L’infection par le VIH-1 est caractérisée par une déplétion progressive des cellules T CD4+ ainsi que par un dysfonctionnement des cellules T qui, en l’absence de traitements anti-rétroviraux, conduit inéluctablement à la progression de la maladie vers le stade SIDA. Certains des mécanismes impliqués dans ce dysfonctionnement de la réponse cellulaire T ont été élucidés et ont révélé un rôle important de la molécule PD-1 dans l’exhaustion des cellules T en phase chronique de l’infection. En effet, des niveaux élevés de PD-1 ont été associés à une charge virale élevée ainsi qu’à une diminution de la production de cytokines et de la capacité de proliférer des cellules T spécifiques du virus. De plus, bloquer in vitro l’interaction de PD-1 avec son ligand PD-L1 en utilisant un anticorps bloquant rétabli la fonction de ces cellules. De façon intéressante, notre groupe ainsi que d’autres équipes, ont montré que l’expression de PD-1 était non seulement augmentée sur les cellules spécifiques de l’antigène mais aussi sur les cellules T totales. Cependant, peu de choses sont connues quant à l’impact de l’expression de PD-1 sur le renouvellement et la différenciation des cellules T qui expriment PD-1, et ce au cours de l’infection. L’expression de PD-1 n’a notamment pas été étudiée en phase aigue de l’infection. Nous montrons clairement que, aussi bien chez les individus en phase aigue qu’en phase chronique de l’infection, l’expression de PD-1 est augmentée sur toutes les sous-populations T, y compris les cellules naïves. Nous avons également mis en relief une distribution anormale des sous-populations T, ces cellules ayant un phénotype plus différencié, et ce à tous les stades de la maladie. Dans cette thèse, nous discutons le rôle possible de PD-1 dans l’homéostasie des cellules T chez les individus infectés par le VIH-1. En étudiant la transition de la phase aigue à la phase chronique de l’infection, nous avons trouvé que les sous-populations T CD8+ des individus récemment infectés exprimaient moins de PD-1 que celles des individus à un stade plus avancé de la maladie. Ces niveaux plus élevés de PD-1 sur les cellules T CD8+ en phase chronique sont associés à des niveaux réduits de prolifération in vivo – comme mesuré par l’expression de Ki67 – suggérant que l’expression de PD-1 est partiellement impliquée dans cette perte de fonction des cellules T CD8+. De plus, les cellules naïves s’accumulent en fréquence lors de la transition de la phase aigue à la phase chronique de l’infection. Considérant que les cellules naïves expriment déjà des hauts niveaux de PD-1, nous avons émis l’hypothèse que l’activation initiale des cellules T chez les individus chroniquement infectés est affectée. En résumé, nous proposons un modèle où des hauts niveaux d’expression de PD-1 sont associés à (1) un dysfonctionnement de la réponse cellulaire T CD8+ et (2) un défaut d’activation des cellules naïves ce qui contribue non seulement à la progression de la maladie mais aussi ce qui va limiter l’efficacité de potentiels vaccins dans l’infection par le VIH-1 en empêchant toute nouvelle réponse d’être initiée. Afin de mieux disséquer la réponse immunitaire mise en place lors d’une infection comme celle du VIH-1, nous avons développé un outil qui permet de détecter les cellules T CD4+ i.e. des tétramères de CMH de classe II. Ces réactifs ont pour but d’augmenter l’avidité du CMH de classe II pour son ligand et donc de détecter des TCR de faible affinité. Dans cette thèse, nous décrivons une méthode originale et efficace pour produire diverses molécules de HLA-DR liant de façon covalente le peptide antigénique. Mieux déterminer les mécanismes responsables de l’exhaustion des cellules T dans l’infection par le VIH-1 et de la progression de la maladie, ainsi que développer des outils de pointe pour suivre ces réponses T, est central à une meilleure compréhension de l’interaction entre le virus et le système immunitaire de l’hôte, et permettra ainsi le développement de stratégies pertinentes pour lutter contre l’infection par le VIH-1. / HIV-1 infection leads to a progressive CD4+ T cell depletion and T cell dysfunction, which in the absence of successful anti-retroviral therapy, results in individuals progressing to AIDS. Some of the underlying mechanisms for this T cell dysfunction have been elucidated and reveal an important role for the inhibitory receptor program death-1 (PD-1) in T cell exhaustion during chronic HIV-1 infection. Indeed, PD-1 up regulation correlates with increased viral load as well as decreased cytokine production and proliferative capacity of HIV-1 specific T cells. Moreover, blocking in vitro the interaction of PD-1 with its counter-receptor PD-L1 using antibodies restores HIV-1 specific T cell effector functions. Interestingly, our group and others have shown that levels of PD-1 during chronic HIV-1 infection are not only up regulated on virus-specific T cells but also on the total pool of CD4+ and CD8+ T cells. However, little is known about the impact of PD-1 expression on the turnover and maturation status of the PD-1 expressing cells during the course of the disease. Of note, PD-1 expression has never been investigated in acute HIV-1 infection. In this thesis, we clearly show that, in both acutely and chronically HIV-1 infected individuals, PD-1 is up regulated on all T cell subsets, including naïve T cells. We also uncovered an abnormal distribution of T cell subsets toward a more differentiated phenotype at all stages of the disease. In this thesis, we discuss the possible role of PD-1 in the homeostasis breakdown observed in HIV-1 infected individuals. More interestingly, if we focus on the transition from the acute to the chronic phase of the infection, we found that PD-1 is expressed at much lower levels on total CD8+ T cell subsets from acutely infected individuals than chronically infected individuals. These augmented PD-1 expression levels on CD8+ T cell in chronic infection are associated with reduced levels of in vivo cell proliferation - as monitored by Ki67 expression - suggesting that PD-1 expression may be partially responsible for the loss of CD8+ T cell function. In addition, naïve T cells accumulate in frequency during the transition from the acute to the chronic phase of the infection. Considering that naïve T cells already express high levels of PD-1, we hypothesize that priming of T cell might be impaired in chronically infected individuals. Altogether, we propose a model where high PD-1 expression is associated with (1) impaired CD8+ T cell function in chronic HIV-1 infection and suggest that lower levels of PD-1 may partially preserve the CD8+ T cell function and (2) impaired priming of T cells contributing to the progressive immunodeficiency in HIV-1 infection but also limiting the effectiveness of vaccine strategies by preventing any new responses to be triggered. To better understand immune responses in infection such as HIV-1 disease, we next developed multimeric reagents for the detection of CD4+ T cells, namely tetramers of HLA-DR molecules. These reagents aim at increasing the overall avidity of peptide-MHC class II complexes to detect low affinity TCRs. In this thesis, we describe a versatile and efficient method to produce different soluble HLA-DR molecules covalently linked to antigenic peptides. Gaining further insights into mechanisms underlying T cell exhaustion and disease progression, in addition to the development of state-of-the-art immune monitoring tools, will be crucial in better understanding of the interplay between the virus and the host immune system, leading to rational strategies in the fight against the AIDS epidemic.

L'interleukine-15 (IL-15) contribue au développement et à l’activation des lymphocytes T CD8, des cellules immunes qui ont été impliquées dans plusieurs maladies auto-immunes telle la sclérose en plaques. Des niveaux élevés de l'IL-15 ont été trouvés chez les patients atteints de cette maladie comparativement aux témoins, mais aucune étude n'a examiné les effets de tels niveaux élevés sur les lymphocytes T CD8. Les objectifs de notre étude étaient 1- de caractériser l’expression de l'IL-15 par des lymphocytes B humains et de déterminer ses effets sur les fonctions des lymphocytes T CD8, et 2- d’évaluer l'expression in vivo de l'IL-15 dans des modèles murins de la sclérose en plaques. Nous avons établi que les cellules B humaines augmentaient leur expression de l'IL-15 suite à une stimulation via le CD40. De plus, les fonctions effectrices des lymphocytes T CD8 ont été significativement augmentées lors des co-cultures avec des cellules B alloréactives exprimant l'IL-15. Dans les modèles murins de la sclérose en plaques, nous avons détecté au sein du système nerveux central des cellules immunes exprimant l’IL-15 ainsi que des cellules T CD8 exprimant le récepteur pour cette cytokine à différents stades de la maladie. Nous avons démontré que les cellules B modulent des réponses des lymphocytes T CD8 via l’IL-15, ce qui suggère un rôle pour les cellules B dans la pathogenèse de la sclérose en plaques. Nous avons aussi mis en évidence la présence de cellules exprimant l’IL-15 dans le système nerveux central dans des modèles murins de cette maladie. / Interleukin-15 is a cytokine involved in the homeostatic proliferation and maintenance of CD8 T cells. Activated CD8 T cells are implicated in several autoimmune diseases, including Multiple Sclerosis (MS). Elevated levels of IL-15 have been reported in serum and on peripheral leukocytes of MS patients relative to controls, yet no study has addressed the effects of elevated IL-15 levels on CD8 T cells. To study the in vivo effects of any molecule, the animal model for MS, EAE, is used; the expression of IL-15 during the EAE disease course has not yet been elucidated. Thus the goals of our study were to characterize surface IL-15 expression on human B lymphocytes and determine the