Inhibition of IFN-y Promoter Function by Site-Specific Methylation by MASsAcHUJSEr-IS1TrrEI OF TECHNOLOGY Brendan T. Jones FEB 8 1 2006 B.S. Biochemistry, with High Honors Tufts University, 1999 LIBRARIE Submitted to the Department of Biology in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy '1 at the C IVES 8) Massachusetts Institute of Technology gro bvcAail, ooG 3 January 2006 © 2006 Massachusetts Institute of Technology All rights reserved Signature of Author: ,,,/ - IA, I Brendan T. Jones Department of Biology January 4, 2006 Certified by: Jianzhu Chen Professor of Biology January 4, 2006 Accepted by: t " -It- Stephen P. Bell Professor of Biology January 4, 2006 1 Inhibition of IFN-y Promoter Function by Site-Specific Methylation by Brendan T. Jones Submitted to the Department of Biology on December 13, 2005 in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy ABSTRACT When they become activated, na'ive helper T cells are able to polarize into either THI cells or TH2 cells. Development of naive CD4 + T cells into TH1 cells is characterized by the expression of IFN-y and the silencing of IL-4, while development into TH2 cells is characterized by expression of IL-4 and silencing of IFN-y. NaYve helper T cells are hypomethylated at the IFN-y proximal promoter and hypermethylated at the contiguous transcribed region. During THI polarization, the promoter remains hypomethylated, while the transcribed region becomes demethylated. During TH2 polarization, the promoter undergoes progressive de novo methylation while the transcribed region remains hypermethylated. Notably, TH2 de novo methylation occurs at different rates at different CpG positions, with methylation occurring fastest at the CpG located at the -53 position relative to the transcription start site. Methylation at this position inhibits c-Jun, ATF2 and CREB binding in vitro. Consistently, the same factors bind to the unmethylated promoter in a TH1 cell line, but not the methylated promoter in a TH2 cell line. Furthermore, methylation of the proximal promoter at the -53 position alone is sufficient to inhibit promoter activity in transient transfection assays. Thus, the rapid methylation of the -53 CpG at the onset of TH2 polarization helps to prevent IFN-y transcription by directly inhibiting transcription factor binding prior to the extensive mnethylation of the IFN-y promoter. There are three known mammalian methyltransferase genes: dnmtl, dnmt3a, and dcnmt3b. Dnmt3b is not required for the methylation changes that occur at the IFN-y locus during helper T cell polarization. De novo methylation during TH2 polarization is reduced in dnmt3a deficient T cells. Furthermore, helper T cells deficient in the dnmt3a alternative transcript, dnmt3a2, undergo de novo methylation at the IFN-y promoter during TH 1 polarization, and IFN-y expression is inhibited in these T cells. Collectively, this suggests that dnmt3a is required for efficient de novo methylation of the IFN-y promoter during TH2 polarization, and that dnmt3a2 suppresses IFN-y methylation during TH1 polarization. Thesis Supervisor: Jianzhu Chen Title: Professor of Biology 2 Acknowledgements Many people were involved in the generation of this thesis, both directly and indirectly. First and foremost, I would like to thank Jianzhu Chen, who has been an excellent mentor and a good friend. Without his guidance and patience I never would have succeeded here at MIT. He taught me how to think like a scientist. My thanks also go to my thesis committee for their advice and support. Many members of the Chen Lab have given me both technical and moral support over the years. Qing Ge and Hui Hu taught me everything I know about mouse work. As busy as they were, they always found time to help me find that last pesky lymph node. Without Charles Whitehurst and Ching-Hung Shen, the bisulfite conversion and gel shift assays would have been impossible. Many thanks also to Mimi Fragoso and Jim Harriman for ordering my reagents and looking after my mice. The people who have shared my bay over the years, Brian Haines, Ailin Bai, and Lily Trajman all get special credit for putting up with both my music and my antics. With less tolerant neighbors I would have surly ended up in cement shoes at the bottom of the River Charles. An additional thank you to Lily for proofreading this thesis. Without her grammatical expertise, the document you hold before you would have been an unreadable jumble of verb disagreement and misplaced commas. Finally need to thank my family: Courtney, for putting up with my long hours and low pay, and for providing the loving support that kept me sane, my mother for instilling in me the love of learning that drove me into science, Donovan for giving me a reason to get home early, and Pauline for watching Donovan when I was unable to. 3 Table of Contents Title Page 1 Abstract 2 Acknowledgements 3 Table of Contents 4 Chapter 1: Introduction 5 T cell Development and Activation 7 Helper T cell Polarization 14 Regulation of IFN-y Transcription 28 Epigenetic Regulation of Helper T cell Polarization 34 References 43 Chapter 2: Site-Specific Methylation Suppresses IFN-y Promoter Activity by Directly Inhibiting Factor Binding 61 Summary 62 Introduction 63 Results 68 Discussion 107 Materials and Methods 115 References 122 Chapter 3: The Roles of Specific Methyltransferases in the Methylation Changes at the IFN-y Locus during TH2Polarization 127 Summary 128 Introduction 129 Results 133 Discussion 155 Materials and Methods 161 References 163 Chapter 3: Further Discussion and Future Direction 166 4 Chapter 1: Introduction 5 In many ways, the mammalian body is an ideal environment for pathogenic infection. Within mammals, microorganisms find reliable water, abundant energy, plentiful nutrients, and a constant temperature. While there are many microorganisms that are either beneficial or neutral to the