京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第18892号 / 医博第4003号 / 新制||医||1009(附属図書館) / 31843 / 京都大学大学院医学研究科医学専攻 / (主査)教授 竹内 理, 教授 鈴木 茂彦, 教授 長澤 丘司 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Natural killer T cells (NKT cells) are a subset of T cells. They regulate a wide range of diseases including infection, tumor growth, and autoimmune diseases, through recognizing glycolipid antigens in the context of CD1d. An understanding of the scope of glycolipid antigens would facilitate use of this cell type in controlling immune responses. Till today, a lysosomal glycolipid, isoglobotrihexosylceramide (iGb3), is the only natural glycolipid that has been found to be recognized by both human and mouse NKT cells. To elucidate the molecular basis of this specific recognition, iGb3 variants were designed and prepared: i) replacement of the C26 acyl chain with shortened acyl chains; ii) replacement of the distal galactose with glucose and mannose; iii) replacement of the intermediate galactose with glucose; iv) replacement of the proximal glucose with galactose. Among these glycolipids, the iGb3 variants with shortened acyl chains are potent stimulators of NKT cells. The iGb3 variant with intermediate glucose also showed the ability to stimulate NKT cells, but this finding needs to be verified. Our findings support the specific recognition of iGb3 by NKT cells. The search for other natural glycolipid antigens focuses on glycolipids that are isolated from bacteria and parasites. Recently, glycosphingolipids (GSL-1, -3, and -4) isolated from the sphingomonodaceae family of bacteria were characterized. GSL-1 has been shown to be a potent stimulator of NKT cells. Moreover, it has been reported that GSL-4 is a stimulator as well. To verify the structures and stimulatory properties of GSLs, GSL-1 to -4 were prepared and tested for their abilities to stimulate NKT cells. The result that only GSL-1 can stimulate NKT cells suggests that synthesis of these higher order GSLs would be an immune evasion mechanism. Neutral glycosphingolipids from sheep-derived F. hepatica liver flukes, a causative agent of fascioliasis, were isolated and characterized. Their structures are closely related to iGb3. Among these glycolipids, neo-iGb4s could be truncated to iGb3 in the lysosome and thus stimulate NKT cells. To test this hypothesis, these glycosphingolipids were prepared and tested. None of these synthetic glycolipids stimulates NKT cells, which suggests that the secretion of these glycolipids by F. hepatica could be the result of the parasite-immune-evasion mechanism.

Toll like receptors (TLRs) are found on B cells, macrophages, monocytes, and dendritic cells, and these cells belong to the innate immune system that recognizes antigens and induces multiple cell responses through the release of cytokines. TLR1, TLR2 and TLR6 function as heterodimers, either as TLR1/TLR2 or TLR2/TLR6 to recognize lipopeptides. TLR1/2 dimer activation releases inflammatory cytokines, while TLR2/TLR6 dimer activation releases immunomodulatory cytokines. Based on the size of the binding pocket between TLR2 and TLR6, it was hypothesized that lipopeptides, such as FSL1, could be simplified while keeping overall activity. FSL1 is a lipopeptide first isolated from Mycoplasma salivarum that activates macrophages at picomolar concentrations. It is expected that synthetic lipopeptides mimicking immunostimulatory molecules such as FSL1 will allow development of better ways to stimulate or modulate the immune system. Therefore, novel synthetic TLR2/6 ligands were synthesized replacing the polylysine chain with a polyamine chain showing activation of the immune cells in a manner like FSL1. Natural killer T-cell (NKT) antigens, such as α-galactosylceramide (α-GalCer), are carried through the body by lipid transfer proteins before they interact with the NKT cells. Not all the proteins involved in glycolipid transportation have been characterized. The synthesis of an α-GalCer analogue, termed CD1d-Triceps was designed to help find additional proteins involved in glycolipid trafficking. CD1d-Triceps has three functionalities: the first is the α-GalCer structure, and the other two are on C6 of the sugar: biotin, which helps tag the molecule for its purification, and a photoactive tag that, upon UV light activation, will cross-link with neighboring proteins. Antibiotic-resistant strains of Staphylococcus aureus (SA) are a growing health problem worldwide. Serotype 5 and 8 are the most common SA pathogens. Loading the serotype 5 or 8 disaccharides onto Qβ-particles that are linked to an NKT cell activator yield a vaccine that is expected to trigger adaptive immunity to the disaccharide. Previous similar studies showed production of antibodies with high affinity against Streptococcus pyogenes oligosaccharides in a similar vaccine.

