFβ CD3/CD28/IL-6/IL-1β/TGFβ/IL-23 Harvest cells at 1, 2, 3, and 4 days Fix/perm and stain cells for IL-17A, Foxp3, IL-4, IL-2, and interferon-γ (IFN-γ)

Experimental setup Harvest Spleen BD Cytofix/Cytoperm buffer Cytokines Foxp3 Fix/Perm buffer Foxp3 and some cytokines CD4 cells enriched by panning + Monensin -Monensin Cells loaded with VPD450 and washed Harvest Stimulate with PMA and Ionomycin for 4 5 hours + or Monensin anti-cd3e+ anti-cd28 anti-cd3e+ anti-cd28+il-1β+il-6 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β Day 1, 2, 3, 4 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β+ IL-23 Supernatants: Analysis with BD CBA Flex Sets Cells: BD Phosflow Fix and Perm buffer

Fluorescein Diacetate Derivative

Spleen CD3/28 Day 2 [VPD450] 1x10 7 /ml 0 μm BrdU 1 μm 2.5 μm 5 μm 29.6% 49.2% 6.9% 1.4% DNA DNA DNA

Spleen CD3/28 Day 2 [Cell] 1 x 10 7 cells/ml 1 x 10 6 cells/ml 2 x 10 7 cells/ml 1 μm 32.3 0.1 46.5 BrdU DNA DNA DNA

Human PBMC PHA Stimulation [VPD450] Cells Only 1 μm VPD450 10 μm VPD450 1 x 10 6 cell/ml BrdU 20.9% 20.6% 4% Day 3 DNA VPD450 BrdU 6% 14.5% 41% Day 5 DNA VPD450

VPD450 histograms Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 VPD450

Which conditions for which cytokines All conditions result in proliferation of cells to essentially equal extents. Which cytokines are being produced under which conditions? Which cell types are producing which cytokines?

VPD450 vs IL-2 data Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 IL-2 VPD450

VPD450 vs IFN-γ data Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 IFN-γ VPD450

VPD450 vs IL-17A data Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 IL-17A VPD450

Cytokine co-expression IL-2 is expressed under all conditions IFN-γ is produced more under condition 1 TGF-β is required for expression of IL-17A Which cytokines are co-expressed?

Co-expression of IL-17A vs IL-2 Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 16% 16% 18% 15% Day 2 27% 21% 16% 1.7% 14% 2.1% 1.1% Day 3 23% 13% 12% 1% 11% 1.5% IL-2 IL-17A 1.9% 4.7%

Co-expression of IL-17A vs IFN-γ Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 1.2% Day 1 Day 2 4.5% 2.1% 1.6% 1.2% 2.1% 3.2% Day 3 7.5% 1.9% 1.7% 1.1% IFN-γ IL-17A 1.9% 5.2%

Co-expression of IL-17A vs IL-4 Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 3.0% 3.7% Day 3 1.6% 2.0% 5.0% 3.0% IL-4 IL-17A 1.9% 5.4%

Tracking FoxP3 IL-17A expression is boosted by addition of IL-23. Earlier on IL-17A expressing cells coexpress IL-2, but over time the two become mutually exclusive. IL-4 expression increases as IFN-γ expression decreases. What are the FoxP3+ cells doing?

Experimental setup Harvest Spleen BD Cytofix/Cytoperm buffer Cytokines Foxp3 Fix/Perm buffer Foxp3 and some cytokines CD4 cells enriched by panning + Monensin -Monensin Cells loaded with VPD450 and washed Harvest Stimulate with PMA and Ionomycin for 4 5 hours + or Monensin anti-cd3e+ anti-cd28 anti-cd3e+ anti-cd28+il-1β+il-6 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β Day 1, 2, 3, 4 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β+ IL-23 Supernatants: Analysis with BD CBA Flex Sets Cells: BD Phosflow Fix and Perm buffer

