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Published in: Journal of Translational Medicine 1/2003

Open Access 01-06-2003 | Methodology

Ex vivo screening for immunodominant viral epitopes by quantitative real time polymerase chain reaction (qRT-PCR)

Authors: Maurizio Provenzano, Simone Mocellin, Paola Bonginelli, Dirk Nagorsen, Seog-Woon Kwon, David Stroncek

Published in: Journal of Translational Medicine | Issue 1/2003

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Abstract

The identification and characterization of viral epitopes across the Human Leukocyte Antigen (HLA) polymorphism is critical for the development of actives-specific or adoptive immunotherapy of virally-mediated diseases. This work investigates whether cytokine mRNA transcripts could be used to identify epitope-specific HLA-restricted memory T lymphocytes reactivity directly in fresh peripheral blood mononuclear cells (PBMCs) from viral-seropositive individuals in response to ex vivo antigen recall. PBMCs from HLA-A*0201 healthy donors, seropositive for Cytomegalovirus (CMV) and Influenza (Flu), were exposed for different periods and at different cell concentrations to the HLA-A*0201-restricted viral FluM158–66 and CMVpp65495–503 peptides. Quantitative real time PCR (qRT-PCR) was employed to evaluate memory T lymphocyte immune reactivation by measuring the production of mRNA encoding four cytokines: Interferon-γ (IFN-γ), Interleukin-2 (IL-2), Interleukin-4 (IL-4), and Interleukin-10 (IL-10). We could characterize cytokine expression kinetics that illustrated how cytokine mRNA levels could be used as ex vivo indicators of T cell reactivity. Particularly, IFN-γ mRNA transcripts could be consistently detected within 3 to 12 hours of short-term stimulation in levels sufficient to screen for HLA-restricted viral immune responses in seropositive subjects. This strategy will enhance the efficiency of the identification of viral epitopes independently of the individual HLA phenotype and could be used to follow the intensity of immune responses during disease progression or in response to in vivo antigen-specific immunization.
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Literature
1.
go back to reference Tao Q, Yang J, Huang H, Swinnen LJ, Ambinder RF: Conservation of Epstein-Barr virus cytotoxic T-cell epitopes in posttransplant lymphomas: implications for immune therapy. Am J Pathol. 2002, 160: 1839-1845.PubMedCentralCrossRefPubMed Tao Q, Yang J, Huang H, Swinnen LJ, Ambinder RF: Conservation of Epstein-Barr virus cytotoxic T-cell epitopes in posttransplant lymphomas: implications for immune therapy. Am J Pathol. 2002, 160: 1839-1845.PubMedCentralCrossRefPubMed
2.
go back to reference Gottschalk S, Edwards OL, Sili U, Huls MH, Goltsova T, Davis AR, Heslop HE, Rooney CM: Generating CTLs against the subdominant Epstein-Barr virus LMP1 antigen for the adoptive immunotherapy of EBV-associated malignancies. Blood. 2003, 101: 1905-1912. 10.1182/blood-2002-05-1514.CrossRefPubMed Gottschalk S, Edwards OL, Sili U, Huls MH, Goltsova T, Davis AR, Heslop HE, Rooney CM: Generating CTLs against the subdominant Epstein-Barr virus LMP1 antigen for the adoptive immunotherapy of EBV-associated malignancies. Blood. 2003, 101: 1905-1912. 10.1182/blood-2002-05-1514.CrossRefPubMed
3.
go back to reference Chua D, Huang J, Zheng B, Lau SY, Luk W, Kwong DL, Sham JS, Moss D, Yuen KY, Im SW, Ng MH: Adoptive transfer of autologous Epstein-Barr virus-specific cytotoxic T cells for nasopharyngeal carcinoma. Int J Cancer. 2001, 94: 73-80. 10.1002/ijc.1430.CrossRefPubMed Chua D, Huang J, Zheng B, Lau SY, Luk W, Kwong DL, Sham JS, Moss D, Yuen KY, Im SW, Ng MH: Adoptive transfer of autologous Epstein-Barr virus-specific cytotoxic T cells for nasopharyngeal carcinoma. Int J Cancer. 2001, 94: 73-80. 10.1002/ijc.1430.CrossRefPubMed
4.
