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Method Article
This article describes a protocol for the generation of antigen-specific CD8 T cells, and their expansion in vitro, with the aim of yielding high numbers of functional T cells for use in vitro and in vivo.
Type 1 Diabetes (T1D) is characterized by islet-specific autoimmunity leading to beta cell destruction and absolute loss of insulin production. In the spontaneous non-obese diabetes (NOD) mouse model, insulin is the primary target, and genetic manipulation of these animals to remove a single key insulin epitope prevents disease. Thus, selective elimination of professional antigen presenting cells (APCs) bearing this pathogenic epitope is an approach to inhibit the unwanted insulin-specific autoimmune responses, and likely has greater translational potential.
Chimeric antigen receptors (CARs) can redirect T cells to selectively target disease-causing antigens. This technique is fundamental to recent attempts to use cellular engineering for adoptive cell therapy to treat multiple cancers. In this protocol, we describe an optimized T-cell retrovirus (RV) transduction and in vitro expansion protocol that generates high numbers of functional antigen-specific CD8 CAR-T cells starting from a low number of naive cells. Previously multiple CAR-T cell protocols have been described, but typically with relatively low transduction efficiency and cell viability following transduction. In contrast, our protocol provides up to 90% transduction efficiency, and the cells generated can survive more than two weeks in vivo and significantly delay disease onset following a single infusion. We provide a detailed description of the cell maintenance and transduction protocol, so that the critical steps can be easily followed. The whole procedure from primary cell isolation to CAR expression can be performed within 14 days. The general method may be applied to any mouse disease model in which the target is known. Similarly, the specific application (targeting a pathogenic peptide/MHC class II complex) is applicable to any other autoimmune disease model for which a key complex has been identified.
Given the likely reduced risk of unwanted off-target effects, antigen-specific immune therapies (ASI) are promising treatments for autoimmune diseases such as T1D. Accumulating evidence suggests that immune responses to (prepro)insulin may be particularly important in T1D1. In the past decade, studies from multiple groups, including our own, strongly suggest that presentation of an epitope containing insulin B chain amino acids 9 to 23 by specific MHC class II molecules (B:9-23/MHCII), plays an important role in the development of T1D in mice and humans2,3,4,5. To selectively target the B:9-23/MHCII complex, we generated a monoclonal antibody, named mAb287, that has no cross reactivity to the hormone insulin or complexes containing other peptides6. MAb287 blocks antigen presentation in vitro, and weekly administration of mAb287 to pre-diabetic NOD mice delayed the development of T1D in 35% of the treated mice6. To block antigen presentation in vivo, frequent injections are typically required in order to maintain a high circulating concentration. We hypothesized that we could overcome this difficulty by taking advantage of the high specificity of Ab287 to reprogram T cells, thereby providing an improved antigen-specific T cell therapy for T1D7.
Cytotoxic T cells are reported to be able to kill their target if even a single copy of their cognate ligand is expressed8,9,10. Thus, B:9-23/MHCII specific CD8 T cells are expected to have higher efficiency in eliminating the unwanted antigen presentation than the parent antibody, which will likely need to bind to multiple complexes on the same APC to exert its effect. CAR T cells have been used for treating multiple human cancers11,12,13, and may also be efficacious in autoimmunity14. However, CAR-T cells with specificity for pathogenic peptide-MHC complexes have not so far been used to modify the progression of T1D. By using the optimized CD8 T cell transduction technique described below, we recently demonstrated proof of principle that this indeed represents a viable approach7.
In this protocol, we outline an efficient and streamlined transduction and expansion method. Our protocol is applicable to other studies requiring the generation of mouse CD8 CAR T cells with high efficiency.
Mice were maintained under specific pathogen-free conditions at a Transgenic Mouse Facility, and all animal experiments were performed in accordance with protocols approved by the Baylor College of Medicine animal care and use committee.
NOTE: The experiment requires preparing the virus and the T cells in parallel. Table 1 summarizes the protocol. The key reagents and buffers are listed in the Table of Materials. We focus on the generation and expansion of CAR-T cells targeting specific populations of APCs in this protocol.
1. Generation and validation of single chain Fab antibody (scFab)-CARs.
NOTE: CARs typically contain 3 critical domains—an antigen targeting domain, a spacer/transmembrane domain, and a cytoplasmic signaling domain. The precise design of each CAR depends on the intended target, and so, apart from the key features of the construct relevant to the generation of the retrovirus, will not be described in detail in this protocol. The overall design of the CARs used for the studies described below is shown in Figure 1. In brief, the targeting domain comprises the entire light chain and variable and CH1 domain of the heavy chain from the parent monoclonal antibody linked by a semi-rigid linker. The spacer/transmembrane domain is from mouse CD28, and the signaling domain is a fusion containing elements from mouse CD28, CD137 (4-1BB), and CD247 (CD3ζ). These elements are assembled by standard molecular biology procedures such as splice overlap polymerase chain reaction (PCR), or the synthesis of an appropriate “gene block”. Details of the generation of the mAB287 CAR are contained in Zhang et al.7. The cDNA sequences can be obtained from the authors upon request.
2. Transfection of viral producer cells (day -4 to day 3)
NOTE: Retrovirus is produced using Phoenix-ECO cells (see the Table of Materials)19,20. Use appropriate precautions for the generation of potentially infectious agents (preferably including a designated BSL-2 cabinet and separate incubator for culturing transfected/transduced cells).
