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Biomedical subjects

P A Bretscher

Publications and source records attributed to P A Bretscher.

At least 19 recordsLinked to original sources

Establishment of stable, cell-mediated immunity that makes "susceptible" mice resistant to Leishmania major.

Cell-mediated, but not antibody-mediated, immune responses protect humans against certain pathogens that produce chronic diseases such as leishmaniasis. Effective vaccination against such pathogens must therefore produce an immunological "imprint" so that stable, cell-mediated immunity is induced in all individuals after natural infection. BALB/c mice "innately susceptible" to Leishmania major produce antibodies after substantial infection. In the present study, "susceptible" mice injected with a small number of parasites mounted a cell-mediated response and acquired resistance to a larger, normally pathogenic, challenge. This vaccination strategy may be applicable in diseases in which protection is dependent on cell-mediated immunity.

Animals

Antigen-specific CD8+ T cells switch the immune response induced by antigen from an IgG to a cell-mediated mode.

We have developed an in vivo/in vitro immunization procedure with xenogeneic RBC as Ag that results in the generation of a lymphoid population that expresses potent delayed-type hypersensitivity (DTH) and produces little, if any, antibody. This lymphoid population contains Ag-specific CD8+ T cells that can inhibit the induction of a strong IgG response. These CD8+ T cells are shown to not only inhibit the antibody response in an Ag-specific manner but allow the Ag to induce cells of the target population to express DTH. Furthermore, the Ag-specific inhibition of the antibody response and the Ag-specific enhancement of the induction of DTH appear to be coordinately regulated, as the same number of CD8+ T cells cells is required to achieve both effects. Thus these CD8+ T cells are shown to switch the response induced by Ag from a humoral to a cell-mediated mode. These regulatory characteristics are consistent with a physiologic role for these cells of ensuring the absence of antibody production during a strong, cell-mediated response.

Animals

Cyclosporin A can switch the immune response induced by antigen from a humoral to a cell-mediated mode.

Cyclosporin A (CsA) is known as a nontoxic inhibitor of the immune response that is primarily employed in humans to prevent the rejection of allografts. We report here on a novel activity for this drug as an immunomodulator. CsA can either inhibit or facilitate the induction of delayed-type hypersensitivity (DTH) depending on the class of immune response that would be induced in the absence of the drug. The drug inhibits the in vivo and in vitro induction of DTH when antigen is given under conditions that normally result in the induction of this response. The same concentration or dose of CsA inhibits the in vitro and in vivo induction of an antibody response and the antigen induces DTH instead. An explanation for these different effects of CsA on the induction of DTH is proposed. This novel activity of CsA in modulating the immune response from an antibody to a cell-mediated mode may have clinical applications.

Animals

An hypothesis to explain why cell-mediated immunity alone can contain infections by certain intracellular parasites and how immune class regulation of the response against such parasites can be subverted.

Cells with a low density of parasite-specific antigens on their surface are postulated to be susceptible to a cell-mediated attack but not to effector mechanisms normally activated following the binding of specific antibody to the infected cell. It is further postulated that such infected cells normally induce a cell-mediated response, and that cells infected with slow-growing intracellular parasites have a low density of parasite-specific antigens on their surface. Despite these general postulates, cell-mediated immunity is not invariably induced following natural infection by certain slow-growing parasites, such as those responsible for leprosy, tuberculosis, and the leishmaniases, and antibody can be induced that is exclusive of a strong, cell-mediated response. It is proposed that certain events in such cases subvert the normal regulatory processes that control the class of immunity induced. In these cases, the parasite-infected cells, bearing a low representation of parasite antigens, induce antibody even though they are not susceptible to antibody-dependent effector mechanisms, and so they are not eliminated. In this case, chronic infection and uncontrolled growth of the parasite occurs, often with fatal consequences.

Animals

T cells expressing delayed-type hypersensitivity can be derived from a humorally immune lymphocyte population.

Spleen cells from mice immunizied to produce a potent humoral response do not express delayed-type hypersensitivity (DTH). These cells, when cultured at low density in the presence of the specific antigen for about 6 days, are able to produce swelling of the footpads of normal mice 24 h after they are injected s.c. into the footpad with the appropriate antigen. This footpad swelling peaks 24-48 h after the injection of the cells, requires the presence of Ly-1+Ly-2- T cells in the immune population, is due to the interaction of antigen-specific cells with the appropriate antigen and is therefore due to DTH-mediating cells. The optimal generation of these cells occurs under conditions similar to those favoring the primary induction of DTH. Furthermore, the in vitro generated cells are also able to produce a systemic state of DTH when injected i.v.; a DTH reaction is elicited in recipient mice when antigen alone is injected into their footpads. The observations reported here demonstrate that a humorally immune population of spleen cells, known to contain T cells able to suppress the induction of DTH, can under appropriate conditions give rise to cells expressing this subclass of cell-mediated immunity. The decision by the immune system to mount a humoral as opposed to a cell-mediated response is therefore reversible. These findings provide grounds for believing that it should be possible to develop the means to switch an on-going in vivo humoral response to a cell-mediated one, a maneuver that would be of considerable benefit in some well-recognized clinical situations.