Die Funktion und Spezifität von Natürlichen-Killer-T-Zellen (NKT) in angeborener und erworbener Immunität ist nicht vollständig geklärt. Die Mehrheit der NKT-Zellen erkennt alpha-galactosylceramid (alphaGalCer), ein Lipid eines marinen Schwamms mit ungeklärter Relevanz. Verschiedene mykobakterielle Lipide wurden isoliert und auf ihre CD1d-Bindung und NKT-Zell-Aktivierung untersucht. Phospatidylinositol-mannosid (PIM) von Mycobacterium bovis BCG konnte als erstes bakterielles NKT-Zell-Antigen identifiziert werden. PIM aktiviert CD1d-abhängig murine und humane NKT-Zellen zur IFN-gamma aber nicht zur IL-4 Produktion. Mehrere andere Lipid-Fraktionen aktivierten ebenfalls NKT-Zellen. Diese Stimulation war entweder eine direkte, T-Zell-Rezeptor (TZR)-vermittelte und/oder indirekte, Toll-like-receptor 2 (TLR2) vermittelte Aktivierung. Iso-globotrihexosylceramide (iGb3) wurde als das endogene NKT-Zell-Antigen beschrieben. IGb3 ist ubiquitär in Lysosomen vorhanden. Dies wirft die Frage nach der Regulation der Antigen-Verfügkarkeit und der Kontrolle der NKT-Zell-Aktivierung auf. Es konnte gezeigt werden dass die Regulation der Antigen-Verfügbarkeit essentiell für die Regulation der NKT-Zell-Aktivität ist. Unkontrolliertes Auftreten und erhöhte Konzentration von iGb3 führte zu einer substantiellen Reduktion der NKT-Zell-Zahl, vermutlich durch Aktivierungs-induziertem-Zelltod. Mit Hilfe von DNS-Microarray Analysen wurden die Gen-Expressionsprofile von naïven NKT-Zellen und klassischen CD4 T-Zellen, regulatorischen T-Zellen, NK-Zellen und aktivierten NKT-Zellen verglichen. Es konnte sowohl ein NKT-Zell-spezifisches Expressionsmuster etabliert als auch eine gemeinsame Expression von Genen in allen verglichenen Zelltypen identifiziert werden. Naive und aktivierte NKT-Zellen zeigen eine erhöhte Expression von Apoptose-regulierenden Genen welches auf eine starke Selbst-Kontrolle zur präzisen Regulation der eigenen Aktivität hinweist. / The function and specificity of Natural Killer T (NKT) cells in innate and acquired immunity still remains elusive. The vast majority of CD1d restricted NKT cells recognise alpha-galactosylceramid (alphaGalCer), derived from a marine sponge, a lipid of unclear physiological significance. Different mycobycterial glycolipids were isolated and examined for binding to CD1d as well as for their capacity of NKT cell stimulation. Phospatidylinositol-mannoside (PIM) derived from Mycobacterium bovis BCG was identified as the first bacterial lipid antigen presented by CD1d. PIM activated both murine and human NKT cells to secrete IFN-gamma but not IL-4 in a CD1d dependent manner. Additionally, several other lipid fractions with NKT cell activation capacities were identified. This activation was either a direct, T-cell-receptor (TCR) mediated and/or an indirect, toll-like-receptor 2 (TLR2) mediated activation. Iso-globotrihexosylceramide (iGb3) was described as the endogenous NKT cell antigen. iGb3 is a ubiquitously present lysosomal glycolipid which raises the question of regulation of antigen availability and NKT cell activation control. It could be shown that regulation of antigen availability plays a crucial role in regulation of NKT cell activation. Moreover, uncontrolled appearance and increased concentrations of the endogenous antigen iGb3 led to substantial decrease in NKT cell number, presumably by activation induced cell death. Using DNA Microarray analysis, the gene expression profiles of naïve NKT cells and classical CD4 T cells, regulatory T cells, NK cells as well as to activated NKT cells were compared. The profiles revealed a NKT cell specific gene expression pattern as well as expression of genes which NKT cells share with NK cells, conventional CD4+ T cells and Treg cells. Both, naïve and activated NKT cells display elevated expression of apoptosis regulating genes providing NKT cells with high degree of self-control to precisely regulate their own activity.

