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<art>
   <ui>1472-6750-7-51</ui>
   <ji>1472-6750</ji>
   <fm>
      <dochead>Research article</dochead>
      <bibl>
         <title>
            <p>Site-directed <it>in vitro </it>immunization leads to a complete human monoclonal IgG4&#955; that binds specifically to the CDR2 region of CTLA-4 (CD152) without interfering the engagement of natural ligands</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Chin</snm>
               <fnm>Li-Te</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <insr iid="I3"/>
               <email>ltc0553@ms42.hinet.net</email>
            </au>
            <au id="A2">
               <snm>Chu</snm>
               <fnm>Chishih</fnm>
               <insr iid="I4"/>
               <email>cschu@mail.ncyu.edu.tw</email>
            </au>
            <au id="A3">
               <snm>Chen</snm>
               <fnm>Han-Min</fnm>
               <insr iid="I1"/>
               <email>als2503@mails.fju.edu.tw</email>
            </au>
            <au id="A4">
               <snm>Hsu</snm>
               <fnm>Shu-Ching</fnm>
               <insr iid="I2"/>
               <email>joan@ms1.hinet.net</email>
            </au>
            <au id="A5">
               <snm>Weng</snm>
               <fnm>Bor-Chun</fnm>
               <insr iid="I4"/>
               <email>brian@mail.ncyu.edu.tw</email>
            </au>
            <au id="A6" ca="yes">
               <snm>Chu</snm>
               <fnm>Chi-Hong</fnm>
               <insr iid="I5"/>
               <email>hong18002@hotmail.com</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Graduate Institute of Life Science, Fu-Jen Catholic University, Taipei, Taiwan, RoC</p>
            </ins>
            <ins id="I2">
               <p>HumOrigin Biotechnology Corp., Hsinchu, Taiwan, RoC</p>
            </ins>
            <ins id="I3">
               <p>Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, RoC</p>
            </ins>
            <ins id="I4">
               <p>Department of Microbiology and Immunology, National Chiayi University, Chiayi City, Taiwan, RoC</p>
            </ins>
            <ins id="I5">
               <p>Section of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, RoC</p>
            </ins>
         </insg>
         <source>BMC Biotechnology</source>
         <issn>1472-6750</issn>
         <pubdate>2007</pubdate>
         <volume>7</volume>
         <issue>1</issue>
         <fpage>51</fpage>
         <url>http://www.biomedcentral.com/1472-6750/7/51</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">17714596</pubid>
               <pubid idtype="doi">10.1186/1472-6750-7-51</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>11</day>
               <month>12</month>
               <year>2006</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>23</day>
               <month>8</month>
               <year>2007</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>23</day>
               <month>8</month>
               <year>2007</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2007</year>
         <collab>Chin et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>The ability to acquire fully human monoclonal antibodies (mAbs) with pre-defined specificities is critical to the development of molecular tags for the analysis of receptor function in addition to promising immunotherapeutics. Yet most of the arriving affinity maturated and complete human immunoglobulin G (IgG) molecules, which are actually derived from single human B cells, have not widely been used to study the conserved self antigens (Ags) such as CD152 (cytotoxic T lymphocyte antigen-4, CTLA-4) because proper hosts are lacking.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Here we developed an optimized protocol for site-directed <it>in vitro </it>immunizing peripheral blood mononuclear cells (PBMC) by using a selected epitope of human CD152, an essential receptor involved in down-regulation of T cell activation. The resultant stable trioma cell lines constantly produce anti-CD152 mAb (&#947;4&#955;huCD152), which contains variable (V) regions of the heavy chain and the light chain derived from the VH3 and V&#955; human germline genes, respectively, and yet displays an unusual IgG4 isotype. Interestingly, &#947;4&#955;huCD152 has a basic pI not commonly found in myeloid monoclonal IgG4&#955;s as revealed by the isoelectric focusing (IEF) analysis. Furthermore, &#947;4&#955;huCD152 binds specifically, with nanomolar affinity, to an extracellular constituency encompassing the putative second complementarity determining region (CDR2) of CD152, whereby it can react to activated CD3<sup>+ </sup>cells.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>In a context of specific cell depletion and conditioned medium,<it>in vitro </it>induction of human Abs against a conserved self Ag was successfully acquired and a relatively basic mAb, &#947;4&#955;huCD152, with high affinity to CDR2 of CD152 was thus obtained. Application of such a human IgG4&#955; mAb with designated CDR2 specificity may impact upon and prefer for CD152 labeling both <it>in situ </it>and <it>ex situ</it>, as it does not affect the binding of endogenous B7 ligands and can localize into the confined immunological synapse which may otherwise prevent the access of whole IgG1 molecules.