go back to reference Velders MP, Macedo MF, Provenzano M, Elmishad AG, Holzhutter HG, Carbone M, Kast WM: Human T cell responses to endogenously presented HLA-A*0201 restricted peptides of Simian virus 40 large T antigen. J Cell Biochem. 2001, 82: 155-162. 10.1002/jcb.1148.CrossRefPubMed Velders MP, Macedo MF, Provenzano M, Elmishad AG, Holzhutter HG, Carbone M, Kast WM: Human T cell responses to endogenously presented HLA-A*0201 restricted peptides of Simian virus 40 large T antigen. J Cell Biochem. 2001, 82: 155-162. 10.1002/jcb.1148.CrossRefPubMed
5.
go back to reference Bright RK, Kimchi ET, Shearer MH, Kennedy RC, Pass HI: SV40 Tag-specific cytotoxic T lymphocytes generated from the peripheral blood of malignant pleural mesothelioma patients. Cancer Immunol Immunother. 2002, 50: 682-690. 10.1007/s00262-001-0240-8.CrossRefPubMed Bright RK, Kimchi ET, Shearer MH, Kennedy RC, Pass HI: SV40 Tag-specific cytotoxic T lymphocytes generated from the peripheral blood of malignant pleural mesothelioma patients. Cancer Immunol Immunother. 2002, 50: 682-690. 10.1007/s00262-001-0240-8.CrossRefPubMed
6.
go back to reference Chiriva-Internati M, Liu Y, Salati E, Zhou W, Wang Z, Grizzi F, Roman JJ, Lim SH, Hermonat PL: Efficient generation of cytotoxic T lymphocytes against cervical cancer cells by adeno-associated virus/human papillomavirus type 16 E7 antigen gene transduction into dendritic cells. Eur J Immunol. 2002, 32: 30-38. 10.1002/1521-4141(200201)32:1<30::AID-IMMU30>3.0.CO;2-E.CrossRefPubMed Chiriva-Internati M, Liu Y, Salati E, Zhou W, Wang Z, Grizzi F, Roman JJ, Lim SH, Hermonat PL: Efficient generation of cytotoxic T lymphocytes against cervical cancer cells by adeno-associated virus/human papillomavirus type 16 E7 antigen gene transduction into dendritic cells. Eur J Immunol. 2002, 32: 30-38. 10.1002/1521-4141(200201)32:1<30::AID-IMMU30>3.0.CO;2-E.CrossRefPubMed
7.
go back to reference Stordeur P, Poulin LF, Craciun L, Zhou L, Schandene L, de Lavareille A, Goriely S, Goldman M: Cytokine mRNA quantification by real-time PCR. J Immunol Methods. 2002, 259: 55-64. 10.1016/S0022-1759(01)00489-6.CrossRefPubMed Stordeur P, Poulin LF, Craciun L, Zhou L, Schandene L, de Lavareille A, Goriely S, Goldman M: Cytokine mRNA quantification by real-time PCR. J Immunol Methods. 2002, 259: 55-64. 10.1016/S0022-1759(01)00489-6.CrossRefPubMed
8.
go back to reference Stordeur P, Zhou L, Byl B, Brohet F, Burny W, de Groote D, van der Poll T, Goldman M: Immune monitoring in whole blood using real-time PCR. J Immunol Methods. 2003, 276: 69-77. 10.1016/S0022-1759(03)00074-7.CrossRefPubMed Stordeur P, Zhou L, Byl B, Brohet F, Burny W, de Groote D, van der Poll T, Goldman M: Immune monitoring in whole blood using real-time PCR. J Immunol Methods. 2003, 276: 69-77. 10.1016/S0022-1759(03)00074-7.CrossRefPubMed
9.