effects on human CD8 T cell functions; and to assess the in vivo expression of IL-15 in MS mouse models. We found that B cells are capable of up-regulating the expression of surface IL-15 upon CD40 stimulation, and CD8 T cell effector functions were significantly enhanced upon co-culture with alloreactive IL-15-expressing B cells. In the MS mouse models we used, we found IL-15-expressing immune cells present within the central nervous system (CNS) at various points of disease, and that CNS-infiltrating CD8 T cells were potentially responsive to IL-15. Here, we not only demonstrate the modulation of CD8 T cell responses by IL-15 presented by B cells, implying a role for B cells in MS pathogenesis, but also show the presence of IL-15-expressing cells within the inflamed CNS of EAE.

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No description available.

Chemotherapy is still one of the most widely used anticancer therapies. It is mostly about inhibiting the proliferation of rapidly dividing cells, so it is not selective for tumor cells. As a result, many undesirable side effects are associated with chemotherapy. The disadvantageous properties of chemotherapeutics can be largely eliminated by using conjugates of polymers with low molecular weight drugs. An example of such a conjugate is a doxorubicin-linked HPMA polymer. In addition to the properties obtained by polymer binding, such as achieving solubility in aqueous solutions, reducing systemic toxicity, increasing the maximum tolerated dose, or passive targeting by the EPR effect, the fact that doxorubicin induces immunogenic cell death is used in therapy with this drug. It has already been shown that after complete cure of the experimental mice with polymeric conjugates of HPMA with doxorubicin, some mice develop long-term resistance to re-inoculation with a lethal dose of tumor cells. Resistance is specific to the particular line of tumor cells from which the mouse was cured, and CD8+ cytotoxic T cells and IFNγ play an important role. In this work, we monitored changes in the proportion of immune populations and their activation markers after treatment with HPMA-based polymers with doxorubicin...

The Melanocyte Keratinocyte Transplantation Procedure (MKTP) is an effective surgical replacement of lost melanocytes in recalcitrant vitiligo and pigmentary skin disorders. However, it is only effective in stable vitiligo lesions because active autoimmunity destroys the newly transplanted melanocytes. Despite careful selection of candidates based on the reported clinical stability, the success of the procedure is still unpredictable. MKTP candidates with non-segmental, segmental, and mixed vitiligo, as well as hypopigmented scars and Piebaldism patients were enrolled to our studies. Our aim was first, to investigate the possible immunological mechanisms responsible for the unpredictable post- transplantation outcomes, including T cell subsets and inflammatory chemokines, by correlating these biomarkers with clinical phenotypes, duration of stability, and surgical outcomes. We used suction blister biopsy, a minimally invasive technique that we developed to sample human skin. Moreover, we quantified transplanted melanocytes in the suspension using flow cytometry. Following MKTP, we corelated these biomarkers to the repigmentation score. We found that CD8+ T cells remain in some clinically stable vitiligo lesions, correlate negatively with the post-surgical score of repigmentation, and inversely impact the durability of the responses. Interestingly, the number of transplanted melanocytes in the suspension and the duration of stability do not have prognostic roles. Based on our findings and in a second group of patients, we suppressed the activity of T cells to enhance the outcomes of MKTP. We used Ruxolitinib, JAK1/2 inhibitor, in a triple blinded randomized controlled within subject study, in comparison with Tacrolimus (a calcineurin inhibitor and the standard of care treatment in vitiligo) as well as placebo control. We found lower T cell infiltrate, lower chemokines, and better skin repigmentation in lesions treated with MKTP plus Ruxolitinib or Tacrolimus than in lesions treated with MKTP plus placebo. Lastly, we compared two different types of laser in preparation of the recipient skin for MKTP - ablative versus fractional Er:YAG laser. We found that the ablative laser is combined with minimal CD8+ T cell epidermal infiltrate and superior repigmentation score in comparison to more infiltrate and lower repigmentation score with the fractional laser. Taken together, these results from our studies provide novel insight to predict the optimal surgical candidates and will improve surgical outcomes. It advances the treatment of vitiligo by uncovering the impact of autoimmunity on the success of repigmentation and discovering new approaches to optimize the surgical treatment options in patients with vitiligo and pigmentary skin disorders.