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Fueled by ever-growing demand, complete human mAbs have become one of the most important disciplines for obtaining research and therapeutic leads. Currently, the identification of such materials with desired specificities requires either selecting from artificial genetic Ig libraries <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr></abbrgrp> or immunizing transgenic mice that harbored large human Ig loci <abbrgrp><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>. Unfortunately, because of their dependence on Ig gene shuffling, information about the original pairing of heavy (H) and light (L) chains inherent in a single human B cell has been limited. An alternative strategy for obtaining complete human mAbs would be to use combined heterotopic B- and T-cell epitopes as an immunogen in human lymphocyte cultures, followed by standard hybridoma and/or cloning procedures. Initially, the validity of this site-directed <it>in vitro </it>immunization approach has been established in the procurement of gp120-specific monoclonal IgM from seronegative, non-infected lymphocytes <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>. Viral neutralizing, affinity maturated and isotype switched IgG responses were subsequently confirmed in human na&#239;ve B lymphocytes <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr></abbrgrp>. However, from prior reports, it was unclear whether B-cell epitopes present on a self-protein would also elicit significant IgG responses in the site-directed <it>in vitro </it>immunization regimen; therefore, a molecule with its existence on lymphocytes represents an ideal candidate for such a study.</p>
         <p>CD152 belongs to a group of immunomodulating receptors, collectively termed as CD28 superfamily <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>, and represents one of the major inhibitory receptors involved in co-stimulatory pathways regulating both humoral and cellular immune response <abbrgrp><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr></abbrgrp>. These inhibitory effects are due in part to a higher avidity of binding by the common endogenous agonists, B7-1 (CD80) and B7-2 (CD86), compared with its stimulatory homologue, CD28 <abbrgrp><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr></abbrgrp>. The lurch toward CD152 of these agonists reduces T-cell proliferation and cytokine production, resulting in attenuated immune responses, and thus mediates tolerance and/or anergy <abbrgrp><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr></abbrgrp>. CD152 has also been demonstrated to promote clonal anergy development by limiting cell cycle progression during the primary response <it>in vivo </it><abbrgrp><abbr bid="B16">16</abbr></abbrgrp>, thus CD152 opened up the possibility to study whether the current knowledge in site-directed <it>in vitro </it>immunization allows any generalizations to be made that will consequently be useful in developing human mAbs against self Ags.</p>
         <p>Structural findings indicate that the CD152 protein is composed of disulfide-linked homodimers of extracellular IgV domains. Each domain consists of two layered &#946;-sheets with ten strands (A, A', B, C, C', C", D, E, F and G) <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>. Furthermore, one mutational <abbrgrp><abbr bid="B20">20</abbr></abbrgrp> and two crystallographic <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp> studies have independently pointed out that CDR1-like (the B-C loop) and CDR3-like (the F-G loop) regions in CD152 directly bind B7 ligands, whereas the role of CDR2 was very insignificant, if it played a part at all. In contrast to the harmonized results to the relative contribution of individual CDR's, a severe discrepancy existed even in the span of CDR2. In the mutational model, the extracellular consecutive <sup>51</sup>AATYM<sup>55 </sup>motif was implicated to be CDR2 <abbrgrp><abbr bid="B20">20</abbr></abbrgrp> whereas co-crystallographic structures characterized the C'-C" loop encompassing a single Met 55 as CDR2 <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B19">19</abbr></abbrgrp>. To further complicate the picture of functionality, the downstream M10 (<sup>59</sup>ELT<sup>61</sup>) and M11 (<sup>66</sup>SICT<sup>69</sup>) epitopes, localized between the C" and D strands, have been revealed to play an important pharmacological role upon Ab binding <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. Thus not only is the dimension of CDR2 controversial but also, additional domains potentially involved in certain functions of CD152 are suggested. The suggestion of an important contribution in this area defined by the Met 55 core (<sup>51</sup>AATYMMGNELTFLDDSICT<sup>69</sup>) is further strengthened by observing a considerable conservation across all identified CD152, with six of the 19 amino acids having identical residues to the human sequence <abbrgrp><abbr bid="B19">19</abbr></abbrgrp>.</p>
         <p>Here we explored the stimulating effect of the Met 55-cored sequence by invoking the optimized process of site-directed <it>in vitro </it>immunization and somatic cell hybridization <abbrgrp><abbr bid="B22">22</abbr></abbrgrp> to target this particular area. We showed that human Abs that are specific for the CDR2-encompassed Met 55-cored region could be regularly generated <it>in vitro </it>from normal donors after sensitization with a heterotopic peptide. Moreover, the resultant human IgG4&#955; mAb is useful to probe and label CDR152 <it>in situ </it>and <it>ex situ </it>during the responses involving such a particular self molecule.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Procuring the desired Ab response by site-directed <it>in vitro </it>immunization and electrofusion</p>
            </st>
            <p>Plasma samples from repeated healthy donors were initially screened for IgG and IgM against tetanus toxoid, rhCD152 and mouse IgG2a by ELISA. It was found that no donors (0/17) had any significant IgM or IgG responses to CD152; however, anti-tetanus toxoid IgG (15/17) and some, albeit low, levels of specific IgG antibody against mouse IgG2a (2/17) were found. After primary and secondary <it>in vitro </it>immunization of five PBMC's from individual donors, the respective EBV-activated lymphoblastoid cultures were screened for human Igs against CD152. When assayed by ELISA, frequencies of specific cultures detected in the lymphoblastoid cells after primary <it>in vitro </it>immunization ranged from 0% to above 3% and were significantly elevated when CD8<sup>+ </sup>and CD56<sup>+</sup>cells were simultaneously removed before primary peptide stimulation (Fig. <figr fid="F1">1A</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Anti-CD152 derived from site-directed <it>in vitro </it>immunization exhibits specific binding towards human CD152 expressed both as a recombinant protein as well as a cell surface receptor</p>