go back to reference Mocellin S, Provenzano M, Rossi CR, Pilati P, Nitti D, Lise M: Use of quantitative real-time PCR to determine immune cell density and cytokine gene profile in the tumor microenvironment. J Immunol Methods. 2003, 280: 1-11. 10.1016/S0022-1759(03)00274-6.CrossRefPubMed Mocellin S, Provenzano M, Rossi CR, Pilati P, Nitti D, Lise M: Use of quantitative real-time PCR to determine immune cell density and cytokine gene profile in the tumor microenvironment. J Immunol Methods. 2003, 280: 1-11. 10.1016/S0022-1759(03)00274-6.CrossRefPubMed
10.
go back to reference Panelli MC, Wang E, Monsurro V, Marincola FM: The role of quantitative PCR for the immune monitoring of cancer patients. Expert Opin Biol Ther. 2002, 2: 557-564.CrossRefPubMed Panelli MC, Wang E, Monsurro V, Marincola FM: The role of quantitative PCR for the immune monitoring of cancer patients. Expert Opin Biol Ther. 2002, 2: 557-564.CrossRefPubMed
11.
go back to reference Kammula US, Marincola FM, Rosenberg SA: Real-time quantitative polymerase chain reaction assessment of immune reactivity in melanoma patients after tumor peptide vaccination. J Natl Cancer Inst. 2000, 92: 1336-1344. 10.1093/jnci/92.16.1336.CrossRefPubMed Kammula US, Marincola FM, Rosenberg SA: Real-time quantitative polymerase chain reaction assessment of immune reactivity in melanoma patients after tumor peptide vaccination. J Natl Cancer Inst. 2000, 92: 1336-1344. 10.1093/jnci/92.16.1336.CrossRefPubMed
12.
go back to reference Mocellin S, Provenzano M, Lise M, Nitti D, Rossi CR: Increased TIA-1 gene expression in the tumor microenvironment after locoregional administration of tumor necrosis factor-alpha to patients with soft tissue limb sarcoma. Int J Cancer. 2003, 107: 317-322. 10.1002/ijc.11369.CrossRefPubMed Mocellin S, Provenzano M, Lise M, Nitti D, Rossi CR: Increased TIA-1 gene expression in the tumor microenvironment after locoregional administration of tumor necrosis factor-alpha to patients with soft tissue limb sarcoma. Int J Cancer. 2003, 107: 317-322. 10.1002/ijc.11369.CrossRefPubMed
13.
go back to reference Trojan A, Urosevic M, Hummerjohann J, Giger R, Schanz U, Stahel RA: Immune reactivity against a novel HLA-A3-restricted influenza virus peptide identified by predictive algorithms and interferon-gamma quantitative PCR. J Immunother. 2003, 26: 41-46. 10.1097/00002371-200301000-00005.CrossRefPubMed Trojan A, Urosevic M, Hummerjohann J, Giger R, Schanz U, Stahel RA: Immune reactivity against a novel HLA-A3-restricted influenza virus peptide identified by predictive algorithms and interferon-gamma quantitative PCR. J Immunother. 2003, 26: 41-46. 10.1097/00002371-200301000-00005.CrossRefPubMed
14.
go back to reference Provenzano M, Mocellin S, Bettinotti M, Preuss J, Monsurro V, Marincola FM, Stroncek D: Identification of immune dominant cytomegalovirus epitopes using quantitative real-time polymerase chain reactions to measure interferon-gamma production by peptide-stimulated peripheral blood mononuclear cells. J Immunother. 2002, 25: 342-351. 10.1097/00002371-200207000-00006.CrossRefPubMed Provenzano M, Mocellin S, Bettinotti M, Preuss J, Monsurro V, Marincola FM, Stroncek D: Identification of immune dominant cytomegalovirus epitopes using quantitative real-time polymerase chain reactions to measure interferon-gamma production by peptide-stimulated peripheral blood mononuclear cells. J Immunother. 2002, 25: 342-351. 10.1097/00002371-200207000-00006.CrossRefPubMed
15.