host's wellbeing, there are countless more that are harmful or even deadly. Even those viewed as harmless, like the natural flora of the human intestine, can be lethal if allowed to grow unchecked. For this reason it is imperative that mammals have a robust and effective immune system. While the clearance of invading pathogens is necessary for host survival, a poorly regulated immune response can do more harm than good. An immune response that fails to differentiate between foreign microorganisms and its own cells can lead to autoimmune diseases like rheumatoid arthritis (in which the immune system mounts a response against the synovium covering joints) (Goronzy and Weyand, 2005), multiple sclerosis (in which immune cells attack the myelin sheath surrounding nerve fibers) (Hafler et al., 2005), or type 1 diabetes mellitus (in which an immune response destroys beta cells in the pancreatic islets of Langerhans.) (Kelly et al., 2003) The immune system's failure to differentiate between pathogens and harmless environmental antigens, like plant pollen or animal dander, often results in allergic responses or asthma. Even when an immune response is properly directed against a harmful pathogen, an overly aggressive and uncontrolled response can lead to extensive tissue damage and even death. It is possible that this was the case in many of the influenza fatalities among young adults during the 1918 pandemic (Luk et al., 2001). For the above reasons, the immune system must maintain a delicate balance whereby efficacy is maintained, but a harmful over-response is avoided. For this to happen, foreign cells must be distinguished from the host's own cells, and harmful pathogens must be distinguished from harmless environmental antigens. The response must be robust enough to clear infections, but must also be controlled and limited so as to minimize harm to the host. If these balances are not maintained it is likely that the host will die, either by being overrun by the pathogenic infection or by succumbing to its own immune response. This strong selective pressure has lead to the evolution of a remarkably effective mammalian immune system made up of millions of diverse, 6 interactive cells capable of a coordinated and specific response against pathogenic infection. T CELL DEVELOPMENT AND ACTIVATION T cell Development The mammalian immune system can be divided into two interacting components, the innate immune system and the adaptive immune system. The innate immune system is able to mount a rapid, relatively non-specific response against pathogens that are easily recognized as foreign. In order to do this, the innate immune system relies on the presence of pathogen associated molecular patterns (PAMPs), which are molecules that are frequently found in common pathogens, but are rarely, if ever, found in mammalian cells. Some examples of PAMPs include the flagellin from bacterial flagella (Hayashi et al., 2001), lipopolysaccharide (LPS) from the cell wall of gram-negative bacteria (Yoshimura et al., 1999), and viral double-stranded RNA (Alexopoulou et al., 2001). While the innate immune system can be an effective first line of defense against many types of pathogens, it relies on a relatively small number of pathogen specific molecules to distinguish foreign from self and a launches a non-specific response. In addition to providing a nonspecific response to PAMPs, the innate immune system also plays a role in the priming of the adaptive immune system, which is capable of more specific and directed responses. The two major cell types that make up the adaptive immune system are T and B lymphocytes. The distinguishing surface protein of B3cells is the B cell receptor (BCR), while the distinguishing surface protein of T cells in the T cell receptor (TCR.) Both the BCR and the TCR are responsible for the recognition of foreign antigens. In order to recognize a wide variety of antigens, the antigen recognition regions of the TCR and BCR are generated through the process of VDJ recombination. VDJ recombination is a process, mediated by the RAG recombinase enzymes, in which the receptor loci are rearranged at the DNA level, resulting in each cell producing a unique receptor (Alt et al., 1992; Fugmann, 2001). This allows the T cell and B cell compartments to recognize millions of different antigens. While B cells are able to recognize a wide range of soluble antigens through their BCR (Pleiman et al., 7 1994), T cells, through their TCR, recognize short, processed peptide antigens presented on major histocompatibility complex (MHC) proteins on the surface of antigen presenting cells (APCs) (Garcia et al., 1999). An antigen-specific immune response is initiated when T cells and B cells undergo clonal expansion after encountering antigen that is recognized by their TCR or BCR respectively. Both T and B cells are derived from a common lymphoid precursor in the bone marrow (Hirose et al., 2002) (Figure 1). While B cells continue to mature in the bone marrow, progenitor T cells leave the bone marrow early in development and migrate to the thymus (Shortman and Wu, 1996). During the early stages of thymic development, the T cell precursors express neither of the T cell coreceptors, CD4 and CD8 (Wu et al., 1991). For this reason, these early thymocytes are referred to as CD4, CD8 double negative (DN) thymocytes. During the double negative stage of thymic development thymocytes begin to express the RAG recombinase enzymes and to rearrange the m chain of their TCR (Godfrey et al., 1994). Once a productive rearrangement has occurred on one of the alleles, the cell is able produce TCR3 protein. This protein is able to dimerize with a preTCRct protein, and is expressed on the thymocyte surface with the CD3 proteins to form the pre-TCR complex (Saint-Ruf et al., 1994). Surface expression of this complex sends a signal to the DN thymocyte that