               </caption>
               <text>
                  <p><b>Anti-CD152 derived from site-directed <it>in vitro </it>immunization exhibits specific binding towards human CD152 expressed both as a recombinant protein as well as a cell surface receptor</b>. Panel A summarizes specific responses of PBMC's from five subjects receiving primary Ag stimulation alone (Nil) or from PBMC's treated with the indicated regimen. Bars indicate the median value of all subjects analyzed. Filled triangles represent specific frequencies of individual PBMC's. Original data can be retrieved from Additional File <supplr sid="S1">1</supplr>. Panel B illustrates a representative ELISA reactivity profile of culture supernatant. Diluted supernatants were tested in duplicate with 100 &#956;L added to each well. Deviation between duplicate was less than 10% for any reported value. Panel C represents immunofluorescent staining of mitogen-activated CD3<sup>+ </sup>T cells (right thick peaks). PBMCs were isolated from normal blood donors and stimulated with indicated mitogens for 72 h to induce CD152 expression. Expression of mAb-recognized epitope was verified in gated CD3 population by flow cytometry. Data represent one experiment from three different normal subjects. Appropriate isotype controls were used for all Abs. The basal fluorescence obtained with the use of isotype control (IgG4&#955; myeloma protein) is indicated by the left thin peaks.</p>
               </text>
               <graphic file="1472-6750-7-51-1"/>
            </fig>
            <p>As shown in Additional File <supplr sid="S1">1</supplr>, although there was not a statistically significant increase, the removal of IL-10<sup>+ </sup>cells before secondary peptide stimulation yielded the highest frequency of specific IgG-producing cells.</p>
            <suppl id="S1">
               <title>
                  <p>Additional file 1</p>
               </title>
               <text>
                  <p>Specific efficiency of <it>in vitro </it>stimulation using peptide antigen. The table provided represents the number of wells with specific Ab production after various <it>in vitro </it>manipulations. The data were assessed by a statistical analysis and presented as Figure <figr fid="F1">1A</figr>.</p>
               </text>
               <file name="1472-6750-7-51-S1.doc">
                  <p>Click here for file</p>
               </file>
            </suppl>
            <p>Wells containing anti-CD152 IgG level that was five times higher than anti-murine IgG2a were subsequently pooled for electrofusion. One fusion yielded eleven clones secreting anti-CD152 Abs. Three of them were subcloned and found to be of the IgG4 isotype. To select a mAb for further characterization, two parameters were taken into account: the secretory capacity of the trioma, estimated from the ELISA titer and the relative specificity, reflected by the reactivities to other unrelated antigens such as tetanus toxoid, bovine serum albumin, and uncoated wells. Figure <figr fid="F1">1B</figr> also demonstrates that the selected monoclonal had a near-background reaction with unrelated Ags. Long-term (over a period of 60 months of continuous culture) stable Ab production in a concentration above 4 &#956;g/ml/10<sup>7 </sup>trioma cells in spent medium was consistently observed.</p>
         </sec>
         <sec>
            <st>
               <p>Presentation of recognized epitope on mitogen-activated human T cells and the immunogen</p>
            </st>
            <p>To investigate whether the specificity observed in ELISA was also applicable for the activated human T cells <it>in situ</it>, we used the mitogen-dependent stimulation system, where peripheral T cells were activated with anti-CD3, PHA, ConA, or the combination of PMA/ionomycin or PHA/PMA. CD152-expressing T cells were numerated in CD3<sup>+ </sup>population by flow cytometry. After a 72-h culture period, few CD3<sup>+ </sup>T cells without stimulation were stained by our human mAb whilst a large number of CD152<sup>+</sup>CD3<sup>+ </sup>T cells were constantly observed after activation with PMA and PHA (Fig. <figr fid="F1">1B</figr>). Control human IgG4&#955; myeloma protein failed to distinguish among the activation statuses and the present mAb did not react with activated murine CD3<sup>+ </sup>T cells (data not shown).</p>
            <p>To further characterize the nature of mAb binding, epitope mapping was performed by the Western blotting method with arrays containing the overlapping pendecapeptides, encompassing CDR1-like (the B-C loop), CDR3-like (the F-G loop) and the Met 55-cored sequence localized between the C' and D strands of the CD152 extracellular portion. Figure <figr fid="F2">2</figr> depicts that only the peptide corresponding to the C-terminus of the Met 55-cored sequence (<sup>54</sup>YMMGNELTFLDDSIC<sup>68</sup>) was best recognized by the mAb while neither the promiscuous T-cell epitope, nor CDR1-like or CDR3-like region contributes to the binding. From this result, it can be concluded that the Ala 51, Ala 52, Thr 53 and Thr 69 are not essential for mAb recognition.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Immunoblot screening of peptide arrays denotes the mAb specificity against the Met 55-cored CDR2-like region of human CD152</p>
               </caption>
               <text>
                  <p><b>Immunoblot screening of peptide arrays denotes the mAb specificity against the Met 55-cored CDR2-like region of human CD152</b>. 1 &#956;g/mL of purified mAb was used to determine the binding epitope. Sequences of EYASPGKATEVRVTV, KVELMYPPPYYLGIG and QYIKANSKFIGITEL indicate CDR1-encompassing region, CDR3-encompassing region and T cell epitope (italic) used for site-directed immunization, respectively.</p>
