Indiana University-Purdue University Indianapolis (IUPUI) / Globally, protein malnutrition remains problematic, adversely affecting several systems including the immune system. Although poorly understood, protein restriction severely disrupts host immunity and responses to infection. Induction of high-affinity, long-lasting immunity depends upon interactions between B and T lymphocytes. B lymphocytes exploit several pathways including endocytosis, macroautophagy, and chaperone-mediated autophagy to capture and deliver antigens to the endosomal network. Within the endosomal network antigens are processed and loaded onto major histocompatibility complex (MHC) class II molecules for display and recognition by T lymphocytes. To examine the effect of macronutrient malnutrition on MHC class II antigen presentation, we grew B lymphocytes in media containing amino acids, sugars and vitamins but lacking serum, which contains several types of macronutrients. Our studies show macronutrient stress amplified macroautophagy, favoring MHC class II presentation of cytoplasmic antigens targeted to autophagosomes. By contrast, macronutrient stress diminished MHC class II presentation of membrane antigens including the B cell receptor (BCR) and cytoplasmic proteins that utilize the chaperone-mediated autophagy pathway. The BCR plays a critical role in MHC class II antigen presentation, as it captures exogenous antigens leading to internalization and degradation within the endosomal network. While intracellular protease activity increased with macronutrient stress, endocytic trafficking and proteolytic turnover of the BCR was impaired. Addition of high molecular mass macronutrients restored endocytosis and antigen presentation, evidence of tightly regulated membrane trafficking dependent on macronutrient status. Cytosolic chaperone HSC70 has been shown to play a role in endocytosis, macroautophagy, chaperone-mediated autophagy and proteolysis by the proteasome, potentially connecting distinct routes of antigen presentation. Here, altering the abundance of HSC70 was sufficient to overcome the inhibitory effects of nutritional stress on BCR trafficking and antigen presentation suggesting macronutrient deprivation alters the availability of HSC70. Together, these results reveal a key role for macronutrient sensing in regulating immune recognition and the importance of HSC70 in modulating distinct membrane trafficking pathways during cellular stress. These results offer a new explanation for impaired immune responses in protein malnourished individuals.

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.

La présentation antigénique par les molécules de classe II du complexe majeur d’histocompatibilité (CMH II) est un mécanisme essentiel au contrôle des pathogènes par le système immunitaire. Le CMH II humain existe en trois isotypes, HLA-DP, DQ et DR, tous des hétérodimères composés d’une chaîne α et d’une chaîne β. Le CMH II est entre autres exprimé à la surface des cellules présentatrices d’antigènes (APCs) et des cellules épithéliales activées et a pour fonction de présenter des peptides d’origine exogène aux lymphocytes T CD4+. L’oligomérisation et le trafic intracellulaire du CMH II sont largement facilités par une chaperone, la chaîne invariante (Ii). Il s’agit d’une protéine non-polymorphique de type II. Après sa biosynthèse dans le réticulum endoplasmique (ER), Ii hétéro- ou homotrimérise, puis interagit via sa région CLIP avec le CMH II pour former un complexe αβIi. Le complexe sort du ER pour entamer son chemin vers différents compartiments et la surface cellulaire. Chez l’homme, quatre isoformes d’Ii sont répertoriées : p33, p35, p41 et p43. Les deux isoformes exprimées de manière prédominante, Iip33 et p35, diffèrent par une extension N-terminale de 16 acides aminés portée par Iip35. Cette extension présente un motif de rétention au réticulum endoplasmique (ERM) composé des résidus RXR. Ce motif doit être masqué par la chaîne β du CMH II pour permettre au complexe de quitter le ER. Notre groupe s’est intéressé au mécanisme du masquage et au mode de sortie du ER des complexes αβIi. Nous montrons ici que l’interaction directe, ou en cis, entre la chaîne β du CMH II et Iip35 dans une structure αβIi est essentielle pour sa