results in a cessation of TCR3 rearrangement, a burst of proliferation, and the upregulation of CD4 and CD8 coreceptors (von Boehmer, 2005). At this point the cell becomes a CD4, CD8 double positive (DP) thymocyte. DP thymocytes also express the RAG recombinase enzymes and rearrange the TCRco locus (Sleckman et al., 1998). Once productive rearrangement has occurred, the TCR1 chain and TCRca chain are able to form a heterodimer and, along with the CD3 proteins, are expressed on the cell surface as a TCR complex (Sleckman et al., 1998). It is during the DP stage of thymic development that the thymocytes undergo positive and negative selection. In order to survive, the TCR on DP thymocytes must be able to bind to cortical epithelial cell-expressed MHC Class I or MHC Class II complexed with selfpeptide (von Boehmer et al., 2003). If the thymocyte's TCR is unable to bind, the cells die via apoptosis due to a lack of survival signals. On the other hand, if the TCR on the DP thymocyte binds too tightly to a dendritic cell (DC) or macrophage expressed self- 8 Bone Marrow Common .ymphoid Natural Killer Cell Cell Memory CD8 + T Cell 9 Effector CD8+ T Cell JaIve IaYve CD8 h elper T Cell I + Cell Thymus CD4 (( )Negative Positive rhymocyte Thymocyte Thyme ~~~,,o,, N. CD8 Positive Thymocyte - .. L) ouble Positive Ohymocyte Figure 1. The T cell development pathway. 9 peptide presenting MHC, the thymocyte also undergoes apoptosis (Palmer, 2003). This process ensures T cell self-tolerance, and is an important step in the prevention of autoimmune disease. DP thymocytes that survive positive and negative selection shut down expression of either CD8 or CD4, becoming either CD4 or CD8 single positive thymocytes respectively (Basson and Zamoyska, 2000). CD8+ thymocytes recognize peptides presented on MHC Class I and become cytotoxic T cells. These cells are important for cellular immunity and are responsible for killing virally infected or cancerous cells. CD4+ thymocytes recognize peptides presented on MHC Class II and become helper T cells. Helper T cells enhance the immune response largely through cytokine secretion. Once committed to either a CD4 or a CD8 lineage, the cells leave the thymus, becoming mature, peripheral T cells (Figure 1). Antigen Presentation and T cell Activation Unlike the BCR, the TCR are unable to recognize soluble protein, and only react to processed peptide complexed with MHC (Garcia et al., 1999). CD4+ T cells interact with peptide presented on class II MHC, while CD8+ T cells interact with peptide presented on class I MHC. For this reason, antigen processing and presentation, which primarily done by innate immune cells, are important steps in the induction of an adaptive immune response. Class I MHC are expressed on the surface of all nucleated cells, and primarily present endogenous peptides (Gromme and Neefjes, 2002). Peptides destined for presentation on Class I MHC are generated through the degradation of cytosolic proteins by the proteasome complex (Kloetzel, 2004). Peptides that are between 8 and 10 amino acids in length are preferentially transported from the cytosol to the rough endoplasmic reticulum (RER) by TAP in an ATP dependant process. Once in the RER, these peptides are able to complex with, and in so doing stabilize, class I MHC. This leads to the class I MHC/peptide complex being expressed on the cell surface via the Golgi complex (Gromme and Neefjes, 2002; Kloetzel, 2004). Because class I MHC express endogenous peptides, this is the mechanism by which viral antigens are presented by infected cells 10 and tumor antigens are presented by transformed cells, rendering the cells targets for killing by antigen-specific cytotoxic T cells. Class II MHC are expressed on the surface of professional APCs, such as dendritic cells, macrophages and B cells, and primarily complex with exogenous peptides (Watts, 2004). Antigens that have been internalized by either phagocytosis or endocytosis are degraded into peptides within the endocytic processing pathway. Like the class I MHC, class II MHC is synthesized within the RER, but the peptide-binding region of class II MHC is blocked by a protein complex called the invariant chain, preventing it from complexing with endogenous antigens (Villadangos and Ploegh, 2000). The class II MHC/invariant chain complex exits the RER via the Golgi complex and into the endocytic pathway. In the endocytic pathway, the invariant chain is degraded, leaving only a small fragment bound to the class II MHC called CLIP. CLIP is then displaced by exogenous peptide and the class I MHC/peptide complex is presented on the cell surface, where it is able to interact with antigen-specific helper T cells (Villadangos and Ploegh, 2000; Watts, 2004). When CD4+ and CD8+ T cells leave the thymus they express a naive phenotype (Figure 1). Nafve T cells are small, resting, and have very little metabolic activity. In order to take part in an immune response, naive T cells must become activated and differentiate into effector T cells. In addition to mediating the immune response, activated T cells rapidly proliferate, which results in clonal expansion. Following pathogen clearance, most of the activated T cells die by apoptosis, but a small fraction of them differentiate into memory T cells, which are small, slow to divide and long lived. Memory T cells can persist in a host organism for many years, and are able to mediate a rapid and robust secondary immune response in the event of antigen reencounter (Seder and Ahmed, 2003). The activation of naive T cells requires at least two signals, one of which is provided by the interaction of the TCR complex with peptide/MHC. This interaction results in a cascade of signals, some of which are diagrammed in Figure 2. The TCR itself lacks any signal transduction activity, and thus relies on the associated CD3y, 6, a, proteins for signaling (Cantrell, 1996; Wange and Samelson, 1996). The strong interaction between peptide/MHC and TCR results in a clustering of TCR and either CD4 11 TCR/CD3 CD4/CD8 , ',FIJI (CNF-K MAP kinase P athway f 1 Nucleus Figure 2. Some of the molecular signals involved in the TCR signal cascade. 