Quantitative evidence against inactivation of self-reactive B-cell clones

Self-tolerance for erythrocytes is not maintained by clonal deletion of T helper cells

Recent findings suggest that T helper cells specific for autologous erythrocytes are not deleted from the repertoire of the normal animal. Here, Craig Hooper proposes that tolerance of normal erythrocytes is achieved partly by conventional immunoregulation and partly by a novel process which normally prevents priming with autoantigens in vivo. The nature of the initial contact with antigen may determine which mechanism has the primary role.

Indirect effects of oral tolerance in mice

Anti-DNP antibody formation resulting from intraperitoneal (i.p.) immunization with DNP-KLH may be blocked by simultaneous (i.p.) injection of DNP-Ova or native Ova in mice orally tolerant to Ova, but not in normal mice. In Ova-tolerant mice the inhibition of anti-DNP antibody formation also occurred when DNP-Ova and DNP-KLH were given by separate routes of immunization: subcutaneous (s.c.) and i.p. A second exposure to Ova by gastric intubation (gavage) or intravenous administration simultaneously with i.p. immunization with DNP-KLH failed to inhibit anti-DNP antibody formation. There was inhibition of responses to DNP-KLH i.p. by DNP-Ova given 24 h before, but not 24 h after, and in the Ova-tolerant mice, addition of DNP-Ova only to the primary immunization with DNP-KLH inhibited secondary and tertiary responses to DNP-KLH in the absence of further exposures to DNP-Ova. These results suggest that the indirect effects of parenteral exposure of tolerant mice to the tolerated immunogen may inhibit unrelated immune responses. This inhibition is not due to 'innocent bystanding' suppression, i.e., to inhibitory cytokines provided locally by specific suppressor lymphocytes; it may derive from more durable perturbations of immune system.

Regulation of an anti-self response: lack of influence of exogenous DNA on the in vitro anti-DNA response

Anti-DNA antibodies occur in outwardly normal individuals as well as in various forms of autoimmune disease. A number of publications have reported on the ability of added DNA to either induce or inhibit the in vitro production of anti-DNA antibody. In this study, the in vitro production of IgM anti-single stranded DNA (alpha ssDNA) antibody by spleen cells from normal or autoimmune mice neither depends upon, nor is inhibited by, the addition of high molecular weight DNA to the culture. The decrease in antibody forming cell plaques, reported previously, is due solely to the artifactual carryover of inhibitory material into the assay system, where it interferes with the expression of plaques by preventing anti-DNA antibody from reaching the DNA-coated erythrocytes. Similarly, plaque forming cell (PFC) methods have not detected alpha ssDNA antibody producing cells in murine spleen cells without culturing, but various other systems for measuring antibody normally detect anti-DNA antibodies in vivo. This discrepancy is also due to inadequate washing of freshly harvested cells to rid them of inhibitory substances which prevent them from registering as PFC. While S1 nuclease was able to prevent PFC interference by purified DNA, it did not remove the inhibitory substances from the culture supernatants; therefore substances other than ssDNA are able to interfere with alpha ssDNA PFC, suggesting that the alpha ssDNA PFC detected are polyspecific. Levels of alpha ssDNA PFC in spleen cells from non-autoimmune mice begin at one-quarter of the peak in vitro response, decrease to one-tenth in the first day and then reach peak values after 3 to 5 days of culture, suggesting that spleen cells are actively producing alpha ssDNA antibodies an in vivo and that then in vitro response is observed. Despite this evidence for an in vitro alpha ssDNA response, this response was not inhibited markedly by 1000 rad gamma-irradiation, while the response to sheep erythrocytes (SRBC) was profoundly suppressed. These findings suggest that anti-self B lymphocytes are resistant to interphase, possibly apoptotic, lymphocyte death due to gamma-irradiation, while anti-nonself B lymphocytes remain sensitive.

Quantitative clonal analysis of the B cell repertoire in human lupus

To gain further insight into the origin of autoantibody hyperproduction in human lupus, we quantitated the B cell repertoire toward exogenous and self-antigens. Using the Spot-ELISA method and two panels of nine exogenous and 10 self-antigens, we found that the normal human immune repertoire comprises a high frequency of B cell precursors secreting IgM antibodies to self- and exogenous determinants. This repertoire was markedly deficient in precursors producing IgG able to bind self-antigens. In lupus patients, the absolute numbers of clone precursors of the immune repertoire expressing IgM receptors whose paratopes impart affinity to self- and exogenous determinants were higher than in control individuals. Additionally, IgG antibody-forming cell precursors with binding specificity for lupus-associated antigens were detectable in the repertoire of these patients. Based on these results, we propose that hyperproduction of human lupus-associated autoantibodies arises in a two-stage mechanism whereby a general activation of the multireactive immune B cell repertoire precedes an oligospecific expansion of selected B cell clonotypes.