sortie du ER, promouvant la formation de structures de haut niveau de complexité. Par ailleurs, nous démontrons que NleA, un facteur de virulence bactérien, permet d’altérer le trafic de complexes αβIi comportant Iip35. Ce phénotype est médié par l’interaction entre p35 et les sous-unités de COPII. Bref, Iip35 joue un rôle central dans la formation des complexes αβIi et leur transport hors du ER. Ceci fait d’Iip35 un régulateur clef de la présentation antigénique par le CMH II. / Antigen presentation by the major histocompatibility complex class II molecules (MHCII) is a pathway essential to the immune system control over pathogens. There are three MHCII isotypes in humans, which are HLA-DP, DQ and DR. These are all heterodimers made of an α and a β chain. MHCII is expressed at the cell surface of antigen presenting cells (APCs) and activated epithelial cells and its role is mainly to present peptides of exogenous origin to CD4+ T lymphocytes. MHCII oligomerization and trafficking are largely favored by its chaperone, the invariant chain (Ii). Ii is a non-polymorphic type II protein. It hetero- or homotrimerizes right after biosynthesis in the endoplasmic reticulum (ER), and then its CLIP region interacts with MCHII to form a αβIi structure. This multimer exits the ER and starts its journey towards numerous compartments and the cell surface. Humans have four Ii isoforms: p33, p35, p41 et p43. The two most predominantly expressed are Ii p33 and p35. They differ in a N-terminal extension long of 16 amino acids that is displayed by Iip35. This extension bears an ER retention motif (ERM) made of the RXR residues. The RXR motif must be masked by the MHCII β chain in order for the αβIi multimer to exit the ER. Our group investigated the masking and ER exit mechanisms of the αβIi structures. Here we show that a direct (cis) interaction between the MHCII β chain and Iip35 is essential for ER exit, thus promoting the formation of high order αβIi structures. Moreover, we demonstrate that the bacterial virulence factor NleA impairs the trafficking of Iip35-containing αβIi multimers. This observation is mediated by an interaction between COPII subunits and Iip35. Altogether, Iip35 plays a crucial role in the αβIi multimer formation and ER exit. Iip35 is therefore a key regulator for MHCII antigen presentation.

O fator CIITA é a proteína responsável por controlar a transcrição de genes do complexo principal de histocompatibilidade de classe II (MHC II) envolvidos na apresentação antigênica a linfócitos T CD4+. A expressão desta proteína é complexa e célula-específica, dependendo de mecanismos de regulação transcricionais e póstranscricionais. Com o intuito de investigar o potencial do fator CIITA como adjuvante molecular, no presente estudo desenvolvemos e validamos sistemas de transferência gênica capazes de promover a eficiente expressão de CIITA em vários tipos celulares. Além disso, investigamos a regulação pós-traducional deste fator em células não hematopoéticas. Desta forma, foram produzidos um vetor plasmidial e um vetor lentiviral, ambos carreando a sequência do fator CIITA humano desenhada in silico visando a eliminação de elementos cis-reguladores, e otimizada para eficiente expressão em células humanas. A transfecção/transdução de três linhagens de células humanas não hematopoéticas resultou na eficiente expressão de CIITA com localização nuclear apropriada. Células expressando CIITA apresentaram síntese de novo do MHC II, confirmando a funcionalidade da proteína e validando ambos os vetores para a análise futura da atividade adjuvante do CIITA em imunizações gênicas. Ensaios preliminares de inoculação de explantes de pele humana com o vetor lentiviral evidenciaram a eficiente transdução e expressão do CIITA exógeno em células primárias. Em seguida, células dendríticas (DCs) derivadas de monócitos de indivíduos saudáveis ou infectados com HIV-1 foram transduzidas com o vetor lentiviral para confirmar a expressão do CIITA em células primárias e avaliar a aplicação desse sistema adjuvante no aprimoramento da vacina de DCs anti-HIV. DCs de indivíduos saudáveis ou infectados foram transduzidas com sucesso pelo lentivírus, o qual induziu uma produção prolongada do mRNA codificando CIITA. Entretanto, os vetores lentivirais