12 or CD8 co-receptors at the immune synapse (Kupfer and Singer, 1989). The cytoplasmic tail of the co-receptor molecules is associated with the protein tyrosine kinase ck, which, following immune synapse formation, phosphorylates the immunoreceptor tyrosine-based motifs (ITAMs) on the CD3 cytoplasmic tails (Straus and Weiss, 1992). Phosphorylation of the ITAMs on CD3 creates a docking site for another protein tyrosine kinase, 4- chain-associated protein 70 (ZAP-70), which is itself phosphorylated and activated by lck (Chan et al., 1995; Kong et al., 1996; Wange et al., 1995). Activated ZAP-70 phosphorylates a number of proteins, including phospholipase Cyl (PLCy1), SH2domain-containing leukocyte protein of 76 kDa (SLP-76) and linker for activation of T cells (LAT) (Samelson, 2002; Zhang et al., 1998b). LAT is a transmembrane adaptor protein and serves as a scaffold to mediate the recruitment of molecules involved in several downstream signaling pathways, including PLCy1 and SLP-76 (Samelson, 2002; Zhang et al., 1998b). Phosphorylated PLCy1 mediates the cleavage of the membrane phospholipids phosphatidylinositol-(4,5)-bisphosphate into diacylglycerol (DAG) and inositol phosphate (IP3 ) (Carpenter and Ji, 1999). IP3 induces the release of intracellular calcium stores, leading to a calcium flux within the T cell (Crabtree, 2001). This, in turn, results in the Ca2+ mediated binding of calmodulin to calcineurin (Rusnak and Mertz, 2000), and the nuclear localization of the transcription factor NFAT (Rao et al., 1997). DAG, on the other hand, activates protein kinase C, which leads to the phosphorylation of IKB, allowing for the nuclear localization of transcription factor NF-KB (Tan and Parker, 2003). Furthermore, through the adaptor proteins Grb2 and Sos, LAT phosphorylation leads to the activation of the Ras/Raf/MAP-kinase pathway, and results in the nuclear localization and transcriptional activity of AP1 (Genot and Cantrell, 2000). The TCR/MHC interaction is not sufficient to fully induce naive T cell activation. In addition, a second, antigen nonspecific co-stimulatory signal is also required. This second signal is usually provided by the interactions between T cell-expressed CD28 molecules and members of the B7 family, B7.1 (CD80) and B7.2 (CD86), which are expressed on activated professional APCs (Acuto and Michel, 2003). Binding of CD28 by these molecules synergistically enhances TCR-induced proliferation and activation, while TCR engagement to a peptide/MHC complex without co-stimulation can lead to T cell anergy (Appleman and Boussiotis, 2003). This limits T cell activation to instances 13 when the innate immune system has already detected a pathogenic attack. This plays a role in the prevention of T cell response to harmless environmental antigen, and helps protect against self-reactive T cells that escaped negative selection. In addition to CD28, the T cell expressed surface molecule CTLA-4 also is able to interact with B7 family members. Naive T cells express CD28, but not CTLA-4. During T cell activation, CTLA-4 expression is rapidly upregulated. While they share a ligand, CTLA-4 and CD28 have antagonistic effects. While CD28 engagement enhances T cell activation, CTLA-4 engagement inhibits activation (Alegre et al., 2001). As T cell activation and CD28 engagement lead to increased expression of CTLA-4, CTLA-4 is able to provide a braking mechanism that prevents an overly robust immune response. This function is further evidenced by the fact that CTLA-4 deficient mice generate T cells that proliferate excessively, leading to an engorged spleen and lymph nodes, and death within 3 to 4 weeks (Tivol et al., 1995; Waterhouse et al., 1995). HELPER T CELL POLARIZATION In order to effectively and efficiently respond to various forms of pathogenic infection, the mammalian immune system is able to detect the nature of the invading pathogen and coordinate its response accordingly. One of the primary mechanisms used to accomplish this targeted response is helper T cell polarization. Intracellular pathogens, like virus or intracellular bacteria, induce a type 1 response (Romagnani, 1994; Spellberg and Edwards, 2001). During this response, antigen-specific naive helper T cells differentiate into activated type 1 helper T cells (THi) and secrete interferon-y (IFN-y), tumor necrosis factor (TNF) and TNF3 (Jankovic et al., 2001; Mosmann et al., 1986; Murphy and Reiner, 2002). Largely through this cytokine secretion, THI cells mediate the activation of macrophages, the induction of IgG antibodies that mediate phagocytosis, the support of cytotoxic CD8+ T cells, and further TH polarization (Boehm et al., 1997; Spellberg and Edwards, 2001). A type 2 immune response, on the other hand, is induced if the pathogenic infection consists of helminth, an extracellular intestinal parasite (Pearce et al., 1991; Scott et al., 1989). In this case, naive helper T cells differentiate into activated type 2 helper T cells (TH2 ) and begin to secrete a number of cytokines, 14 including interleukin(IL)-4, IL-5, IL-9, IL-10 and IL-13 (Jankovic et al., 2001; Mosmann et al., 1986; Murphy and Reiner, 2002). T2 cells support the expansion and differentiation of eosinophils and mast cells, further TH2 polarization, and enhance the production of IgE by B cells (Finkelman et al., 2004; Jankovic et al., 2001). Consequences of Improper Helper T cell Polarization The importance of proper helper T cell polarization is emphasized by the consequences of improper polarization. One of the most straightforward potential effects of improper polarization is an ineffective immune response. In