Comparison of two fix/perm protocols BD Cytofix/Cytoperm protocol 4.3% Foxp3 fix/perm protocol 3.3% IL-17A 7.7% IL-2 4.1% IL-17A IL-17A IL-2 3.4% IL-17A 3.8% 3.9% IFN-γ IFN-γ

Proliferation of Treg and Th17 cells Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 0 Day 1 Day 2 FoxP3 Day 3 VPD450

Co-expression of Foxp3 vs IFN-γ Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 3.3% 3.2% 2.5% 2.2% Day 1 2.8% 3.1% 3.1% 4% 6.4% 3.7% 1.9% 2.1% Day 2 2% 1.8% 2.7% 2.5% 11% 3.1% 3.9% 4.4% Day 3 IFN-γ FoxP3 1.8% 3.8% 2.4% 2.7% 2.4%

Co-expression of Foxp3 vs IL-17A Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 2.9% 3.5% 3.3% 4.5% 2.5% 2.9% Day 2 1.9% 1.7% 2.5% 2.3% 3.2% 7.9% Day 3 IL-17A FoxP3 1.9% 2.3% 2.6% 2.3%

Cytokines in culture supernatants FoxP3 expression maintained throughout culture period. FoxP3+ Treg cells divide more slowly than other CD4 t cells. Expression of IFN-γ and IL-17A not found in Treg. Does cytokine expression detected in the cells correlate with cytokine detected in culture supernatants?

Experimental setup Harvest spleen BD Cytofix/Cytoperm buffer Cytokines Foxp3 Fix/Perm buffer Foxp3 and some cytokines CD4 cells enriched by panning + Monensin -Monensin Cells loaded with VPD450 and washed Harvest Stimulate with PMA and Ionomycin for 4 5 hours + or Monensin anti-cd3e+ anti-cd28 anti-cd3e+ anti-cd28+il-1β+il-6 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β Day 1, 2, 3, 4 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β+il-23 Supernatants: Analysis with BD CBA Flex Sets Cells: BD Phosflow Fix and Perm buffer

IL-17A and IFN-γ production

IL-4 and IL-2 production

Experimental setup Harvest spleen BD Cytofix/Cytoperm buffer Cytokines Foxp3 Fix/Perm buffer Foxp3 and some cytokines CD4 cells enriched by panning + Monensin -Monensin Cells loaded with VPD450 and washed Harvest Stimulate with PMA and Ionomycin for 4 5 hours + or Monensin anti-cd3e+ anti-cd28 anti-cd3e+ anti-cd28+il-1β+il-6 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β Day 1, 2, 3, 4 anti-cd3e+ anti-cd28+il-1β+il-6+tgf-β+il-23 Supernatants: Analysis with BD CBA Flex Sets Cells: BD Phosflow Fix and Perm buffer

pstat5 detection on day 4 Unactivated: Cells were cultured, harvested, and stained with phosphospecific Stat5 antibody. Activated: Cells were cultured and activated with PMA/Ionomycin for 5 hours and then stained with phospho-specific Stat5 antibody. Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Unactivated Activated pstat5

pstat5 in activated cells over time Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 pstat5

pstat5 in proliferating cells Condition: CD3/CD28 +IL-1β/IL-6 +TGF-β +IL-23 Day 1 Day 2 Day 3 pstat5 VPD450

Conclusions Cells proliferated equally well under all four polarization conditions. In vitro cultures showed that TGF-β was important for polarization of CD4 cells towards Th17. Initial cultures show co-expression of IL-2 and IL-17 that later become independent of each other. Detection of secreted cytokines (by CBA) correlated with the intracellular staining. Cytokine production by proliferating cells resulted in increased phosphorylation of the signal transducer Stat5.

Acknowledgments Jeanne Elia Xiao-Wei Wu Ravi Hingorani Jacob Rabenstein Erika O Donnell Alexa Fluor is a registered trademark of Molecular Probes, Inc.

Questions E-mail research applications at ResearchApplications@bd.com