Animals

Immunosuppressive therapy in systemic lupus erythematosus.

The therapeutic efficacy of immunosuppressive therapy in lupus and lupus nephritis in particular, is reviewed. We have tried to resolve the paradox between the observed immunostimulatory effects of cyclophosphamide and cyclosporin A in vivo and our concept of an immunosuppressive agent.

Azathioprine

A cascade of T-T interactions, mediated by the linked recognition of antigen, in the induction of T cells able to help delayed-type hypersensitivity responses.

Previous work has shown that specific helper T cells are required for the primary induction of delayed-type hypersensitivity (DTH). Conditions are defined here under which the primary induction by antigen of precursor helper T cells only occurs in the presence of specific, irradiated effector T cells, demonstrating that the induction of helper T cells requires T-T cooperation. The interaction between precursor and effector helper T cells is mediated by the recognition of epitopes that must be physically linked to one another. In more detail, hapten-Ficoll conjugates and xenogeneic red blood cells induce medium-density but not low-density cultures of unprimed murine spleen cells to express antigen-specific DTH. Low-density cultures do not support the induction of DTH unless they are supplemented with specific irradiated helper T cells. These helper T cells are themselves induced when antigen is added to medium-density but not low-density cultures. Precursor helper T cells in low-density cultures are only induced by antigen in the presence of additional specific irradiated T cells. Further experiments were directed at analyzing the nature of this T-T interaction. Irradiated hapten-primed T cells help the induction of precursor helper T cells specific for burro red blood cells (BRBC) in the presence of haptenated BRBC and chicken red blood cells (CRBC), but do not help in the presence of haptenated CRBC and BRBC. These experiments demonstrate that the interaction between precursor and effector T cells is mediated by the linked recognition of antigen. These findings show that the induction of precursor cells for both DTH reactivity, and those T cells able to help in the induction of DTH, require specific helper T cells. It is further shown that the induction of T cells able to help in the induction of helper precursor cells takes place in medium-density but not low-density cultures. In order words, antigen, when added to medium-density cultures of normal spleen cells, induces T cells able to mediate DTH, and T cells able to help in the induction of these helper T cells, whereas antigen induces none of these T cells when added to low-density cultures unless appropriate specific helper T cells are added.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals

Hapten-Ficoll conjugates induce T-cell-dependent IgM anti-hapten responses and T cells mediating hapten-specific delayed-type hypersensitivity.

It was generally believed until recently that the B-cell IgM response induced by type-II "thymus-independent" antigens, that are not mitogenic for B cells, was T cell independent. Neither has it been possible in the past to demonstrate that these antigens activate specific T cells. This has led to the general belief that type-II thymus-independent antigens have the anomalous property of not being able to activate such cells. Recent evidence has shown that the IgM response to hapten-Ficoll conjugates, the prototype of type-II thymus-independent antigens, is T cell dependent in at least some circumstances. Here evidence that these antigens activate T cells mediating hapten-specific delayed-type hypersensitivity (DTH) is presented. Furthermore, the conditions under which they do so are similar to those that allow thymus-dependent antigens to activate DTH-mediating T cells.

Animals

In vitro induction of specific T cells able to help in the generation of delayed-type hypersensitivity by thymus-dependent and type-II 'thymus-independent' antigens.

An in vitro system is described which supports the primary induction of T cells able to help in the induction of delayed-type hypersensitivity. This system is used to demonstrate that hapten-Ficoll conjugates induce potent hapten-specific T cells with this function. These type-II 'thymus-independent' antigens are thus able to induce specific regulatory T cells. These helper T cells are similar to those induced by classical thymus-dependent antigens in that they are specific for antigen rather than idiotype and act by a linked mechanism.

Animals

Regulation of the class of immune response induced by antigen. I. Specific T cells switch the in vivo response from a cell-mediated to humoral mode.

Unprimed murine spleen cells, when administered intravenously to irradiated recipients together with antigen for 7 days, are induced to display either DTH reactivity or to mount a humoral (IgM and IgG) response. The class induced depends on the number of spleen cells given to the irradiated host. A low number of cells does not support the induction of any response, a medium number only gives rise to substantial DTH reactivity, whereas a high number only mounts a humoral (IgM and IgG) response. Observations show that the higher number of T cells in a large inoculum of spleen cells, compared to the number present in a medium one, is responsible for the absence of DTH reactivity and the mounting of a humoral response. This finding suggests that the induction of DTH precursor cells may occur when fewer antigen-specific helper-T-cell-dependent signals are generated than the number of signals required to induce B-cell precursors of the IgM and IgG classes. This possibility is favored by further observations. The administration of in situ irradiated, primed helper T cells to mice reconstituted with a medium number of normal spleen cells, results both in the specific suppression of the DTH response that occurs in the absence of these primed cells and in the mounting of a humoral response.

Antibody Formation

In vitro analysis of the cellular interactions between unprimed lymphocytes responsible for determining the class of response an antigen induces: specific T cells switch a cell-mediated response to a humoral response.