induziram um aumento inespecífico da expressão de marcadores fenotípicos das DCs, incluindo as moléculas do MHC II, o que impediu a avaliação indireta da expressão e atividade do fator CIITA através da detecção da expressão aumentada do MHC II. Ensaios futuros irão avaliar se o fator transcricional é expresso pelas DCs transduzidas ou se essas células apresentam um controle mais restrito da expressão do CIITA comparadas às linhagens celulares avaliadas. Interessantemente, ensaios de western blot comparativos entre as três linhagens de células humanas transfectadas/transduzidas, juntamente com ensaios de inibição da degradação protéica pelo inibidor do proteassoma, nos permitiu descrever um novo mecanismo de regulação pós-traducional do CIITA. Aqui, nós identificamos que cada tipo de célula não hematopoética mantém níveis específicos da proteína, e portanto, da sua atividade transcricional, através da regulação da degradação do CIITA pelo proteassoma. Essa regulação é mediada pela modulação dos níveis das proteínas da leucemia promielocítica (PML) acopladas a proteínas SUMO (modificadores pequenos similares à ubiquitina), modificação pós-traducional requerida para a interação PML-CIITA que impede a degradação pelo proteassoma. Esse novo mecanismo aqui descrito contribui para o entendimento ainda incipiente da regulação pós-traducional do fator CIITA em células não hematopoéticas e pode ter implicações importantes na aplicação dessa proteína como adjuvante molecular para imunoterapias / The CIITA factor is a protein responsible for controlling the transcription of major histocompatibility complex class II (MHC II) genes involved on antigen presentation to CD4+ T helper cells. The expression of this transcription factor is complex and differs in various cell types depending on transcriptional and post-transcriptional regulatory mechanisms. In order to investigate the CIITA factor potential as molecular adjuvant, here we developed and validated two gene delivery systems capable of promoting efficient CIITA expression in various human cell types. Additionally, we applied the delivery systems to investigate the post-translational regulation of this factor in nonimmune cells. A DNA plasmid and a lentiviral vector were produced, both carrying the human CIITA DNA sequence in silico designed to avoid cis-regulatory elements, and genetic optimized for expression efficacy in human cells. Transfection or transduction of three different non-immune human cell lines resulted in efficient CIITA expression with proper nuclear localization. The CIITA-expressing cells presented de novo MHC II molecules expression confirming the functionality of the exogenous protein, and validating both delivery systems for the future analysis of the CIITA adjuvant activity in genetic immunizations. Preliminary assays involving the inoculation of the lentiviral vector into human skin explants showed efficient transduction and expression of exogenous CIITA in primary cells. Next, monocyte-derived dendritic cells (DCs) from healthy individuals and HIV-1-infected patients were transduced with the lentiviral vector to confirm the exogenous CIITA expression in primary human cells and also evaluate the applicability of this adjuvant system to improve the DC-based vaccines against HIV. DCs from healthy and infected individuals were successfully transduced by the lentivirus, which induced a sustained CIITA mRNA production. However, the vector particles by themselves induced an unspecific upregulation of DC`s phenotypic surface markers, including the MHC II molecules, impairing our strategy to indirectly evaluate CIITA expression and activity through the detection of MHC II enhanced expression. Further investigations are necessary to confirm whether the transcription factor is efficiently expressed in transduced DCs or if these cells present a more restrict control of CIITA protein expression than the evaluated non-immune cells. Interestingly, western blot assays comparing the three human cell lines, transfected or transduced, along with inhibition of protein degradation by proteasome inhibitor treatments, allowed us to describe a new and intricate mechanism of CIITA post-translational regulation. Here we identified that each non-immune cell type