L’élimination des cellules sénescentes met en jeu le SASP et les cellules immunitaires de l’immunité innée et adaptative tels que les macrophages (Mφ). Dans le cadre de ce projet, nous rapportons que le SASP a un effet pléiotropique sur l’activité des cellules immunitaires incluant leur recrutement, leur activation et leur différenciation. Nos données montrent que les Mφ humains mis en culture avec le SASP de fibroblastes humains développement un profil inflammatoire spécifique au SASP caractérisé par une sécrétion pro-inflammatoire (M1) (ex : IL- 1β, GM-CSF) et des marqueurs de surface anti-inflammatoires (M2) (cellules CD23+CD206+). Le SASP est aussi capable d’augmenter les capacités d’invasion des Mφ, tel que montré via des essais d’invasion, mais n’a pas d’effet sur la différentiation des monocytes. Nos modèles de co- culture montrent que, quoique les cellules NK sont probablement responsables de l’élimination directe et spécifique des cellules sénescentes, leur activité peut être modulée par d’autres cellules immunitaires tels que les Mφ qui réduisent l’élimination faite par les cellules NK, suggérant un profil M2. Les lymphocytes T CD8+ sont aussi essentiels pour l’élimination des cellules sénescentes puisque leur retrait retarde le processus. De plus, nous démontrons que les cellules T CD4+ mises en culture pendant 48h dans le SASP sécrètent de hauts niveaux d’IL-4, indiquant une polarisation Th2. Somme toute, ces données montrent que le SASP peut moduler l’activité des Mφ tout comme celle d’autres cellules immunitaires impliquées dans l’élimination des cellules sénescentes et peut promouvoir, étonnamment, une réponse immunosuppressive pouvant être importante pendant la réparation tissulaire. / Senescent cell clearance brings into play the senescence-associated secretory phenotype (SASP) and immune cells from the innate and adaptive immunity including macrophages (Mφ). In this study, we report that the SASP has a pleiotropic effect on immune cell activity including recruitment, activation and differentiation. We show that human Mφ exposed to the SASP of human fibroblasts develop a SASP-specific inflammatory profile characterized by pro- inflammatory (M1) secretion (e.g. IL-1β, GM-CSF) and anti-inflammatory (M2) surface markers (CD23 and CD206). The SASP also increases Mφ invasion but has no effect on monocyte differentiation. Co-culture models show that while NK cells are likely the direct effectors of senescent cell specific killing, their activity is modulated by other immune cells including Mφ, which reduced NK-mediated killing, suggesting a M2 profile. Alternatively, CD8+ T lymphocytes are essential for senescent cell killing by NK cells. Finally, CD4+ T cells cultured for 48h in the SASP secrete high-levels of IL-4, indicating a Th2 polarization. Overall, our data reveal that the SASP can modulate Mφ and other immune cells involved in senescent cell clearance and surprisingly promote an immunosuppressive response that could be important in tissue repair.