3. Primary CD8 T cell isolation and activation (day -1 to day 0)
NOTE: Previously, collect CD8 T cells from female NOD mice at 4–5 weeks, a time point before islet inflammation starts21,22. Handle all the mice following IACUC approved protocols. CD8 T cells are enriched from splenocytes using a commercial negative selection kit.
4. T cell activation (Day 0 to 2)
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5. Transduction of activated CD8 T cells (days 1 to 3)
NOTE: This protocol uses a spin-transduction method. A centrifuge with a swing-out rotor and tissue culture plate adaptors that is capable of maintaining an internal temperature of 37 °C is required. To ensure maximum efficiency, on the day of transduction pre-warm the centrifuge to 37 °C before collecting the virus.
6. Purification of transduced cells by fluorescence-activated cell-sorting (FACS) (day 5 or day 6)
7. Expansion of sorted CAR-T cells (Day 5 to 10)
8. Verification of the antigen specificity and functionality of the CAR T cells.
NOTE: The binding specificity of CAR T cells targeting peptide/MHC complexes can be verified by tetramer staining7,23. Similarly, their functionality can be confirmed by measuring cytokine secretion or cytotoxicity following stimulation by their cognate ligands. The NIH Tetramer Core Facility (TCF) at Emory University is a recommended source of “tetramers” and relevant staining protocols.
Typically, the transduction efficiency using this protocol is ~60-90%. In the experiment shown in Figure 3, prior to sorting approximately, 70% of the CD8 T cells co-expressed GFP. They also co-expressed CD28 and CD3 (Figure 3C). Importantly, all of the “test” GFP+ cells also co-stained with IAg7-B:R3 tetramers, but not with the control tetramer (Figure 4). Similarly...
This protocol describes an efficient method for producing antigen-specific CD8 CAR-T cells by retroviral transduction. The transduction efficiency of our protocol is typically high, and robust expression of the CAR is generally observed. The expanded CAR T cells retain the essential features of the parent-activated T cells, and antibody specificity, and are suitable for both in vitro and in vivo use. We have applied Ab-CAR CD8 T cells in reprograming Type 1 Diabetes in NOD mice7.
MAb287 and its derivatives are protected by a US patent issued in 2014.
This study was supported by JDRF grants 1-INO-2015-74-S-B, 2-SRA-2016-238-S-B, and SRA-2-S-2018-648-S-B, a Diabetes Education and Action Award, and the Caroline Wiess Law Fund for Research in Molecular Medicine at Baylor College of Medicine. Cell-sorting was supported by the Cytometry and Cell Sorting Core at Baylor College of Medicine with funding from the NIH (S10RR024574 and P30CA125123). All the peptide-MHC tetramers were obtained from the NIH Tetramer Core Facility.
Name | Company | Catalog Number | Comments |
2-Mercaptoethanol (50mM) | Gibco | 21985-023 | 50 μM |
5’ RACE PCR | Clontech | 634859 | |
anti-mouse CD28 antibodies | eBioscience | 14-0281-86 | final concentration at 1µg/ml |
anti-mouse CD3e antibody | eBioscience | 145-2C11 | final concentration at 1µg/ml |
Biotin Rat Anti-Mouse IFN-γ | BD Biosciences | 554410 | Working concentration at 0.5 µg/ml |
BSA | Sigma | A7030 | |
Endo-free Maxi-Prep kit | Qiagen | 12362 | |
Gentamicin | Gibco | 15750-060 | Final 50 µg/ml. |
Heat inactivated FCS | Hyclone | SH30087.03 | Final 10% FCS |
HEPES (100X) | Gibco | 15630-080 | 1X |
IAg7-CLIP tetramer-BV421 | NIH tetramer Facility at Emory | per approval | Working concentration at 6 µg/ml |
IAg7-insulin P8E tetramer-BV421 | NIH tetramer Facility at Emory | per approval | Working concentration at 6 µg/ml |
Insulin-Transferrin-Selenium-Ethanolamine (ITS 100x) | ThermoFisher | 51500056 | Final concentraion is 1x |
Lipofectamine 2000 | Invitrogen | 11668019 | |
LS Columns | Miltenyi Biotec | 130-042-401 | |
MACS Separation Buffer | Miltenyi Biotec | 130-091-221 | |
Mouse CD8a+ T Cell Isolation Kit | Miletenyi Biotec Inc | 130-104-075 | |
Mouse CD8a+ T Cell Isolation Kit | Miltenyi Biotec | 130-104-075 | |
Opti-MEM medium | ThermoFisher | 31985070 | |
Penicillin-Streptomycin (5000U/ml) | ThermoFisher | 15070063 | 50 U/ml |
Phoenix-ECO cells | ATCC | CRL-3214 | |
Phosphate-buffered saline (PBS) | Gibco | 10010-023 | |
pMIG II | Addgene | 52107 | |
pMSCV-IRES-GFP II | Addgene | 52107 | |
Purified Rat Anti-Mouse IFN-γ | BD Biosciences | 551216 | Working concentration at 3 µg/ml |
Red cell lysis buffer | Sigma | R7767 | |
RetroNectin | Takara | T100A | Working concentration at 50 µg/ml in PBS |
rhIL-2 (stock concentration 105 IU/ul) | Peprotech | 200-02 | Final concentration at 200 IU/ml |
rmIL-7 ( stock concentration 50ng/ul) | R&D | 407-ML-005 | Final concentration at 0.5ng/ml |
RPMI-1640 | Gibco | 11875-093 | |
Sterile Cell Strainers | Fisher Scientific | 22-363-548 | |
Tryple | Gibco | 12605-028 |
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