               </text>
               <graphic file="1472-6750-7-51-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Immunological and physicochemical properties of the mAb</p>
            </st>
            <p>The mAb was isotyped and subtyped by solid phase ELISA, utilizing its reactivity with human CD152 and appropriate immobilized typing Abs. The binding depicts the simultaneous presence of &#947;4 and &#955; chains in the mAb while other Ig chains are absent (Fig. <figr fid="F3">3A</figr>), thus the mAb was termed as &#947;4&#955;huCD152. Additionally, to compare the clonal nature with existing human monoclonal IgG1&#955; and IgG4&#955; derived from purified myeloma proteins, the isoelectric focusing (IEF) patterns were subsequently visualized. The resolvable bands, as shown in Figure <figr fid="F3">3B</figr>, indicate that &#947;4&#955;huCD152 has a slightly lower yet basic pI similar to the IgG1&#955;, but in contrast to the acidic IgG4&#955; myeloma protein or to the anionic (pI 4.5&#8211;5.0) species of proteins commonly described for polyclonal IgG4 <abbrgrp><abbr bid="B24">24</abbr></abbrgrp>. Western blot confirmed the purity of the Ab samples as illustrated by the anti-&#955; staining configurations. As shown in Figures <figr fid="F3">3B</figr>, the corresponding pI of the myeloid IgG1&#955;, IgG4&#955; and &#947;4&#955;huCD152 obtained with linear regression of pH gradient were 7.92&#8211;8.79, 5.76&#8211;6.52 and 7.87&#8211;8.41, respectively.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Immunological and biochemical natures of the mAb</p>
               </caption>
               <text>
                  <p><b>Immunological and biochemical natures of the mAb</b>. Panel A shows isotyping and subtyping results by immobilizing anti-human Igs as indicated. The binding profile of the mAb was subsequently revealed by biotinylated CD152-muIg and avidin-peroxidase conjugates. Results indicate that the present mAb belongs to a type of IgG4&#955;. Panel B indicates the isoelectric point of the monoclonal IgG4&#955; anti-CD152 (lane 4 and 8), resolved by isoelectric focusing. Monoclonal human myeloma IgG1&#955;(lane 2 and 6) and IgG4&#955; (lane 3 and 7) were run in parallel for comparison. The electrophoretic patterns were visualized by either Coomassie brilliant blue staining (lane 1&#8211;5) or immunoblot (lane 6&#8211;8) with anti-human IgG conjugated with peroxidase and FAST&#8482; DAB. The calculated isoelectric points for human IgG1&#955;, IgG4&#955; and anti-CD152 mAb to be approximately in the range of 7.92&#8211;8.79, 5.76&#8211;6.52 and 7.87&#8211;8.41, respectively, based on the calibration against the linear regression of standard protein markers. Panel C outlines the affinity determination by IAsys. Surface plasmon resonance obtained at 25&#176;C for increasing concentrations of anti-CD152 mAb on purified, unlabeled CD152-muIg. The straight line in the inset was obtained from the k<sub>obs </sub>plot versus ligated Ab concentration and yielded a k<sub>diss </sub>(the intercept) of 16.81 and a k<sub>ass </sub>value (the gradient) of 4.20 &#215; 10<sup>9</sup>. Therefore produced a Kd (k<sub>diss</sub>/k<sub>ass</sub>) of 4 &#215; 10<sup>-9 </sup>M.</p>
               </text>
               <graphic file="1472-6750-7-51-3"/>
            </fig>
            <p>The equilibrium dissociation constant (Kd) for the purified intact &#947;4&#955;huCD152 was determined by an IAsys analysis. The rate constant was evaluated directly from the sensogram using five cycles of soluble mAb binding to the immobilized CD152-muIg. Figure <figr fid="F3">3D</figr> reveals that, with the analysis of extent and association in single phase, the Kd was deduced to be 4 &#215; 10<sup>-9 </sup>M.</p>
         </sec>
         <sec>
            <st>
               <p>Ig sequences</p>
            </st>
            <p>Following elelectrofusion and subsequent clonings, stable trioma cells producing IgG4&#955; were selected and the cDNA encoding the Ig variable regions were cloned and sequenced. By comparing the VH with the available Ig sequences, it was concluded that the VH, being 89.80% (88/98) amino acid identity (Fig. <figr fid="F4">4A</figr>), is associated with three human VH3 germline segments [GenBank: <ext-link ext-link-type="gen" ext-link-id="AB019439">AB019439</ext-link>, VH3&#8211;30 and VH3&#8211;33]. Alignments have also disclosed homology of VL to three existing human V&#955; germline genes [GenBank: <ext-link ext-link-type="gen" ext-link-id="BAC01778">BAC01778</ext-link>, S78058 and CAA38313] with a measure of 92.13% similarity (Fig. <figr fid="F4">4B</figr>). High similarity to accessible V germline genes of human but not other origins is indicative of complete human Ab. Moreover, both VH (CDR2) and VL (CDR1 and CDR2) regions contained evidence of hyper mutations away from the germline.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Partial deduced protein sequences of the mAb</p>
               </caption>
               <text>
                  <p><b>Partial deduced protein sequences of the mAb</b>. Panel A represents the alignments of VH to known human VH sequences of the highest homology scoring. Panel B represents the alignments of VL to known human VL sequences of the highest homology scoring. FR, framework region; CDR, complementarity-determining region. Asterisks indicate amino acid identity to germline. Sequences are available from GenBank under accession numbers <ext-link ext-link-type="gen" ext-link-id="AY847516">AY847516</ext-link> (VH); <ext-link ext-link-type="gen" ext-link-id="AY847517">AY847517</ext-link> (VL); <ext-link ext-link-type="gen" ext-link-id="AB019439">AB019439</ext-link> (VH3&#8211;30 and VH3&#8211;33); <ext-link ext-link-type="gen" ext-link-id="BAC01778">BAC01778</ext-link>; S78058 and CAA38313. Homology searches were accomplished over the www using the program BLAST (Basic Local Alignment Search Tool) from NCBI (National Center for Biotechnology Information; Washington, DC.). A 12-aa CDRH3 sequenced Ala-His-Gly-Asp-Tyr-Gly-Arg-Asp-Gly-Met-Asp-Val was noted.</p>