5 Abstract Interleukin-2 possesses strong stimulatory activity for activated T and NK cells and thus it is an attractive molecule for immunotherapy. However, its unfavourable pharmacological properties, extremely short half-life and severe toxicities associated with high-dose IL-2 are the most serious and limiting drawbacks. Moreover, IL-2 has been also implicated in the homeostasis of T regulatory cells where it plays a decisive role as an essential growth factor of these cells. Several different approaches to improve the therapeutic potential of IL-2 have been studied. Recently described IL-2/anti-IL-2 mAb immunocomplexes which show much higher and selective biological activity in contrast with free IL-2 in vivo are probably the most promising of them. In this study, we compared the biological activity of free IL-2 with IL-2/anti-IL-2 mAb immunocomplexes in order to demonstrate their benefits over free IL-2. We also demonstrated that IL-2/anti-IL-2 mAb immunocomplexes possess noticeable antitumor activity in two syngeneic mouse tumor models, namely EL4 T lymphoma and B16F10 melanoma, if administered early in tumor progression. Therefore, we justified potential use of IL-2/anti-IL-2 mAb immunocomplexes in tumor immunotherapy. We covalently conjugated IL-2 to synthetic semitelechelic polymeric carrier based...

CD8+ T Zellen unterstützen die Beseitigung von Pathogenen und sind somit entscheidend bei der Bekämpfung von Infektionen. Neben der Antigendosis und dem inflammatorischen Zytokinemilieu hat auch die Stimulation durch den TZR einen entscheidenden Einfluss auf die CD8+ T Zellantwort. Das transkriptionelle Programm, die finale Größe und Dauer der klonalen Expansion und der Start der Kontraktionsphase werden durch die TZR-Signalstärke bestimmt. Schwache TZR-Stimulation führt zu einer verminderten Expansion und vermittelt eine frühzeitige Kontraktionsphase, die eine Entwicklung von Gedächtniszellen auf den Kosten der Effektorzellen favorisiert. IRF4 wird nach TZR-Ligand-Interaktion in CD8+ T-Zellen hoch reguliert. Seine Expressionskinetik ist stark von der TZR-Signalstärke der Aktivierung abhängig, übersetzt diese und sorgt für die Umsetzung in ein entsprechendes transkriptionelles und differentielles Programm. In dieser Arbeit konnte erstmals gezeigt werden, dass die IRF4-Defizienz in CD8+ T-Zellen zu einem verfrühten Abbruch der Expansion und zu einem vorzeitigen Beginn der Kontraktion führt, die durch den FAS-vermittelten Tod-induzierenden Signalweg initiiert wird. Außerdem präsentieren IRF4-defiziente CD8+ T-Zellen vermehrt Phosphatidylserine an ihrer Oberfläche und Komplementdeposition, beides begünstigt die Erkennung und Aufnahme durch Phagozyten. Diese Ergebnisse weisen zudem stark darauf hin, dass durch die fehlende Expression von IRF4 in CD8+ T Zellen, ein schwaches TZR-Signal übermittelt wird, unabhängig von der tatsächlichen Stärke und Dauer des aktivierenden Signals, dass zu einer Verkürzung der Expansionsphase führt und eine verfrühte Kontraktionsphase der Effektorzellen auslöst. Diese Arbeit erweitert schon bekanntes Wissen um IRF4 als Schlüsselregulator für die Differenzierung und Funktionalität der ag-spezifischen CD8+ T-Zellen, da es den Beginn der Kontraktionsphase diktiert mittels Aktivierung von verschiedenen Apoptose- und Phagocytose Signalwegen. / CD8+ T cells promote pathogen clearance and play a crucial role in controlling infections. Besides antigen dose and inflammatory cytokine milieu, the TCR stimulation contributes to the programming of the CD8+ T cell response. A distinct developmental program, the final magnitude and duration of clonal expansion, as well as the timing of the onset of T cell contraction, are determined by the TCR signaling strength. Weak TCR stimulation results in a diminished magnitude of expansion and accelerates the onset of contraction, as it favors the development of memory cells at the expense of effector cells. IRF4 is a transcription factor, that is upregulated in CD8+ T cells following TCR stimulation. Furthermore, its expression kinetic is highly dependent on the TCR signaling strength, which initiated activation. Therefore, it translates the strength of the activating signal and transmits it into a proper transcriptional and developmental program. This study provides unique evidence that the absence of IRF4 expression in CD8+ T cells leads to a hasted termination of clonal expansion and a premature contraction, initiated by the FAS-mediated cell death pathway. Moreover, IRF4-deficient CD8+ T cells exposed phosphatidylserine on their cell surface and showed complement deposition, both facilitating their recognition and uptake by phagocytes. The findings of this study additionally strongly indicate that IRF4 deficiency mimics weak TCR engagement and in turn transmits every TCR signal, independent of its actually affinity and duration, into a developmental program, that give rise to an early memory formation and results in a premature onset of effector CD8+ T cell contraction. This data extend previous knowledge of IRF4 being essential for the differentiation and functionality of ag-specific effector CD8+ T cells, as it furthermore dictates the onset of CD8+ T cell contraction via the activation of several death and phagocytosis inducing pathways.