mice, one example of this is the response to Leishmania major, an intracellular parasite, by different mouse strains. C57B16 mice are genetically predisposed towards type 1 polarization while the Balb/c mice are genetically predisposed towards type 2 polarization (Himmelrich et al., 1998). During a Leishmania infection C57B16 mice mount a TH1 response and rapidly clear the pathogen, while Balb/c mice mount a TH2 response and are not protected from infection (Heinzel et al., 1988; Sadick et al., 1986). This difference in pathogen susceptibility was shown to be a direct effect of the helper T cell polarization when it was demonstrated that blockade of IL-4 in Balb/c mice allowed them to mount a protective TH1 response (Heinzel et al., 1991; Kopf et al., 1996). Conversely, when C57B16 mice were given IL-4 during the Leishmania infection they mounted a type 2 response, and were rendered susceptible to pathogenic infection (Chatelain et al., 1999). Improper helper T cell polarization has also been shown to determine the outcome of a pathogenic infection has also been shown to occur in humans. A classic example of this phenomenon is seen during human Mycobacterium leprae infections. Mycobacterium leprae are the mycobacteria that cause leprosy. When a cell-mediated 1 H1 immune response is mounted in the infected host, the resulting disease is tuberculoid leprosy, and most of the mycobacteria are effectively cleared, the infection remains localized, and the host usually survives (Misra et al., 1995a; Misra et al., 1995b). On the other hand, when a host responds to the pathogenic infection with a humoral TH2 response, the resulting disease is lepromatous leprosy (Misra et al., 1995b). In this case, immune clearance is completely ineffective and the mycobacteria become widely 15 disseminated throughout the host. This results in extensive bone, cartilage and nerve damage and the probable death of the host. Improper balance of helper T cell polarization has also been implicated in autoimmune disease and allergic disorders. While the exact causes of organ specific autoimmune diseases remain largely unknown, there is a strong correlation between these syndromes and the production of TH cytokines. Among the diseases in which this has been reported are multiple sclerosis (Brod et al., 1991) and Graves' disease (de Carli et al., 1993). This correlation has also been shown in mouse models for organ specific autoimmune disorders, including experimental immune uveoretinitis and experimental allergic encephalomyelitis (Romagnani, 1994). Despite these correlations, causality has yet to be convincingly demonstrated. There is stronger evidence for a role of helper T cell polarization in allergies. One of the major mediators of an allergic response is the expression of IgE antibodies by B cells (Gould et al., 2003). For example, allergen-specific IgE has been shown to play a major role in both allergic asthma and atopic dermatitis (Romagnani, 1994). T 2 cells have an important role in this, as class switching to IgE is induced by the IL-4 (Gould et al., 2003). Analysis of allergen-specific T lymphocytes show a strong predominance of TH2 cells in individuals that show allergic symptoms, but a predominance of THl cells from individuals that do not show allergic symptoms (Ebner et al., 1993; Wierenga et al., 1990). That TH2 polarization plays a role in allergic asthma is the basis for the "hygiene hypothesis," which states that the relatively high level of asthma in developed countries is at least partially due to a lack of exposure to TH polarizing microorganisms during childhood (Yazdanbakhsh et al., 2002). This results in largely TH2 polarized immune system, and, consequently, a high prevalence of TH2 mediated disorders, like asthma. While compelling, there is little experimental evidence that directly demonstrates the validity of the hygiene hypothesis, and it is thus hotly debated. I)endritic Cell Mediation of Helper T cell Polarization The first step in helper T cell polarization involves the recognition of the type of pathogen that is infecting the host. There is no evidence that helper T cells themselves are able to directly identify the invading pathogen but, rather, it appears that T cells rely 16 on the signals from the innate immune system, especially dendritic cells, to direct their polarization. Dendritic cells are professional antigen presenting cells produced in the bone marrow. In an immature state, these cells migrate to likely sites of pathogen entry and monitor these sites for signs of infection (Ardavin, 2003). Pathogenic infection is detected through a set of receptors that have evolved to recognize specific conserved PAMPs (Janeway and Medzhitov, 2002). Examples of this type of receptor include the Toll-like receptor family. The eleven described members of this family each recognize a different conserved PAMP, and, upon ligation, lead to dendritic cell activation, maturation, and the production of proinflamitory cytokines. In this way the dendritic cell is able detect potential pathogenic infections and contribute to the local innate immune response (Janeway and Medzhitov, 2002). In addition to alerting the innate immune system to the presence of a potential pathogen, dendritic cells also play a key role in the initial activation and direction of the adaptive immune response (Janeway and Medzhitov, 2002). Being professional APCs, dendritic cells present peptides acquired from the extracellular environment on class II MHC (Watts, 2004). Because there is a relatively low level of surface expression of both MHC II and costimulatiory molecules such as CD80 and CD86 in immature dendritic cells, immature dendritic cells are not very efficient at activating helper T cells (Banchereau et al., 2000). This changes upon PAMP-induced dendritic cell maturation. During this process, there is an up-regulation of class II MHC