               </text>
               <graphic file="1472-6750-7-51-4"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Little or no competition to B7- CD152 binding of &#947;4&#955;huCD152 both <it>ex situ </it>and <it>in situ</it></p>
            </st>
            <p>Although the CDR2-containing epitope does not seem to be involved in the binding of endogenous cognate ligands (CD80 and CD86) and mAb engagement would not be antagonistic, the epitope might present an allosteric site for non-competitive inhibition. To investigate this possibility, CTLA-4-muIg was immobilized onto wells and either biotinylated CD80-muIg or CD86-muIg was used as a binding ligand in the presence of &#947;4&#955;huCD152 or BNI3, <it>i.e</it>., a CD152 antagonistic mouse IgG2a mAb <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. Figure <figr fid="F5">5A</figr> shows, in contrast with the expected dose-dependent inhibition of specific receptor binding by the antagonistic BNI3, &#947;4&#955;huCD152 could not compete binding significantly with either CD80-muIg or CD86-muIg <it>ex situ</it>. No clear difference in binding was found when competing CD80-muIg or CD86-muIg was used in the binding of &#947;4&#955;huCD152 to CTLA-4-muIg (data not shown). Surprisingly, high doses of &#947;4&#955;huCD152 mAb display synergism with the natural ligand CD80 but not CD86 with a consequence up to 50% enrichment of CD80 binding to CTLA-4-muIg.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Binding of &#947;4&#955;huCD152 and CD80/CD86 agonists to human CD152 are not mutually exclusive</p>
               </caption>
               <text>
                  <p><b>Binding of &#947;4&#955;huCD152 and CD80/CD86 agonists to human CD152 are not mutually exclusive</b>. Panel A indicates the ligand competition assays that test the ability of monoclonal &#947;4&#955;huCD152 (solid line) and BNI3 (dashed line) anti-CD152 to compete for the CD80/CD86 and CD152 interactions. Biotinylated CD80-muIg or CD86-muIg plus indicated increasing concentrations of the mAbs (10<sup>-3</sup>-10 &#956;g/mL) were incubated in microtiter wells coated with purified CD152-muIg. Bound CD80/CD86 was detected with avidin-peroxidase conjugate and a peroxidase substrate. The data shown are representative of three experiments. Panel B illustrates the determination of <it>in situ </it>CD152 expression before and after PHA/PMA stimulation. Paraformaldehyde-fixed cells were first labeled with PE-anti-CD3 and BNI3 or &#947;4&#955;huCD152, and then incubated with FITC-conjugated anti-mouse IgG2a or anti-human IgGs, respectively. The percentage of each stained population after stimulation is denoted.</p>
               </text>
               <graphic file="1472-6750-7-51-5"/>
            </fig>
            <p>In order to investigate the binding effects more thoroughly, and to provide further information on their possible <it>in situ </it>relevance, it was assessed whether labeling of endogenous CD152, a known rare Ag expressed only on activated T cells, by different mAbs, influences the profile of detection. A well-contrasted cytometric picture of total CD152-binding and a clearly distinguishable concentrated pattern of labeling were evidenced on PHA/PMA-activated T cells by using &#947;4&#955;huCD152, indicating a lower nonspecific binding over the antagonistic BNI3 (Fig. <figr fid="F5">5B</figr>). Hence, non-ligand competitive &#947;4&#955;huCD152 could be used as a new and refined probe which should be useful for sensitive assay and localization of CD152 both <it>in situ </it>and <it>ex situ</it>.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Previously published techniques for <it>in vitro </it>immunization required pre-treatment of PBMC with chemotoxic agents, such as L-leucyl-L-leucin methyl ester hydrobromide (LeuLeuOMe), in order to prevent the "suppressing populations" dominating the response <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Unfortunately, residual cytotoxicity and relative redundancy of LeuLeuOMe interferes with subsequent survival and peptide-driven stimulation and therefore the process requires careful timing for the greatest effectiveness. It was found that when Abs were used as more selective reagents to specific removal of CD56<sup>+ </sup>and IL-10<sup>+ </sup>cells, no LeuLeuOMe pretreatment is necessary [see Additional File <supplr sid="S1">1</supplr>]. Advantages of this improved procedure over the conventional procedure are clearly illustrated in the present study, not only in the reduction in sample manipulation, but also in successfully targeting human Ab responses to a pre-determined epitope without the use of experimental animals or sensitized donors. We believe this first reported human mAb directed against a self physiological receptor also signifies a constructive method for recruiting and unleashing the responses to physiological receptors that may not be recognized by donors' own immune system <it>in vivo</it>.</p>
         <p>We found that the <it>ex situ </it>CD152 binding of CD80 increased with the increasing concentration of &#947;4&#955;huCD152 (Fig. <figr fid="F5">5A</figr>). Whether this observation also applied <it>in situ </it>is yet to be verified. However, human non-antagonistic anti-CD152 scFv fragments, obtained from a synthetic phage library, were indeed documented to synergize with CD80&#8211;CD152 but not CD86&#8211;CD152 association <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>, although to a less extent as compared with the present study. As described above, the CDR2-like Met 55-cored epitope, <sup>54</sup>YMMGNELTFLDDSIC<sup>68</sup>, on CD152 may not be directly involved in the binding of CD80 but the F-G (CDR3-like) and B-C (CDR1-like) loops provide direct contacts and additional stabilization to CD80, respectively <abbrgrp><abbr bid="B18">18</abbr><abbr bid="B20">20</abbr></abbrgrp>. Thus CD80&#8211;CD152 binding enhancement by &#947;4&#955;huCD152 (and possibly mAbs specific to this particular CDR2-like site) may be attributed to an extended protrusion of the CDR3-like region that facilitates CD80 engagement, or to a further segmentation that fixes the relative orientation of the binding domains for an additional spacing selectivity. These possibilities are not mutually exclusive.</p>