Das Proteasomsystem ist die Hauptquelle von Peptiden für die MHC Klasse I Antigen-Präsentation. In Vertebraten kann dieses durch die Expression verschiedener Subtypen des 20S Proteasoms moduliert werden. Die häufigsten Subtypen sind konstitutive Proteasomen (c20S) mit den katalytischen Untereinheiten beta1, beta2 und beta5 und Immunoproteasomen (i20S) mit den Immunountereinheiten beta1i, beta2i und beta5i. Die Expression von i20S optimiert in der Regel die MHC Klasse I Antigen-Präsentation, indem die Bildung von Peptiden mit hoher Affinität zu MHC I Molekülen verstärkt wird. Die Bildung von i20S wird momentan durch ein Modell der kooperativen Assemblierung erklärt, das auf der präferentiellen Interaktion zwischen den Immunountereinheiten beruht. In dieser Arbeit wurde die Assemblierung von 20S Proteasomen in beta5i defizienten Mäusen nach Infektion mit Listeria monocytogenes analysiert. In diesem Modell konnte keine präferentielle Interaktion zwischen den Untereinheiten festgestellt werden. Stattdessen zeigen die Ergebnisse, daß die Integration von konstitutiven oder Immunountereinheiten durch direkte Kompetition reguliert wird. Des Weiteren wurde während der Infektion eine beta5i-abhängige Zunahme der zellulären Proteasommenge festgestellt und somit ein neuer Mechanismus zur Regulation des zellulären Proteasomgehaltes entdeckt. Funktionell führt die beta5i-Defizienz zu einer verringerten MHC I Expression auf antigenpräsentierenden Zellen und zu einer verminderten Prozessierung des bakteriellen Antigens LLO296-304. Bei der Analyse der LLO296-304 spezifischen CD8 T Zell Antwort konnte jedoch kein Unterschied zwischen Wildtyp- und beta5i defizienten Mäusen festgestellt werden .Die Kontrolle der Infektion in den beta5i defizienten Mäusen ist jedoch in der Leber verzögert. Dies deutet darauf hin, dass die Erkennung und Elimination infizierter Zellen durch cytotoxische CD8 T Zellen auf Grund der geringeren MHC Klasse I Präsentation bakterieller Antigene behindert wird. / The proteasome-system is the main source of peptides for MHC class I antigen presentation. In vertebrates this system can be modulated by the expression of different subtypes of the 20S proteasome. The most common subtypes are constitutive proteasomes (c20S) with the catalytic subunits beta1, beta2 and beta5 and immunoproteasomes (i20S) with the immunosubunits beta1i, beta2i and beta5i. Expression of i20S generally optimizes MHC class I antigen presentation by increasing the generation of peptides with high affinity to MHC class I molecules. Currently, the formation of i20S is explained by a model of cooperative proteasome assembly, which is based on preferential interactions among the immunosubunits. Here, the assembly of 20S proteasomes was analysed in beta5i deficient mice during an ongoing infection with Listeria monocytogenes. In this model, no preferential interactions among constitutive subunits or immunosubunits could be determined. Instead, the results show that the integration of constitutive subunits or immunosubunits is regulated by direct competition. Further, a beta5i-dependent increase in cellular proteasome quantity was observed following infection. This reveals a novel mechanism for the regulation of cellular proteasome quantity, which is based on the differential expression of beta5i. Functionally, the deficiency in beta5i results in a reduced MHC class I cell surface expression on professional antigen presenting cells and a drastically diminished processing of the bacterial antigen LLO296-304. However, the analyses of LLO296-304 specific CD8 T cells did not reveal differences in the frequencies of these T cells between wild-type and beta5i deficient mice. Still, the control of infection in the liver of beta5i deficient mice was delayed. This phenotype suggests that the recognition and elimination of infected target cells by cytotoxic CD8 T cells is constrained due to the lowered MHC class I presentation of bacterial antigens.