go back to reference Provenzano M, Lim JB, Mocellin S, Monsurro V, Bettinotti M, Marincola FM, Stroncek D: The matrix protein pp65 341-350, a peptide that induces ex vivo stimulation and in vitro expansion of CMV-specific CD8+ T cells in subjects bearing either HLA-A*2402 or A*0101 allele. Transfusion. 2003, 43: 1567-1574. 10.1046/j.1537-2995.2003.00564.x.CrossRefPubMed Provenzano M, Lim JB, Mocellin S, Monsurro V, Bettinotti M, Marincola FM, Stroncek D: The matrix protein pp65 341-350, a peptide that induces ex vivo stimulation and in vitro expansion of CMV-specific CD8+ T cells in subjects bearing either HLA-A*2402 or A*0101 allele. Transfusion. 2003, 43: 1567-1574. 10.1046/j.1537-2995.2003.00564.x.CrossRefPubMed
16.
go back to reference Bednarek MA, Sauma SY, Gammon MC, Porter G, Tamhankar S, Williamson AR, Zweerink HJ: The minimum peptide epitope from the influenza virus matrix protein. Extra and intracellular loading of HLA-A2. J Immunol. 1991, 147: 4047-4053.PubMed Bednarek MA, Sauma SY, Gammon MC, Porter G, Tamhankar S, Williamson AR, Zweerink HJ: The minimum peptide epitope from the influenza virus matrix protein. Extra and intracellular loading of HLA-A2. J Immunol. 1991, 147: 4047-4053.PubMed
17.
go back to reference Diamond DJ, York J, Sun JY, Wright CL, Forman SJ: Development of a candidate HLA A*0201 restricted peptide-based vaccine against human cytomegalovirus infection. Blood. 1997, 90: 1751-1767.PubMed Diamond DJ, York J, Sun JY, Wright CL, Forman SJ: Development of a candidate HLA A*0201 restricted peptide-based vaccine against human cytomegalovirus infection. Blood. 1997, 90: 1751-1767.PubMed
18.
go back to reference Lally KM, Mocellin S, Ohnmacht GA, Nielsen MB, Bettinotti M, Panelli MC, Monsurro V, Marincola FM: Unmasking cryptic epitopes after loss of immunodominant tumor antigen expression through epitope spreading. Int J Cancer. 2001, 93: 841-847. 10.1002/ijc.1420.CrossRefPubMed Lally KM, Mocellin S, Ohnmacht GA, Nielsen MB, Bettinotti M, Panelli MC, Monsurro V, Marincola FM: Unmasking cryptic epitopes after loss of immunodominant tumor antigen expression through epitope spreading. Int J Cancer. 2001, 93: 841-847. 10.1002/ijc.1420.CrossRefPubMed
19.
go back to reference Kammula US, Lee KH, Riker AI, Wang E, Ohnmacht GA, Rosenberg SA, Marincola FM: Functional analysis of antigen-specific T lymphocytes by serial measurement of gene expression in peripheral blood mononuclear cells and tumor specimens. J Immunol. 1999, 163: 6867-6875.PubMed Kammula US, Lee KH, Riker AI, Wang E, Ohnmacht GA, Rosenberg SA, Marincola FM: Functional analysis of antigen-specific T lymphocytes by serial measurement of gene expression in peripheral blood mononuclear cells and tumor specimens. J Immunol. 1999, 163: 6867-6875.PubMed
20.
go back to reference Sallusto F, Lenig D, Mackay CR, Lanzavecchia A: Flexible programs of chemokine receptor expression on human polarized T helper 1 and 2 lymphocytes. J Exp Med. 1998, 187: 875-883. 10.1084/jem.187.6.875.PubMedCentralCrossRefPubMed Sallusto F, Lenig D, Mackay CR, Lanzavecchia A: Flexible programs of chemokine receptor expression on human polarized T helper 1 and 2 lymphocytes. J Exp Med. 1998, 187: 875-883. 10.1084/jem.187.6.875.PubMedCentralCrossRefPubMed
21.