         <p>Despite the fact that the present mAb was derived from healthy human donors, several mouse mAbs with similar, but not identical, binding specificities were previously available in literature. For example, mAbs with agonist- or antagonist-like activities against human CD152 were obtained from mice immunized with the recombinant receptor or mitogen-activated human PBMCs in 1995 <abbrgrp><abbr bid="B27">27</abbr></abbrgrp> and 1999 <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. In the earlier case, the epitopes responsible for the functional activity of the Abs were finely identified. This analysis documented that the CDR2-adjacent epitope (<sup>60</sup>LTFLDD<sup>65</sup>) and the conformational or CDR3 epitope (<sup>102</sup>PPYYL<sup>106</sup>) are responsible for agonist- and antagonist-like activities, respectively. In addition, using a bispecific tandem single-chain variable fragment recognizing <sup>59</sup>ELT<sup>61 </sup>and <sup>66</sup>SICT<sup>69</sup>, another study has revealed a likely CD152 inverse agonist of Ab nature <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. Ultimately systematic studies are needed to clarify the pharmacological effects of the present human monoclonal IgG4&#955; with an epitope of a comparable stride (59~69 vs. 54~68).</p>
         <p>A conspicuous feature of the present findings is that it is now possible to screen and construct isotype-switched, high affinity human mAbs with pre-defined specificities than previously possible. Consequently, mAbs are able to mimic ligands action commonly found in small synthetic molecules and to facilitate comprehensive receptor-based drug designs. Another peculiarity, as Figure <figr fid="F3">3A</figr> shows the simultaneous presence of IgG4Fc and C&#955; human Ig chains associated with the specificity, is that &#947;4&#955;huCD152 can be described as a comparable if not a fundamentally authentic human IgG4. Because IgG4 does not activate the complement cascade and it is much more compact than other IgG's <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>, accentuating its advantages for acting in the immunological synapse where a spatial limitation is applied <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. Although the current example comes from CD152, obviously it can also apply to other biological receptors and their cognate ligands.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusion</p>
         </st>
         <p>In the present study, we started with an improved, more selective <it>in vitro </it>immunization protocol and worked toward fully human mAbs against a representing self Ag, CD152. Considerable progress has thus been made in this area as a result of a novel human IgG4&#955; mAb against CD152. The application of such a mAb with designated CDR2 specificity may impact upon and favor CD152 detection and/or isolation of human CD4<sup>+</sup>CD25<sup>+</sup>CD152<sup>+ </sup>regulatory T cells <abbrgrp><abbr bid="B30">30</abbr></abbrgrp>. The present study also opens up the possibility of probing and perhaps controlling T cell activation using highly specific, less immunogenic Ig proteins. Further deciphering the biological functions mediated by &#947;4&#955;huCD152 may lead to a greater understanding of the regulation and differentiation of immune responses.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <sec>
            <st>
               <p>Culture materials Ag and Ab reagents</p>
            </st>
            <p>The culture medium used was RPMI-l640 (HyClone, Logan, UT), supplemented with 1 &#215; non-essential amino acids (Life Technologies, Gaithersburg, MD), 10% fetal bovine serum (FBS; Life Technologies) and 50 &#956;g/ml of gentamycin and kanamycin (Sinton Chemical &amp; Pharmaceutical, Hsinchu, Taiwan). Purified and biotinylated human CD152-murine Ig fusion protein (CD152-muIg), CD80-muIg and CD86-muIg (Ancell, Bayport, MN) were used in Ag-specific and competing enzyme-linked immunosorbent assay (ELISA), together with peroxidase-labeled goat antibodies against human IgG and IgM (Zymed Laboratories, South San Francisco, CA) or avidin horseradish peroxidase (eBioscience, San Diego, CA) as the reporting system. The fluorochrome-conjugated mouse mAb against human IgGs and human CD3 (UCHT1; mouse IgG1), together with rat mAb against mouse IgG2a were commercially available from Becton Dickinson Immunocytometry Systems (San Jose, CA) and Abcam (Cambridge, UK). The anti-CD3 (OKT3; mouse IgG2a) used for T cell activation and the antagonistic anti-CD152 (BNI3; mouse IgG2a) were purchased from eBioscience and Abcam, respectively.</p>
         </sec>
         <sec>
            <st>
               <p>Preparation of human PBMC</p>
            </st>
            <p>Plasma and buffy coat samples from healthy routine blood donors, screened negative for HIV-1/2, HTLV-I/II, HCV, HBsAg and containing normal levels of alanine transferase (ALT), were obtained from the Tainan and Hualien Blood Centers, Taiwan Blood Services Foundation. Written informed consents were obtained from five repeatedly-healthy regular blood donors after an explanation of the nature, purpose, and potential risks of the study and then 230 ml of whole blood was used for the purpose of site-directed <it>in vitro </it>immunization. PBMC's were isolated by density centrifugation on Ficoll-Paque (GE Healthcare Bio-Sciences, Uppsala, Sweden) as described elsewhere.</p>
         </sec>
         <sec>
            <st>
               <p>Magnetic cell purification and depletion</p>