CD1 Moleküle spielen eine wichtige Rolle in der Lipidpräsentation und T-Zell-Aktivierung. CD1d fungiert als Restriktionselement für NKT-Zellen, eine T-Zell-Untergruppe, die nach Erkennung von Glykosphingolipide (GSL), IFN-gamma und IL-4 produziert. NKT Zellen steuern folglich anschliessende Immunantworten. Den meisten infektiösen Mikroorganismen mangelt es jedoch an GSL-Antigenen zur Stimulation von NKT-Zellen. Der Wirtsorganismus hat daher einen Mechanismus entwickelt, der die Aktivierung der NKT-Zellen dennoch gewährleistet. NKT-Zellen erkennen auch endogene GSL, die in dendritischen Zellen (DZ) infolge von Toll-like-Rezeptor (TLR)-Stimulation durch Pathogene produziert werden. Bislang war unklar, wie genau TLR-Aktivierung zur Produktion von Selbst-GSL-Antigenen führt. Ziel dieser Arbeit war es die Verknüpfung der beiden Prozesse aufzudecken. Diese Dissertation zeigt, dass alpha-Galaktosidase A (a-Gal A) als lysosomales Schlüsselenzym für den konstitutiven Abbau von Selbst-GSL-Antigenen in DZ fungiert. NKT-Zellen antworteten auf CD1d-restringierte Antigene, die von DZ, denen a-Gal A-Aktivität fehlte, präsentiert wurden. Ferner expandierten NKT-Zellen nach adoptiven Transfer in a-Gal A-defiziente Mäuse in Abhängigkeit von CD1d-Expression im Wirtsorganismus. Diese Arbeit zeigte auch, wie GSL-Antigene dem Abbau durch a-Gal A entkommen und für die NKT-Zell-Aktivierung bei Infektionen verfügbar werden. Unter normalen Bedingungen wurden die GSL durch a-Gal A abgebaut. TLR-vermittelte Signale führten jedoch zu Inhibierung der a-Gal A-Aktivität in DZ und resultierten somit in einer GSL-Akkumulation in den Lysosomen. Wir identifizierten einen neuen Regulationsmechanismus der NKT-Zell-Aktivierung bei Infektionen, der auf der Induktion von lysosomalen GSL-Antigenen durch TLR-vermittelte Hemmung der a-Gal A-Aktivität beruht. Diese Dissertation beantwortet fundamentale Fragen der NKT-Zell-Biologie und ebnet den Weg dieses System für therapeutische Ansätze zu nutzen. / CD1 molecules are pivotal for lipid presentation to T lymphocytes. Notably, CD1d functions as a restriction element for NKT cells, a T-cell lineage that produces IFN-gamma and IL-4 following recognition of glycosphingolipids (GSL). Consequently, NKT cells exert decisive regulatory functions on downstream immune responses. Most microbes potentially causing infection of the host lack GSL antigens to stimulate NKT cells. However, facing this challenge, the host developed a mechanism to ensure NKT-cell activation. This pathway exploits the property of NKT cells to react with self GSLs produced in dendritic cells (DCs) stimulated by pathogens through Toll-like receptors (TLR). How TLR engagement leads to production of self GSL antigens remains elusive. The aim of this study was to provide a mechanistic link between these two processes. Here, we identified alpha-galactosidase A (a-Gal A) as a key lysosomal enzyme required for constitutive degradation of self GSL antigens in DCs. Accordingly, NKT cells exposed to DCs lacking a-Gal A activity were activated in the context of CD1d-presented antigens. In addition, NKT cells underwent robust expansion upon transfer to a-Gal A-deficient mice that required CD1d expression by the host. This study further addressed the critical question as to how GSL antigens escape degradation by a-Gal A, and thus become available for presentation to NKT cells in infection. Accordingly, we found that TLR signaling targeted a-Gal A activity for negative regulation in DCs. Consequently, GSLs degraded by a-Gal A in steady-state conditions were induced in lysosomes. Based on these findings, we propose a new pathway that warrants the activation of NKT cells in infection by self GSL antigens induced through TLR-mediated inhibition of a-Gal A activity. Overall, this dissertation answers fundamental questions in the NKT field, and paves the way toward exploring this antigen presentation axis for therapeutic use.

Glycosphingolipids (GSLs), composed of a polar saccharide head and a lipophilic ceramide tail, are ubiquitous components of the plasma membrane of eukaryotic cells. They serve in many regulatory capacities and have antigenic properties towards natural killer T (NKT) cells of the innate immune system. Critical to the recognition of glycosylceramides by NKT cells are antigen presenting cells (APC), such as dendritic cells, which are responsible for binding, processing, and delivery of ligands to these lymphocytes. This event is mediated by CD1d, a major histocompatibility complex-like protein expressed on the surface of APCs, which binds GSL antigens by the ceramide moiety and presents the polar group to the T cell receptors of CD1d-restricted cells. The subsequent immune response involves NKT cell proliferation and emission of numerous cytokines, such as interferon-gamma (IFN-gamma) and interleukin-4 (IL-4), resulting in the stimulation of the innate and adaptive immune systems through maturation of APCs, activation of T cells, and secretion of antibodies by B cells. To understand the structure-activity relationship between GSLs and NKT cell activity and the requirements for intracellular processing of antigens, analogs of the model compound alphaGalCer (KRN-7000) have been synthesized. These include fluorophore-appended 6”-amino-α-galactosylceramides and N-alkenoyl GSLs, such as PBS-57, a potent alphaGalCer surrogate useful in NKT cell stimulation studies. A nonantigenic beta-C-galactosylceramide has also been prepared as an inhibitor of these innate lymphocytes. To probe the potential for using NKT cells to bias the immune system between the proinflammatory TH1 response or the immunomodulatory TH2 mode, versions of alphaGalCer with shortened ceramides have been created. One of these truncated analogs, PBS-25, has successfully been cocrystallized with CD1d and the binary complex structure solved by X-ray crystallography. Synthetic glycosphingolipids derived from Novosphingobium capsulatum and Sphingomonas paucimobilis have also been made. In assays with classical Valpha14i/Valpha24i NKT cell lines, these Gram-negative bacterial antigens were recognized directly and specifically by host immune systems through CD1d-restriction, unlike GSL-deficient microbes (e.g., Salmonella typhimurium). A search for other GSL-bearing alpha-proteobacteria led to the discovery of another natural glycosphingolipid, an N-alkenoylphytosphingoid-alpha-galactoside, isolated from the outer membrane of Ehrlichia muris.