maintain specific protein levels, and hence transcriptional activity, by modulating the rate of CIITA proteasomal degradation. This modulation is achieved by controlling the levels of Promyelocytic Leukemia (PML) proteins attached to Small Ubiquitin-like Modifier (SUMO) proteins, a post-translational modification required for the PML-CIITA interaction, which impairs the proteasomal degradation. This new mechanism described here contributes to the developing understanding of the CIITA post-translational regulation in non-immune cells, and might have important implications in the use of this transcription factor as a molecular adjuvant for immunotherapies

O fator CIITA é a proteína responsável por controlar a transcrição de genes do complexo principal de histocompatibilidade de classe II (MHC II) envolvidos na apresentação antigênica a linfócitos T CD4+. A expressão desta proteína é complexa e célula-específica, dependendo de mecanismos de regulação transcricionais e póstranscricionais. Com o intuito de investigar o potencial do fator CIITA como adjuvante molecular, no presente estudo desenvolvemos e validamos sistemas de transferência gênica capazes de promover a eficiente expressão de CIITA em vários tipos celulares. Além disso, investigamos a regulação pós-traducional deste fator em células não hematopoéticas. Desta forma, foram produzidos um vetor plasmidial e um vetor lentiviral, ambos carreando a sequência do fator CIITA humano desenhada in silico visando a eliminação de elementos cis-reguladores, e otimizada para eficiente expressão em células humanas. A transfecção/transdução de três linhagens de células humanas não hematopoéticas resultou na eficiente expressão de CIITA com localização nuclear apropriada. Células expressando CIITA apresentaram síntese de novo do MHC II, confirmando a funcionalidade da proteína e validando ambos os vetores para a análise futura da atividade adjuvante do CIITA em imunizações gênicas. Ensaios preliminares de inoculação de explantes de pele humana com o vetor lentiviral evidenciaram a eficiente transdução e expressão do CIITA exógeno em células primárias. Em seguida, células dendríticas (DCs) derivadas de monócitos de indivíduos saudáveis ou infectados com HIV-1 foram transduzidas com o vetor lentiviral para confirmar a expressão do CIITA em células primárias e avaliar a aplicação desse sistema adjuvante no aprimoramento da vacina de DCs anti-HIV. DCs de indivíduos saudáveis ou infectados foram transduzidas com sucesso pelo lentivírus, o qual induziu uma produção prolongada do mRNA codificando CIITA. Entretanto, os vetores lentivirais induziram um aumento inespecífico da expressão de marcadores fenotípicos das DCs, incluindo as moléculas do MHC II, o que impediu a avaliação indireta da expressão e atividade do fator CIITA através da detecção da expressão aumentada do MHC II. Ensaios futuros irão avaliar se o fator transcricional é expresso pelas DCs transduzidas ou se essas células apresentam um controle mais restrito da expressão do CIITA comparadas às linhagens celulares avaliadas. Interessantemente, ensaios de western blot comparativos entre as três linhagens de células humanas transfectadas/transduzidas, juntamente com ensaios de inibição da degradação protéica pelo inibidor do proteassoma, nos permitiu descrever um novo mecanismo de regulação pós-traducional do CIITA. Aqui, nós identificamos que cada tipo de célula não hematopoética mantém níveis específicos da proteína, e portanto, da sua atividade transcricional, através da regulação da degradação do CIITA pelo proteassoma. Essa regulação é mediada pela modulação dos níveis das proteínas da leucemia promielocítica (PML) acopladas a proteínas SUMO (modificadores pequenos similares à ubiquitina), modificação pós-traducional requerida para a interação PML-CIITA que impede a degradação pelo proteassoma. Esse novo mecanismo aqui descrito contribui para o entendimento ainda incipiente da regulação pós-traducional do fator CIITA em células não hematopoéticas e pode ter implicações importantes na aplicação dessa proteína como adjuvante molecular para imunoterapias / The CIITA factor is a protein responsible for controlling the transcription of major histocompatibility complex class II (MHC II) genes involved on antigen presentation