go back to reference Lim JB, Bettinotti M, Caruccio L, Nagorsen D, Stroncek D, Provenzano M: Identification of three different CMV epitopes as common target antigensfor HLA-A*0301 restricted CMV-specific cytotoxic T lymphocytes [abstract].Blood. 2002, 99: s3293-10.1182/blood.V99.9.3293.CrossRef Lim JB, Bettinotti M, Caruccio L, Nagorsen D, Stroncek D, Provenzano M: Identification of three different CMV epitopes as common target antigensfor HLA-A*0301 restricted CMV-specific cytotoxic T lymphocytes [abstract].Blood. 2002, 99: s3293-10.1182/blood.V99.9.3293.CrossRef
22.
go back to reference Lim JB, Provenzano M, Bettinotti M, Caruccio L, Nagorsen D, Stroncek D: Identification of a new HLA-A*3301 and HLA-A*3303 restrictedcytomegalovirus-specific CD8+ T lymphocytes epitope [abstract].Blood. 2003, 102: s2677- Lim JB, Provenzano M, Bettinotti M, Caruccio L, Nagorsen D, Stroncek D: Identification of a new HLA-A*3301 and HLA-A*3303 restrictedcytomegalovirus-specific CD8+ T lymphocytes epitope [abstract].Blood. 2003, 102: s2677-
23.
go back to reference Pittet MJ, Zippelius A, Speiser DE, Assenmacher M, Guillaume P, Valmori D, Lienard D, Lejeune F, Cerottini JC, Romero P: Ex vivo IFN-gamma secretion by circulating CD8 T lymphocytes: implications of a novel approach for T cell monitoring in infectious and malignant diseases. J Immunol. 2001, 166: 7634-7640.CrossRefPubMed Pittet MJ, Zippelius A, Speiser DE, Assenmacher M, Guillaume P, Valmori D, Lienard D, Lejeune F, Cerottini JC, Romero P: Ex vivo IFN-gamma secretion by circulating CD8 T lymphocytes: implications of a novel approach for T cell monitoring in infectious and malignant diseases. J Immunol. 2001, 166: 7634-7640.CrossRefPubMed
24.
go back to reference Kern F, Surel IP, Brock C, Freistedt B, Radtke H, Scheffold A, Blasczyk R, Reinke P, Schneider-Mergener J, Radbruch A, Walden P, Volk HD: T-cell epitope mapping by flow cytometry. Nat Med. 1998, 4: 975-978.CrossRefPubMed Kern F, Surel IP, Brock C, Freistedt B, Radtke H, Scheffold A, Blasczyk R, Reinke P, Schneider-Mergener J, Radbruch A, Walden P, Volk HD: T-cell epitope mapping by flow cytometry. Nat Med. 1998, 4: 975-978.CrossRefPubMed
25.
go back to reference Monsurro V, Nagorsen D, Wang E, Provenzano M, Dudley ME, Rosenberg SA, Marincola FM: Functional heterogeneity of vaccine-induced CD8(+) T cells. J Immunol. 2002, 168: 5933-5942.PubMedCentralCrossRefPubMed Monsurro V, Nagorsen D, Wang E, Provenzano M, Dudley ME, Rosenberg SA, Marincola FM: Functional heterogeneity of vaccine-induced CD8(+) T cells. J Immunol. 2002, 168: 5933-5942.PubMedCentralCrossRefPubMed
26.
go back to reference Tesfa L, Volk HD, Kern F: Comparison of proliferation and rapid cytokine induction assays for flow cytometric T-cell epitope mapping. Cytometry. 2003, 52A: 36-45. 10.1002/cyto.a.10023.CrossRef Tesfa L, Volk HD, Kern F: Comparison of proliferation and rapid cytokine induction assays for flow cytometric T-cell epitope mapping. Cytometry. 2003, 52A: 36-45. 10.1002/cyto.a.10023.CrossRef
27.
go back to reference Prussin C: Cytokine flow cytometry: understanding cytokine biology at the single-cell level. J Clin Immunol. 1997, 17: 195-204. 10.1023/A:1027350226435.CrossRefPubMed Prussin C: Cytokine flow cytometry: understanding cytokine biology at the single-cell level. J Clin Immunol. 1997, 17: 195-204. 10.1023/A:1027350226435.CrossRefPubMed
28.