            </st>
            <p>PBMC's were magnetically labeled with CD45RO MACS<sup>&#174; </sup>microbeads (Miltenyi Biotec, Bergisch Gladbach, Germany) then separated by a VarioMACS&#8482; (Miltenyi) instrument according to the manufacturer's instructions. The purified CD45RO<sup>+ </sup>T cells were cultured at a density of 2 &#215; 10<sup>6 </sup>cells/ml in the culture medium supplemented with 50 &#956;M 2-mercaptoethanol and 10 &#956;g/ml pokeweed mitogen (PWM; Sigma, St. Louis, MO). After 24 h, cells were removed by 400 &#215; g centrifugation to collect CD45RO<sup>+ </sup>T cell replacing factor. Removal of cytotoxic cell populations, which inhibit <it>in vitro </it>immunization <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>, was similarly performed by using colloidal super-paramagnetic microbeads conjugated to monoclonal anti-human CD8 and anti-CD56 antibodies (Miltenyi). Removal of IL-10-producing cells was achieved by using rat anti-human IL-10 (SouthernBiotech, Birmingham, AL) and goat anti-rat IgG microbeads (Miltenyi).</p>
         </sec>
         <sec>
            <st>
               <p>Site-directed <it>in vitro </it>immunization</p>
            </st>
            <p>Cytotoxic cell-depleted PBMCs were immunized <it>in vitro </it>based on a previously described two-step principle <abbrgrp><abbr bid="B6">6</abbr></abbrgrp>. Primary immunization was performed by incubating the cells for 6 days in a medium containing 10 nM of the heterotopic peptide Ag (QYIKANSKFIGITELAATYMMGNELTFLDDSICT; Fine Research Biochem, Taoyuan, Taiwan), 50 &#956;M 2-mercaptoethanol, 10% heat-inactivated human serum, 0.05 ng/ml recombinant human (rh) IL-2 (eBioscience), and 25% (v/v) CD45RO<sup>+ </sup>T cell replacing factor. For secondary immunization, 3 &#215; 10<sup>7 </sup>primary-immunized cells were mixed with the peptide in a flask that had been immobilized overnight with 5 mg/ml of CD40L (CD154; eBioscience) together with 1 &#215; 10<sup>7 </sup>QYIKANSKFIGITEL (Fine Research Biochem)-stimulated CD4<sup>+ </sup>T cells and 5 ng/ml rh IL-15 (eBioscience). The cells were cultured for 3&#8211;5 days in a medium supplemented with 5% human serum, 50 mM 2-mercaptoethanol and 10 nM heterotopic peptide Ag. The significance of differences between treated and control cultures was established by using Student's t test. A <it>P </it>value of less than 0.05 was considered statistically significant.</p>
         </sec>
         <sec>
            <st>
               <p>Epstein-Barr virus (EBV) infection, ELISA and somatic cell hybridization</p>
            </st>
            <p>The <it>in vitro </it>immunized cells were infected with EBV by virus-containing supernatant derived from the EBV-producing marmoset cell line B95-8 (American Type Culture Collection, ATCC CRL 1612; kindly provided by Dr. L.-F. Sheu, Tri-Service General Hospital, Taipei). The infected cells were seeded at 10<sup>5</sup>/well in 96-well plates together with mytomycin (Kyowa Hakko Kogyo, Tokyo, Japan)-treated PBMC as feeder cells (10<sup>4</sup>/well) for the establishment of lymphoblastoid cells and screened for Abs by ELISA.</p>
            <p>Ag-specific ELISA was performed by coating 0.25 &#956;g/ml purified rhCD152-muIg, 0.5 &#956;g/ml monoclonal mouse IgG2a (mIgG2a; Ancell), 1 &#956;g/ml bovine serum albumin (BSA; Sigma) or 1 &#956;g/ml tetanus toxoid (TT; ADImmune, Taichung, Taiwan) onto microtitre plates overnight at 4&#176;C. Culture supernatants were diluted to the desired level in 10 mM sodium phosphate buffer (pH 8.0), containing 0 5 M sodium chloride and 0.1% Tween-20. Coated plates were incubated with diluted culture supernatants, washed, incubated with peroxidase-labeled goat antibodies against human IgG and IgM and developed (15 min) by addition of 100 &#956;l of the chromogenic substrate o-phenylaenediamine (OPD) (Sigma). The reaction was stopped after 30 min by adding 1 M sulphuric acid, and the absorbances were read at 490 nm.</p>
            <p>Somatic cell hybridization was generated by electrofusion. Briefly, Ag-specific EBV-infected lymphoblastoid cells were fused with heteromyeloma cells <abbrgrp><abbr bid="B22">22</abbr></abbrgrp> in an isotonic medium (280 mM sorbitol, 0.5 mM magnesium acetate, 0.1 mM calcium acetate and 1 mg/ml BSA; pH6.9&#8211;7.1). Cell fusion was induced by high-voltage pulses using a BTX Electro Cell Manipulator ECM 2001 (Harvard Apparatus, Holliston, MA). Ag-specific hybrids were selected and cloned by limiting dilution.</p>
         </sec>
         <sec>
            <st>
               <p>Epitope mapping</p>
            </st>
            <p>To define the specific epitope of human CD152 recognized by the mAb, we used peptide arrays (Genesis Biotech, Taipei, Taiwan and Fine Research Biochem,) containing <it>in-situ </it>synthesized peptides immobilized on special membrane. In brief, 1 &#956;g/mL of protein A (Proteus MIDI kit, Pro-Chem, Littleton, MA)-purified mAb was incubated by shaking in room temperature for 2 h. After washing, the membrane-bound mAb was then visualized by diluted anti-human IgG conjugated with peroxidase (Jackson ImmunoResearch Laboratories, West Grove, PA) and FAST&#8482; DAB (Sigma). The amount of bound mAb was calculated by Image-Pro Plus 4.5 software (Media Cybernetics, Silver Spring, MD) on the scanned images.</p>
         </sec>
         <sec>
            <st>
               <p>Flow cytometry analyses</p>
            </st>