to CD4+ T helper cells. The expression of this transcription factor is complex and differs in various cell types depending on transcriptional and post-transcriptional regulatory mechanisms. In order to investigate the CIITA factor potential as molecular adjuvant, here we developed and validated two gene delivery systems capable of promoting efficient CIITA expression in various human cell types. Additionally, we applied the delivery systems to investigate the post-translational regulation of this factor in nonimmune cells. A DNA plasmid and a lentiviral vector were produced, both carrying the human CIITA DNA sequence in silico designed to avoid cis-regulatory elements, and genetic optimized for expression efficacy in human cells. Transfection or transduction of three different non-immune human cell lines resulted in efficient CIITA expression with proper nuclear localization. The CIITA-expressing cells presented de novo MHC II molecules expression confirming the functionality of the exogenous protein, and validating both delivery systems for the future analysis of the CIITA adjuvant activity in genetic immunizations. Preliminary assays involving the inoculation of the lentiviral vector into human skin explants showed efficient transduction and expression of exogenous CIITA in primary cells. Next, monocyte-derived dendritic cells (DCs) from healthy individuals and HIV-1-infected patients were transduced with the lentiviral vector to confirm the exogenous CIITA expression in primary human cells and also evaluate the applicability of this adjuvant system to improve the DC-based vaccines against HIV. DCs from healthy and infected individuals were successfully transduced by the lentivirus, which induced a sustained CIITA mRNA production. However, the vector particles by themselves induced an unspecific upregulation of DC`s phenotypic surface markers, including the MHC II molecules, impairing our strategy to indirectly evaluate CIITA expression and activity through the detection of MHC II enhanced expression. Further investigations are necessary to confirm whether the transcription factor is efficiently expressed in transduced DCs or if these cells present a more restrict control of CIITA protein expression than the evaluated non-immune cells. Interestingly, western blot assays comparing the three human cell lines, transfected or transduced, along with inhibition of protein degradation by proteasome inhibitor treatments, allowed us to describe a new and intricate mechanism of CIITA post-translational regulation. Here we identified that each non-immune cell type maintain specific protein levels, and hence transcriptional activity, by modulating the rate of CIITA proteasomal degradation. This modulation is achieved by controlling the levels of Promyelocytic Leukemia (PML) proteins attached to Small Ubiquitin-like Modifier (SUMO) proteins, a post-translational modification required for the PML-CIITA interaction, which impairs the proteasomal degradation. This new mechanism described here contributes to the developing understanding of the CIITA post-translational regulation in non-immune cells, and might have important implications in the use of this transcription factor as a molecular adjuvant for immunotherapies

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.

Les vaccins à base de cellules dendritiques (DCs) constituent une avenue très populaire en immunothérapie du cancer. Alors que ces cellules peuvent présenter des peptides exogènes ajoutés au milieu, l’efficacité de chargement de ces peptides au le complexe majeur d'histocompatibilité (CMH) de classe II est limitée. En effet, la majorité des molécules du CMH II à la surface des DCs sont très stable et l’échange de peptide spontané est minime. Confinée aux vésicules endosomales, HLA-DM (DM) retire les peptides des molécules du CMH II en plus de leur accorder une conformation réceptive au chargement de peptides. Il est possible, cependant, de muter le signal de rétention de DM de façon à ce que la protéine s’accumule en surface. Nous avons émis l’hypothèse que ce mutant de DM (DMY) sera aussi fonctionnel à la surface que dans la voie endosomale et qu’il favorisera le chargement de peptides exogènes aux DCs. Nous avons utilisé un vecteur adénoviral pour