go back to reference Mascher B, Schlenke P, Seyfarth M: Expression and kinetics of cytokines determined by intracellular staining using flow cytometry. J Immunol Methods. 1999, 223: 115-121. 10.1016/S0022-1759(98)00200-2.CrossRefPubMed Mascher B, Schlenke P, Seyfarth M: Expression and kinetics of cytokines determined by intracellular staining using flow cytometry. J Immunol Methods. 1999, 223: 115-121. 10.1016/S0022-1759(98)00200-2.CrossRefPubMed
29.
go back to reference Listvanova S, Temmerman S, Stordeur P, Verscheure V, Place S, Zhou L, Locht C, Mascart F: Optimal kinetics for quantification of antigen-induced cytokines in human pheripheral blood mononuclear cells by real-time PCR and by ELISA. J Immunol Methods. 2003, 281: 27-35. 10.1016/S0022-1759(03)00267-9.CrossRefPubMed Listvanova S, Temmerman S, Stordeur P, Verscheure V, Place S, Zhou L, Locht C, Mascart F: Optimal kinetics for quantification of antigen-induced cytokines in human pheripheral blood mononuclear cells by real-time PCR and by ELISA. J Immunol Methods. 2003, 281: 27-35. 10.1016/S0022-1759(03)00267-9.CrossRefPubMed
30.
go back to reference Cebon J, Jager E, Shackleton MJ, Gibbs P, Davis ID, Hopkins W, Gibbs S, Chen Q, Karbach J, Jackson H, MacGregor DP, Sturrock S, Vaughan H, Maraskovsky E, Neumann A, Hoffman E, Sherman ML, Knuth A: Two phase I studies of low dose recombinant human IL-12 with Melan-A and influenza peptides in subjects with advanced malignant melanoma. Cancer Immun. 2003, 3: 7-PubMed Cebon J, Jager E, Shackleton MJ, Gibbs P, Davis ID, Hopkins W, Gibbs S, Chen Q, Karbach J, Jackson H, MacGregor DP, Sturrock S, Vaughan H, Maraskovsky E, Neumann A, Hoffman E, Sherman ML, Knuth A: Two phase I studies of low dose recombinant human IL-12 with Melan-A and influenza peptides in subjects with advanced malignant melanoma. Cancer Immun. 2003, 3: 7-PubMed
31.
go back to reference Cwynarski K, Ainsworth J, Cobbold M, Wagner S, Mahendra P, Apperley J, Goldman J, Craddock C, Moss PA: Direct visualization of cytomegalovirus-specific T-cell reconstitution after allogeneic stem cell transplantation. Blood. 2001, 97: 1232-1240. 10.1182/blood.V97.5.1232.CrossRefPubMed Cwynarski K, Ainsworth J, Cobbold M, Wagner S, Mahendra P, Apperley J, Goldman J, Craddock C, Moss PA: Direct visualization of cytomegalovirus-specific T-cell reconstitution after allogeneic stem cell transplantation. Blood. 2001, 97: 1232-1240. 10.1182/blood.V97.5.1232.CrossRefPubMed
32.
go back to reference Peggs K, Verfuerth S, Mackinnon S: Induction of cytomegalovirus (CMV)-specific T-cell responses using dendritic cells pulsed with CMV antigen: a novel culture system free of live CMV virions. Blood. 2001, 97: 994-1000. 10.1182/blood.V97.4.994.CrossRefPubMed Peggs K, Verfuerth S, Mackinnon S: Induction of cytomegalovirus (CMV)-specific T-cell responses using dendritic cells pulsed with CMV antigen: a novel culture system free of live CMV virions. Blood. 2001, 97: 994-1000. 10.1182/blood.V97.4.994.CrossRefPubMed
Metadata
Title
Ex vivo screening for immunodominant viral epitopes by quantitative real time polymerase chain reaction (qRT-PCR)
Authors
Maurizio Provenzano
Simone Mocellin
Paola Bonginelli
Dirk Nagorsen
Seog-Woon Kwon
David Stroncek
Publication date
01-06-2003
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2003
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/1479-5876-1-12

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