Unprimed murine spleen cells, when cultured at different densities but in the presence of the same concentration of antigen, are induced to mount different classes of response. Three modes of behavior are found. A low density does not support the induction of any response, a medium density supports a transient IgM and substantial delayed-type hypersensitivity (DTH) response, and a high density only supports a sustained IgM response. This in vitro system has been used to show that a low density of cells, when complemented with irradiated specific T cells, can mount a DTH response, and thus behave as a medium density of cells. These observations show that the induction of DTH requires helper T cells, and that a medium density, in contrast to a low density, allows sufficient collaboration to obtain a DTH response. The observation that a high density only mounts a sustained humoral response suggests that the formation of more helper T cell-dependent signals than the number generated at a medium density may be required to induce a sustained humoral response as well as the suppression of DTH. This hypothesis is supported by the findings that the response by a medium density of cells is dramatically affected by the addition of irradiated antigen-specific helper T cells; the DTH response is specifically suppressed and a sustained humoral response is observed. These results show that the induction of a humoral response is more T cell dependent than the induction of a cell-mediated response and provides an in vitro means for switching a cell-mediated response to a humoral one in an antigen-specific manner. Observations are also presented to show that the production of antibody by a high density of cells is not a prerequisite for the suppression of DTH reactivity.

Animals

T cells cooperating in the induction of delayed-type hypersensitivity act via the linked recognition of antigenic determinants.

Culture conditions have been established that allow the induction of delayed-type hypersensitivity (DTH) precursor cells present in a cell population derived from unsensitized spleen cells only when antigen-specific, radioresistant, Thy-1-bearing helper cells are added. This specific cellular cooperation acts via the linked recognition of two determinants on the antigen; thus, cells primed to the protein antigen fowl gamma globulin (FGG) will only allow the induction of DTH reactivity against the second antigen, burro erythrocyte (BRBC), when the conjugate FGG-BRBC is present in the cultures. The requirement for physical linkage between the two antigens has been demonstrated by the observation that DTH to BRBC is induced when the conjugate FGG-BRBC is present and not when BRBC and FGG are given an uncoupled molecules.

Animals

Significance and mechanisms of cellular regulation of the immune response.

The conditions known to favor the induction of delayed-type hypersensitivity (DTH), IgM and IgG antibody production, can be accounted for on the postulate that their precursors require the formation of different numbers of inductive complexes between their receptors, antigen, and the antigen-specific factor derived from helper T cells. The postulate that DTH precursors require the least, IgM B cells an intermediate number, and IgG precursors the most, accounts for the following facts: i) antigens with few foreign sites, for which there are relatively few helper T cell clones, induce only DTH; ii) medium doses of antigens that bear many foreign sites induce a humoral response; whereas iii) low doses that do not result in efficient collaboration induce DTH; and iv) high doses that partially block collaboration also lead to the induction of DTH. Furthermore, the conditions under which unresponsiveness can be induced at the humoral level in immunological competent animals are just those that give rise to the induction of DTH; the induction of a humoral response is also known to result in unresponsiveness at the DTH level. Therefore it seems very likely that these unresponsive states reflect the cellular regulation responsible for the exclusiveness between the induction of DTH and humoral immunity observed in the whole animal. Theoretically, this exclusiveness is due to the action of regulatory T cells. The biological significance of the way in which the induction of different classes is regulated is discussed. Experimental evidence is described that tests the following predictions: i) the class of response induced is due to the action of suppressor and repressor T cells, and ii) it is the number of inductive complexes formed that determines the class of response induced; DTH precursors require the least number and IgG precursors the most.

Antibody Formation

In vitro induction of delayed-type hypersensitivity.

Murine spleen cells, cultured in vitro for 6 days in the presence of high concentrations of burro erythrocytes (BRBC), are sensitized to exhibit delayed-type hypersensitivity (DTH) specific for this antigen. Such cells, on being injected with antigen into the footpads of normal mice, cause a 24-h swelling reaction. This activity of the cultured cells requires the presence of BRBC both during the in vitro incubation and in the footpad. The activity of the sensitized cells in causing swelling is sensitive to anti-Thy-1 antibody and complement, and the kinetics of the swelling reaction are characteristic of a DTH response. In vivo low-dose priming of the spleen cell donors considerably enhances the ability of the cultured cells to cause swelling. This system provides a means of studying the regulation of the induction of DTH in vitro.

Animals

Requirement for antigen in lipopolysaccharide-dependent induction of B cells.

The magnitude of the IgM response to a variety of antigens, induced on the in vivo administration of lipopolysaccharide (LPS) to mice, is approximately proportional to the magnitude of the background response observed in untreated animals. This striking correlation suggests that the administration of LPS alone cannot in general induce a specific response in the absence of a background response. Such is the case for the antigen rat erythrocytes against which no LPS-dependent or background response is found. The response to a marginally immunogenic dose of rat erythrocytes, however, can be considerably enhanced by the administration of LPS. These observations are expected on the hypothesis that both background and LPS-induced responses are due to ongoing antigen-dependent stimulation in normal mice. This hypothesis is further supported by evidence suggesting that the LPS-dependent anti-sheep erythrocyte response is due, at least in part, to a particular antigen present on degraded mouse erythrocytes.

Animals