            <p>The surface expression of the CD152 epitope recognized by the present mAb was analyzed using two-color flow cytometry on mitogen-stimulated PBMC's by a FACSCaliber&#8482; flow cytometer and CellQuest&#8482; software (Becton Dickinson Immunocytometry Systems). 2 &#215; 10<sup>6 </sup>isolated PBMC's were resuspended in supplemented culture medium and treated with either anti-human CD3 (OKT3; final concentrations in culture 10 &#956;g/ml, eBioscience), concanavalin A (Con A; final concentrations in culture 10 &#956;g/ml, Sigma), 10 &#956;g/ml phytohemagglutinin (PHA; final concentrations in culture 1 &#956;g/ml, GE Healthcare Bio-Sciences), a combination of phorbol 12-myristate acetate (PMA; 50 ng/ml, Sigma) + ionomycin (1 &#956;M, Sigma) or a combination of PHA (1 &#956;g/ml) + PMA (50 ng/ml). Logarithmically amplified fluorescence data were collected on 10,000 CD3<sup>+ </sup>cells. All flow cytometry staining procedures were performed at 4&#176;C in cytometry buffer. For extracellular detection of CD152, activated cells were first surface stained with the mAb or isotype control at 4&#176;C, followed by anti-human IgG-FITC and anti-CD3-PE (Becton Dickinson) staining.</p>
         </sec>
         <sec>
            <st>
               <p>RT-PCR assays for deduction of Ab primary structures</p>
            </st>
            <p>The Ab primary structures were deduced by cDNA sequencing from cloned trioma cells. Briefly, poly(A)<sup>+ </sup>RNA was isolated from by using Dynabeads<sup>&#174; </sup>mRNA DIRECT&#8482; Kit (Invitrogen, Carlsbad, CA). Purified mRNA was then employed as the reaction template in reverse transcription polymerase chain reactions (RT-PCR). The RT-PCR was carried out with Titan One Tube RT-PCR System&#8482; (Roche Diagnostics Corporation, Indianapolis, IN). PCR primers (1 &#956;M) used to amplify human VH and VL were the HuVH-JH set (forward: 5'-caggt caact taagg gagtc tgg-3' and reverse: 5'-tgaga gacgg tgacc gtggt ccc-3') and the HuV&#955; set (forward: 5'-tccta tgtgc tgact cagcc acc-3' and reverse: 5'-accta ggacg gtgac cttgg tccc-3'), respectively. The 37 temperature cycles include: one 2-min denature cycle of 94&#176;C; 35 cycles of 3-min denaturation at 94&#176;C, 1-min annealing and extension at 68&#176;C; and a final 10-min extension cycle of 68&#176;C. Single banded PCR fragments were seperated by 2% agarose gel electrophoresis. The DNA fragments were purified from gel by Wizard PCR Preps DNA purification system (Promega, Madison, WI). The purified products were subjected to nucleotide sequencing. Sequences were verified (Molecular Clinical Diagnostic Laboratory, Dr. Chip Biotechnology, Inc., Taipei, Taiwan) and converted to corresponding amino acids.</p>
         </sec>
         <sec>
            <st>
               <p>Isoelectric point electrophoresis and affinity analyses</p>
            </st>
            <p>The isoelectric point of secreted IgG was examined by Novex IEF Gels (Invitrogen). Desalted and dialyzed protein samples were mixed with IEF sample buffer at 1:1 (v/v) ratio. Electrophoresis was performed at following condition: 100 V for 1 h, 200 V for 1 h and 500 V for 30 mins. After electrophoresis, gels were removed from gel cassette and fixed in 10% trichloroacetic acid for 30 mins. Fixed gel was developed by Coomassie brilliant blue staining or silver staining. The broad-range calibration kit for pI determinations (#17-0471-01, pH 3&#8211;10; GE Healthcare Bio-Sciences) was included as the standard. The isoelectric point of interested proteins was calculated by Phoretix 2D Elite software (Nonlinear Dynamics, Durham, NC).</p>
            <p>The affinity of the mAb was determined against CD152-muIg with an IAsys optical biosensor (Affinity Sensors, Cambridge, UK) according to the manufacturer's instructions. Briefly, 200 &#956;g/ml dialyzed and diluted CD152-muIg was immobilized on the activated surface of carboxymethyl dextran cuvettes in 10 mM of sodium acetate buffer at pH 3.8. After conditioning with 10 mM HCl, immobilization of 2 mg/mL CD152-muIg resulted in a response of 1100 arc sec. This represents the highest immobilization response for CD152 and gives a ligate binding capacity (R<sub>max</sub>) of 300 arc sec. Serial dilutions of the mAb in PBS, <it>i.e</it>. 1.34 &#215; 10<sup>-9 </sup>M, 6.70 &#215; 10<sup>-9 </sup>M, 1.34 &#215; 10<sup>-8 </sup>M, 2.68 &#215; 10<sup>-8 </sup>M and 5.36 &#215; 10<sup>-8 </sup>M, were added to the CD152-coated cuvettes (final volume, 50 &#956;l). Affinity constants (Kd) were calculated from these measurements as k<sub>diss</sub>/k<sub>ass </sub>by using the FASTFIT<sup>&#174; </sup>program provided by the manufacturer.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Abbreviations</p>
         </st>
         <p>CDR- Complementarity determining region.</p>
         <p>CTLA-4- Cytotoxic T lymphocyte antigen-4.</p>
         <p>IEF- Isoelectric focusing.</p>
         <p>Ig- Immunoglobulin.</p>
         <p>Kd- Equilibrium dissociation (affinity) constant.</p>
         <p>LeuLeuOMe- L-leucyl-L-leucin methyl ester hydrobromide.</p>
         <p>mAb- Monoclonal antibody.</p>
         <p>PBMC- Peripheral blood mononuclear cells.</p>
         <p>PBS- Phosphate buffered saline (20 mM phosphate buffer, pH 7.2 containing 145 mM NaCl).</p>
         <p>VH- The variable regions of Ab heavy chain.</p>
         <p>VL- The variable regions of Ab light chain.</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>The molecules described in this paper have commercial potential and patent applications for the same are being processed.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>LTC designed and carried out site-directed <it>in vitro </it>immunization. CC delineated the primary structure of the antibody and performed statistical analyses. HMC directed and accomplished the determination of isoelectric point. SCH participated in most experiments and assisted with peptide design. BCW compared the mAb with the existing BNI3. CHC drafted the manuscript in collaboration with LTC. CHC was also responsible for the ethical issues regarding to human studies. All authors read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>This study was supported in part by the SBIR grant 1Z930280 from the Ministry of Economic Affairs and by a grant from Hualien Armed Forces General Hospital, Hualien, Taiwan (805 HC93-04). We thank Dr. Hsiao-Han Liu, Dept. of Biological Science and Technology, Kaohsiung I-Shou University, Taiwan, for critical help in IAsys.</p>
         </sec>
      </ack>
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