exprimer DMY dans des DCs et avons montrer que la molécule augmente le chargement de peptides. L’augmentation du chargement peptidique par DMY est autant qualitatif que quantitatif. DMY améliore la réponse T auxiliaire (Th) du coté Th1, ce qui favorise l’immunité anti-cancer. Du côté qualitatif, le chargement de peptides résulte en des complexes peptide-CMHII (pCMH) d’une conformation supérieure (conformère). Ce conformère (Type A) est le préféré pour la vaccination et DMY édite avec succès les complexes pCMH à la surface en éliminant ceux de type B, lesquels sont indésirables. La fonction de DM est régulée par HLA-DO (DO). Ce dernier inhibe l’habilité de DM à échanger le peptide CLIP (peptide dérivée de la chaîne invariante) en fonction du pH, donc dans les endosomes tardifs. Mes résultats indiquent que la surexpression de DO influence la présentation des superantigènes (SAgs) dépendants de la nature du peptide. Il est probable que DO améliore indirectement la liaison de ces SAgs au pCMH dû à l’accumulation de complexe CLIP-CMH, d’autant plus qu’il neutralise la polarisation Th2 normalement observée par CLIP. Ensemble, ces résultats indiquent que DMY est un outil intéressant pour renforcer le chargement de peptides exogènes sur les DCs et ainsi générer des vaccins efficaces. Un effet inattendu de DO sur la présentation de certains SAgs a aussi été observé. Davantage de recherche est nécessaire afin de résoudre comment DMY et DO influence la polarisation des lymphocytes T auxiliaires. Cela conduira à une meilleure compréhension de la présentation antigénique et de son étroite collaboration avec le système immunitaire. / Dendritic cell peptide-based vaccines are the most common immunotherapy approach in cancer therapy. While, in principle, dendritic cells (DCs) could be loaded efficiently by exogenously added tumor peptides, their loading efficacy is severely reduced due to low number of peptide-receptive MHC II on cell surface. Most surface MHC II molecules are either occupied by endogenous peptides or are inactive due to a conformation that is not receptive for free peptides. In MHC II antigen presentation pathway, HLA-DM (DM) in acidic endosomal vesicles removes the self-peptides and grants a peptide receptive conformation to MHC II. Mutating of an intracellular sorting motif in DM, renders its accumulation on cell surface. We hypothesized that the mutant DM (DMY) is functional on cell surface and can generate peptide receptive MHC II on surface of DCs for exogenous peptide loading. By using an adenoviral vector that expresses DMY, we found that DMY is functional on surface of DCs. DMY supplied peptide receptive MHC II on surface of DCs and improved exogenous peptide loading. The improvement of peptide loading by DMY is both quantitative and qualitative. DMY improves helper T cell (Th) response in Th1 direction that favors anti-cancer immunity. The qualitative improvement of peptide loading extends to loading of superior conformational isomer (conformer) of peptide-MHC complexes. This superior conformer (type A) is the favourite type for vaccination approaches and DMY successfully edits peptide-MHC conformers on cell surface level by eliminating undesirable one (type B). Function of DM is regulated by HLA-DO (DO) and it is well accepted that in acidic pH of late endosomes, DO inhibits function of DM by preventing removal of class II associated invariant chain peptide (CLIP) from peptide binding groove of MHC II. My results indicate that DO overexpression, changes binding of peptide-dependent superantigens to MHC II molecules. Superantigens (SAgs) are small microbial proteins that bind out side peptide binding groove of MHC II. DO probably enhances binding of peptide-dependent SAgs by forcing the accumulation of CLIP on the cell surface of antigen presenting cells. DO also neutralizes Th2 polarization by CLIP. Collectively, these results indicate that DMY is a valuable tool for improvement of exogenous peptide loading in DCs vaccines. An unnoticed effect of DO on SAgs binding was also recognized. Further investigations are needed to clarify the mechanisms by which, DMY and DO influence Th polarization. This would provide a better understanding of antigen presentation pathway and its interaction with immune system.