and co-stimulatory molecules, allowing the dendritic cell to more efficiently present any pathogen-derived peptides and activate antigen specific helper T cells (Banchereau et al., 2000). In addition to these changes, activated dendritic cells also express a set of T cell polarizing molecules, the composition of which varies depending upon the identity of the initial PAMP that drove the cell's maturation (de Jong et al., 2002; Kalinski et al., 1999)(Figure 3). Thus, if the PAMP is a molecule that is commonly derived from virus or intracellular bacteria, ligation of the receptor specific to that PAMP will likely induce expression of molecules that drive a TH1 response, which more effectively clears these types of pathogens. On the other hand, if the initial stimuli is a PAMP commonly derived from a helminth, the dendritic cell will upregulate molecules that drive a TH2 response (de Jong 17 Bacteria, Viru Naive helper T Cell OL, lation IL-4 IL-2 IFN-y TH 1 Effector Effector IL-4 H Effector Figure 3. Some of the extracellular signals involved in helper T cell polarization. 18 et al., 2002; Kalinski et al., 1999). Thus, dendritic cells make a large contribution to the polarization decision. As described above, type 1 helper T cells are induced in response to viral or intracellular bacterial infection, and secrete IFN-y, TNFx and TNF3 in order to mediate the immune response. While many of the molecular signals that induce THi polarization are known, the exact series of interactions that cause this polarization to occur in vivo is uncertain. It is clear that IL-12 plays a prominent role in THI polarization. IL-12 is readily secreted by dendritic cells upon stimulation by several different pathogen types, including bacteria, viruses, and protozoa, or their products, such as LPS or double-stranded RNA (Trinchieri, 2003). IL-12 is able to induce IFN-y expression in T cells and natural killer (NK) cells (Trinchieri, 2003), and is able to efficiently drive naive helper T cells to differentiate to a TH.1phenotype upon TCR stimulation in vitro (Murphy et al., 2000). Furthermore, mice lacking a functional IL-12 receptor have a reduced capacity to mediate a THI response, though THI polarization still occurs (Kaplan et al., 1996b). In addition to IL-12, two other members of the IL-12 family, IL-23 and IL-27, have been identified as having a role in THI polarization. Both IL-23 and IL-27 can be secreted from dendritic cells, monocytes, and macrophages (de Jong et al., 2005). Like IL-12, both of these molecules are capable of driving IFN-y expression in T cells and NK cells (Trinchieri et al., 2003). While both IL-12 and IL-27 induce IFN-y expression in naive helper T cells, IL-27 requires the presence of IL-12 or IL-18 for this effect (Takeda et al., 2003). Despite this, mice deficient in IL-27 signaling show impaired early IFN-y production when infected with Leishmania major, Listeria monocytogenes or BCG (Chen et al., 2000; Yoshida et al., 2001). IL-23, on the other hand, is inefficient at inducing IFN-y production in naive helper T cells, but is able to induce proliferation and IFN-y expression in memory T cells (Oppmann et al., 2000). Despite recent efforts to better understand their function, the precise roles played by the IL-12 family member cytokines in THi polarization in vivo remains unclear. The primary effector cytokine of the TH 1 response, IFN-y, also plays a prominent role in helper T cell polarization (Murphy and Reiner, 2002). IFN-y is produced by NK cells, activated cytotoxic CD8+ T cells and TH1 cells, but is probably not directly 19 produced by dendritic cells (Kapsenberg, 2003). As one of the major targets of both NK cells and cytotoxic T cells is virally infected cells, it is not surprising that they may play a role in the THI polarization of the immune response. That TH cells secrete a cytokine that furthers type 1 polarization is also not surprising. As described below, this is only one of several positive feedback loops that are involved in both type 1 and type 2 polarization. Finally, it should be noted that one of the most potent inducers of IFN-y expression in both NK cells and T cells is IL-12 (Trinchieri et al., 2003), and thus IFN-y production is often downstream of IL-12 signals. Another cytokine that has been implicated in TH polarization is IL-18. Dendritic cells, monocytes and macrophages constitutively express pro-IL-18. Upon exposure to LPS or gram-positive bacteria, these cells also produce caspase-1, which cleaves pro-IL18 into biologically active IL-18 (Biet et al., 2002). While IL-18 alone induces low levels of IFN-y in T cells, IL-18 enhances the IFN-y inducing activity of IL-12 (Barbulescu et al., 1998). This may occur in part because IL-12 induces T cell expression of the IL-18 receptor, so in the absence of IL-12 T cells may be unable to detect the IL-18 (Munder et al., 1998). The signals that drive naive helper T cells to differentiate into TH2 cells in vivo is less clear than those involved in TH polarization. One of the most potent molecules for inducing TH2 polarization is the type 2 effector cytokine IL-4. IL-4 is capable of driving naive helper T cells to differentiate into effector TH2 cells upon in vitro activation (Scott et al., 1989), but dendritic cells and other professional antigen presenting cells do not normally express IL-4. In vivo, a significant source of IL-4 is the helper T cell population itself, so it is likely IL-4 acts partly in an autocrine fashion, enhancing the effect of other TH2 polarization stimuli. There are dendritic cell-expressed molecules that have been suggested to play a role in TH2 polarization, although the importance and effect of these molecules on helper T cell polarization is unclear. Monocyte chemoattractant protein-I (MCP- 1)/CCL2 is a chemochine that attracts monocytes, memory T cells and NK cells (Chensue et al., 1996). MCP-1/CCL2 is