Idiotypic profile of natural autoantibodies in newborn and young adult BALB/c mice

Idiotypic profiles of autoreactive monoclonal antibodies (MoAb) were evaluated by their reactivity with a panel of alkaline phosphatase (AP)-coupled detector MoAb derived from the same fusions. Attention was given to the question of whether differences exist between MoAb derived from spleen cells (SC) or thymocytes (TC) and whether ID profiles would change during post-natal development. In the newborn, natural autoantibodies and MoAb which did not react with any one of eight autoantigens displayed different ID profiles, autoreactive MoAb being characterized by the expression of a restricted pattern of ID. During post-natal development, changes of ID expression were only observed with autoreactive MoAb. Many ID which were detected on MoAb derived from 6-day-old mice were not detected on SC-derived MoAb from young adults, while a few ID were significantly over-represented. Furthermore, especially with TC-derived MoAb, a clear linkage between certain idiotypes and autoantigen specificities could be demonstrated. Thus, in contrast to non-autoreactive MoAb, natural autoantibodies in the young adult were characterized by expressing only a selected number of ID at high frequency. Furthermore, the B-cell environment apparently played a role, since there were marked differences between ID profiles of TC- versus SC-derived MoAb. The data are interpreted in the sense that expansion and maturation of naturally activated autoreactive B cells are controlled rather than being random processes.

A substantial proportion of the adult BALB/c available B cell repertoire consists of multireactive B cells

A variety of studies have documented multireactive antibodies in both the preimmune and naturally activated repertoire, but the relationship of these primarily IgM multireactive antibodies to antigen-specific primary and secondary response antibodies is currently not defined. In order to characterize the BALB/c preimmunization specificity repertoire and the baseline of naturally activated antibodies from which the immune response to a specific antigen (hen egg-white lysozyme, HEL) develops, panels of polyclonally activated blast-derived hybridomas (BlAbs) and natural antibody hybridomas (NAbs) from the spleens of unimmunized mice were screened for binding to a panel of nine complex antigens. Over half of the IgM-secreting BlAbs produced antibodies that were antigen-reactive; of these, over half were multireactive, i.e. capable of binding more than one complex antigen. There was no bias towards self vs foreign or thymus-dependent vs thymus-independent antigens. The frequency of antigen-reactive NAbs was about half the frequency of antigen-reactive antibodies found among the BlAbs. However, over half of the antigen-reactive NAbs were also multireactive, and the reactivity profile within the antigen-reactive subset of NAbs was similar to that within the antigen-reactive subset of BlAbs. These results suggest that the available repertoire of adult spleen cells contains a high proportion of multireactive antibodies, and that a subset of the available repertoire is randomly activated, yielding a small proportion of natural antibodies which closely reflect a random sampling of the available repertoire. Although monospecific precursor cells are rare, monospecific IgM BlAbs were found for all antigens in the panel except staphylococcal nuclease and mouse IgG. Monospecific as well as multireactive HEL-binding BlAbs were found at frequencies comparable to other protein antigens in the panel, and HEL-reactive NAbs were also present. On the other hand, it has previously been shown that HEL-reactive IgM antibodies (including multireactive antibodies whose specificities include HEL) are rare or absent in both the primary and secondary response to HEL. This cannot be attributed to an absence of available precursor B cells, and most likely reflects an early recruitment of HEL-reactive clones into the peripheral B cell pool. The possibility that polyreactive B cells may serve as precursors for some HEL-specific IgG antibodies is discussed.

Studies on active immunization with self antigens. I. Production of antibody to unmodified proteins by neonatal immunization

Newborn BALB/c mice were repeatedly injected either with syngeneic (BALB/c) or xenogeneic (bovine) myosin, albumin, or actin in sterile physiological saline. The serum antibody response was evaluated by enzyme immunoassay 1 and 2 months after birth and after two booster injections. At 1 month, higher antibody titres were found in the sera of mice injected with syngeneic than with xenogeneic antigens. At 2 months and after boosting, anti-syngeneic actin antibodies were present in equal or higher amounts, anti-syngeneic albumin antibodies were not detected, and anti-syngeneic myosin antibodies were considerably decreased. Antibodies produced after booster injections of syngeneic actin were found to be highly specific and to belong mainly to the IgG isotype. These results suggest that newborn mice are better able than adult mice to respond to stimulation with self antigens, and that administration of self proteins during neonatal life may lead to the induction of immunological memory. They also indicate that one of the primary functions of the immune system in newborn mice is the recognition of self antigens.