Les exosomes sont des vésicules membranaires de 30 à 100 nm de diamètre, formées dans les endosomes multivésiculaires et sécrétées par la plupart des cellules. Les propriétés biophysiques et biochimiques des exosomes ainsi que les mécanismes permettant leur biogénèse et sécrétion ont fait l’objet de nombreuses études. Cependant, ces derniers sont encore méconnus, limitant l'analyse des fonctions des exosomes in vivo. Au moins deux mécanismes ont été proposés pour la biogénèse des exosomes : un mécanisme nécessiterait l’action de protéines impliquées dans le tri endosomal, les ESCRT (« endosomalsorting complex required for transport »). Un autre mécanisme serait indépendant de leur fonction. La sécrétion des exosomes, une fois générés dans les endosomes, requiert la petite GTPase, Rab27a, comme montré dans un modèle cellulaire humain. Mes travaux de thèse ont porté sur l’étude des mécanismes moléculaires impliqués dans la biogénèse et la sécrétion des exosomes. Une première étude visant à analyser la fonction de Rab27a dans des cellules murines, m’a permis de mettre en évidence l’existence de différentes populations d’exosomes, dont la sécrétion dépend ou non de Rab27a. Une deuxième étude a eu pour objectif d’analyser l’implication des ESCRT dans la biogénèse des exosomes dans des cellules HeLa CIITA. Le criblage d’une librairie d’ARN d’interférence dirigés contre les différentes protéines ESCRT, a permis l’identification de 7 molécules potentiellement impliquées dans cette voie : HRS, STAM1, TSG101, leur inactivation induisant la diminution de la sécrétion des exosomes. L’inactivation de CHMP4C, VPS4B,VTA1 et ALIX, au contraire, l’augmente. L’inhibition de l’expression de ces candidats suivie de l’analyse des exosomes sécrétés a démontré l’hétérogénéité des vésicules sécrétées, et une modification de leur taille et de leur composition protéique par rapport aux cellules contrôle. Plus particulièrement, l’inactivation d’ALIX induit une augmentation de lasécrétion d‘exosomes de plus grande taille, et l’enrichissement sélectif en molécules de CMH de classe II. En accord, j’ai montré que les cellules inactivées pour ALIX, aussi bien des cellules HeLa que des cellules dendritiques humaines ont une plus forte expression de CMH de classe II à la surface et dans des compartiments intracellulaires. Ces résultats suggèrent l’implication de certains membres de la famille ESCRT dans la voie de biogenèse et sécrétion des exosomes, ainsi qu’un rôle potentiel d’Alix dans le trafic des molécules CMH de classe II, et dans la modulation de la composition protéique des exosomes. / Exosomes are small membrane vesicles with sizes ranging from 30 to 100 nm in diameter, which are formed in multivesicular endosomes and secreted by most cell types. Numerous studies have focused on the biophysical and biochemical properties of exosomes, as well as the mechanisms of biogenesis and secretion of these vesicles. However, these aspects are not fully understood, which limits the analysis of the functions of exosomes in vivo. At least two mechanisms have been proposed for the biogenesis of exosomes : one would rely on the function of proteins involved in endosomal sorting, the ESCRT family (for “endosomal sorting complex required for transport”). Another mechanism would be independent of their activity. Once exosomes are formed in endosomes, their secretion requires the small GTPase RAB27A, as shown in a human cell line. The objective of my PhD project was to gain insights into the molecular mechanisms that drive exosome biogenesis and secretion. A first study performed to analyze the function of Rab27a in murine cells allowed me to show the existence of different populations of exosomes, dependent or not on Rab27a for their secretion. A second study was aimed at analyzing the involvement of ESCRT proteins in exosome biogenesis in HeLa-CIITA cells. Seven molecules potentially involved in this process were identified on the basis of the screening of an RNA interference library directed against the different ESCRT proteins: the inactivation of HRS, STAM1 and TSG101 induced a decrease in exosome secretion, whereas the down regulation of CHMP4C, VPS4B, VTA1 and ALIX increased it. Gene expression of the different candidate proteins was inhibited and exosomes secreted by these cells were analyzed: we showed the heterogeneity of the secreted vesicles, as well as an alteration of their size and protein composition, as compared to control cells. In particular, the inactivation of ALIX induced an increase in the secretion of larger vesicles, and the selective enrichment of these vesicles in MHC class II molecules. Accordingly, I showed that both HeLa-CIITA and human primary dendritic cells inactivated for ALIX possess a higher expression of MHC class II molecules at the cell surface and in intracellular compartments. These results suggest that some members of the ESCRT family are involved in the exosome biogenesis and secretion pathway, and propose a potential role of ALIX in the trafficking of MHC class II molecules and in the modulation of the protein composition of exosomes.

No description available.

Background: Arterial allografts are used as vascular conduits in the treatment of prosthetic graft infection. Immunosuppression decreases their rupture risk rate. However, immunosuppression can be unprofitable in florid infection. Previously, we confirmed inhibition of cell-mediated destruction of rat aortic grafts by delayed use of tacrolimus. In this work, we studied the influence of this protocol on the antibody-mediated rejection.