expressed by mature dendritic cells, and in allergic and infectious disease models it has been shown to enhance IL-4 production (Chensue et al., 1996). This result is contradicted by the observation that mice deficient in CCR2, MCP- 20 I/CCL2's only known ligand, show a reduction in TH1 polarization (Boring et al., 1997). Thus, the exact role of MCP- /CCL2 in helper T cell polarization remains unclear. The dendritic cell expressed type II transmembrane molecule OX40L has also been implicated as an inducer of TH2 polarization. It has been demonstrated that activation of naive helper T cells with an OX40L transfected cell line increases IL-4 secretion and enhances TH2 polarization in vitro (Flynn et al., 1998). Furthermore, it has been demonstrated that dendritic cells that have been primed with IFN-y or poly I:C, both of which induce THI polarization, fail to express OX40L, while dendritic cells primed with PGE2 or schistosomal egg antigen, both of which induce TH2 polarization, express detectable levels of OX40L, and that levels are further increased in these cells upon CD40 ligation (de Jong et al., 2002). Confusingly, while the elevated OX40L levels induced by the schistosomal egg antigen promoted a TH2 response, the increased levels induced by PGE2 did not (de Jong et al., 2002), indicating that, while OX40L may play a role in TH2 polarization, it is not sufficient to induce T.2 polarization. While several molecules have been suggested to play a role in the initiation of this polarization process, the strength of the activation signal that the T cell receives may also contribute to this process. In the absence of other TH polarizing signals, there is a correlation between a strong activation signal and TH2 polarization (Hosken et al., 1995; Rulifson et al., 1997). This strong signal can come directly through the TCR- peptide/MHC interaction, where strong signals induce TH2 polarization, while weaker signals tend to induce THi polarization (Hosken et al., 1995), or it can come through the co-stimulatory molecule, as increased CD28 stimulation induces TH2 polarization (Rulifson et al., 1997), and ligation of CTLA4, which inhibits T cell activation, promotes TH1 polarization (Kato and Nariuchi, 2000). Indeed, T cells deficient in CTLA4 expression are especially prone to IL-4 independent TH2 polarization (Bour-Jordan et al., 2003). Whether this correlation between TCR signal strength and helper T cell polarization plays a significant role in vivo is unknown. IL-2 may also contribute to the initiation of TH2 polarization. It has been demonstrated that recently activated helper T cells have reduced capacity of expressing IL-4 if they are cultured in the presence of IL-2 neutralizing antibodies (Zhu et al., 2003). IL_-2receptor ligation induces the activation of StatS, and it has been demonstrated that T 21 cells containing constitutively active Stat5 express IL-4 even when polarized under THi conditions (Zhu et al., 2003). Thus, it is likely naive helper T cells that are activated without THI polarizing cytokines present, but in the presence of IL-2 are able to initiate expression of IL-4. IL-4 would then be able to act as an autocrine factor, enhancing the polarization of the secreting cell, as well as driving TH2 polarization in other activated but undifferentiated helper T cells. suggested to induce TH2 Exactly how the other molecules that have been polarization contribute to this process is unclear, and may vary depending upon unknown conditions. Molecular Regulation of Helper T cell Polarization As discussed above, naive helper T cells can differentiate into at least two phenotypes depending upon the conditions of activation. Under conditions induced by intracellular pathogens, polarization to a TH phenotype is favored, while under conditions induced by helminths, polarization to a TH2 phenotype is favored. The primary distinction between these phenotypes lies in the cytokines they express. The effector cytokine of TH1 cells is IFN-y, while the effector cytokine of TH2cells is IL-4. In addition to being secreted by THI and T2 cells respectively, IFN-y and IL-4 also contribute to helper T cells polarization. Exposure to IFN-y enhances TH1 polarization and inhibits TH2 polarization, while exposure to IL-4 enhances TH2 polarization and inhibits TH1 polarization. These opposing positive feedback loops help ensure that polarization of helper T cells is a permanent and complete differentiation event. When naive helper T cells become activated, they can polarize into either a TH1 phenotype or a T,,2 phenotype. This polarization process requires both of the T cell activation signals, but the direction of polarization is determined by the context of the activation (essentially a third signal). While this third signal is required for full polarization, it is not required for the initiation of transcription of either IL-4 or IFN-y. The engagement of the TCR complex with an agonist peptide/MHC II complex results in a CD3 mediated signal cascade that, among other things, induces the nuclear localization of AP1 and NFAT family members. The presence of these important transcription factors in the nucleus contributes an early, low level, polarization independent transcription of IL-2, IFN-y, and IL-4 (Grogan et al., 2001). It is important to note that 22 the expression of both effector cytokines occurs within one hour of TCR engagement, far faster than the upregulation of the THI and TH2 master regulator genes T-bet and GATA3 respectively (Grogan et al., 2001). The signal provided through the TCR complex is required for both TH 1 and TH2 polarization. Helper T cell polarization is a complex and tightly regulated differentiation event. The process by which CD4+ T cells convert extracellular signals into polarization-specific gene expression involves many different interacting molecules and signal cascades. Figure 4 is a