Inhibition of antibody production at high cell density following mitogen stimulation and isotype switching in vitro

We have investigated antibody production in 3T3 filler cell-containing murine B lymphocyte cultures, stimulated with LPS and an IL-4-containing lymphokine mixture. At low cell density cultures produced 1.8 +/- 0.6 ng of IgM and 4.2 +/- 1.7 ng of IgG1 per input B cell. It was found that 21.7 +/- 3.5% of spleen cells, or approximately 43% of B cells, produce IgM under these conditions, and 11.9 +/- 5.5% spleen cells, approximately 24% of B cells, produced IgG1. Therefore, the mean IgM production per IgM-positive clone was 4.2 ng, and the mean IgG1 production per IgG1-positive clone was 17.6 ng. A cell density of about 10,000 B cells/ml was found to produce maximal antibody per input cell. A 32-fold increase above the maximum cell density resulted in a 600-fold decrease in IgG1 production per B cell. IgM production was also found to be inhibited above this concentration of cells, but to a six-fold lesser extent. Cell proliferation in dense cultures was also found to be diminished in a cell concentration-dependent manner, partially accounting for the observed inhibition phenomenon. The replenishment of media, LPS and growth factors was able to lessen the inhibition of dense cultures, but not to maximal levels. Overall, this work identified the upper limit of cell density for in vitro cloning of B lymphocytes for isotype switch and repertoire analysis. The most important conclusion is that antibody production is grossly suboptimal at the cell densities frequently used in the literature.

Clonal deletion of B lymphocytes in a transgenic mouse bearing anti-MHC class I antibody genes

B lymphocytes can be rendered specifically unresponsive to antigen by experimental manipulation in vivo and in vitro, but it remains unclear whether or not natural tolerance involves B-cell tolerance because B cells are controlled by T lymphocytes, and in their absence respond poorly to antigen (reviewed in ref. 7). In addition, autoantibody-producing cells can be found in normal mice and their formation is enhanced by B-cell mitogens such as lipopolysaccharides. We have studied B-cell tolerance in transgenic mice using genes for IgM anti-H-2k MHC class I antibody. In H-2d transgenic mice about 25-50% of the splenic B cells bear membrane immunoglobulin of this specificity, and abundant serum IgM encoded by the transgenes is produced. In contrast, H-2k x H-2d (H-2-d/k) transgenic mice lack B cells bearing the anti-H-2k idiotype and contain no detectable serum anti-H-2k antibody, suggesting that very large numbers of autospecific B cells can be controlled by clonal deletion.

Specific helper T cell reactivity against autologous erythrocytes implies that self tolerance need not depend on clonal deletion

Using a culture system which supports primary T cell proliferative responses to various antigens we have detected mouse red blood cell (RBC)-reactive T cells in lymphoid tissues from untreated mice. The release of significant amounts of interleukin 2 (IL2) indicates that T helper (or helper/inducer) cells are activated by stimulation with RBC. Upon restimulation in vitro these cells proliferate specifically against mouse RBC with the kinetics and magnitude characteristic of a secondary response. Since autologous RBC are tolerated in vivo in spite of the presence of such specifically reactive T helper cells, these findings imply that self tolerance, even to certain nonsequestered antigens, may depend largely on regulatory mechanisms rather than on clonal deletion or inactivation.

Murine T cells reactive against autologous erythrocytes: evidence for in vitro and in vivo priming with mouse and rat red blood cells

Normal mice are shown to harbor T cells that can be sensitized to proliferate against autologous red blood cells (RBC). These autoreactive cells were primed in vitro and in vivo with mouse as well as heterologous rat RBC, the in vivo administration of which has been previously shown to trigger the production of auto-RBC antibodies. Two broad classes of specificity are detected following priming: T cells cross-reactive for similar determinants coexpressed by mouse and rat RBC, and T cells specific for antigens restricted to self-RBC. These findings indicate that clonal deletion of self-RBC-reactive T cells is far from complete. The comparison of different in vitro and in vivo immunization protocols revealed the possible existence of several levels of immunoregulatory control which may prevent the expression of autoimmunity by these T cells.