schematic outlining some of the more important and better understood of these interactions. It is likely that, in vivo, the major signal for the initiation of THI polarization is dendritic cell secreted IL-12. When a naive helper T cell becomes activated by an IL-12 secreting dendritic cell, IL-12 engagement results in the dimerization of the IL-12 receptor subunits, which in turn leads to the activation of the associated Janus kinases Jak2 and Tyk-2 by reciprocal phosphorylation (Watford et al., 2004). The Janus kinases are then able to phosphorylate Stat4, leading to its dimerization and translocation to the nucleus (Jacobson et al., 1995; Wurster et al., 2000). Nuclear localization of activated Stat4 during helper T cell activation leads to an increased level of IFN-y transcription (Watford et al., 2004). This is supported by the observation that Stat4 deficient mice are defective in IFN-y production (Magram et al., 1996). While there are several possible Stat4 binding sites present within the IFN-y promoter, it is unclear whether Stat4 directly interacts with this locus, and thus the IFN-y induction may be an indirect effect. Regardless, through Stat4, the IL-12 receptor signal leads to increased transcription of the TH 1 effector cytokine IFN-y. While IFN-y alone does not fully induce TH1 polarization, it does play a role in the process (Szabo et al., 1997; Wenner et al., 1996) and is a potent repressor of TH2 polarization (Murphy and Reiner, 2002). Because of this, the IFN-y induced by the IL-12 signal can act both as an autocrine signal, and as an inducer of THi polarization in other, undifferentiated helper T cells. In addition to TH1 cells, activated natural killer cells and activated CD8+ cytotoxic T cells also secrete significant levels of IFN-y, and can thus contribute to the TH 1 polarization of helper T cells. IFN-y facilitates the dimerization of its receptor, which leads to the reciprocal phosphorylation of the associated Janus 23 \ - IL-4 Receptor Receptor 4,a Figure 4. Some of the molecular interactions important for helper T cell polarization. 24 kinases, Jakl and Jak2 (Pestka et al., 1997). This leads to the phosphorylation, dimerization, and nuclear localization of Statl (Pestka et al., 1997). Statl deficient T cells show impairment in IFN-y expression and IL-12R32 upregulation following TH polarization (Afkarian et al., 2002). Both of these phenotypes can be explained because IFN-y receptor signaling through Statl activation induces the transcription of the master regulator ofTH polarization, T-bet (Afkarian et al., 2002; Lighvani et al., 2001). T-bet's critical role in TH1 polarization is supported by the fact that helper T cells that lack functional T bet are unable to efficiently polarize to a TH1 phenotype (Szabo et al., 2002), and that ectopic T-bet expression is able to inhibit TH2 cytokines and induce IFN-y expression in differentiated TH2 cells (Szabo et al., 2000). While much is still being learned about T-bet's role in THI polarization, several of T-bet's functions that contribute to this process have been elucidated. Among these functions, T-bet has been shown to be important for the opening of the IFN-y locus (Mullen et al., 2001) and the induction of acute IFN-y transcription (Szabo et al., 2000), both through a direct interaction with the IFN-y promoter (Tong et al., 2005) and by upregulating the IFN-y inducing transcription factor Hlx (Mullen et al., 2002). T-bet has also been shown to upregulate transcription of the IL-12 receptor (Mullen et al., 2001), as well as its own transcription (Mullen et al., 2002), further strengthening the TH polarization signal. In addition, T-bet has been shown to suppress the expression of IL-2 through a direct interaction with the IL-2 promoter (Szabo et al., 2000) (Hwang et al., 2005a). It has also been demonstrated that T-bet undergoes a Itk mediated phosphorylation at tyrosine 525 that enables it to inhibit the function of the TH2 master regulator, GATA-3 through a direct interaction with the GATA-3 protein (Hwang et al., 2005b). Thus, T-bet is able to both enhance TH polarization by enhancing expression of IFN-y and IL12R3, and repress TH2polarization by inhibiting GATA-3. The best understood inducer of TH2 polarization is the cytokine IL-4. The IL-4 receptor signal, like the previously described IL-12 and IFN-y receptor signals, is mediated through a Jak/Stat interaction. Briefly, binding of IL-4 mediates the dimerization of the IL-4 receptor ccchain with the common gamma chain, which, in turn, leads to the mutual phosphorylation and activation of the associated Janus tyrosine kinases, Jakl and Jak3 (Nelms et al., 1999). Jak mediated phosphorylation of specific 25 tyrosine residues on the IL-4 receptor a chain, allows Stat6 to bind through its Src homology 2 domain (Nelms et al., 1999). This interaction results in Stat6 phosphorylation by the Janus kinases, leading to Stat6 dimerization and translocation to the nucleus (Wurster et al., 2000). Stat6 plays an important role in TH2 polarization, illustrated by the fact that TH2 deficiency that is a major phenotype of Stat6 deficient mice (Kaplan et al., 1996a; Takeda et al., 1996). Stat6 activation has been shown to induce the expression of the TH2 master regulator, GATA-3 (Ouyang et al., 1998). While other downstream Stat6 targets have been suggested, much of Stat6's TH2 polarizing activity can be attributed to this induction of GATA-3 expression. This is evidenced by the fact that TH2 responses can be rescued in Stat6 deficient mice through ectopic GATA-3 expression by T cells (Ouyang et al., 2000). GATA-3 is highly expressed in TH2cells, but not in TH1 cells, and plays a central role in TH2 polarization (Zhang et al., 1997). GATA-3 deficiency is embryonic lethal (Pandolfi et al., 1995), and deficiency in the lymphoid system results in a complete block in early T cell development (Hendriks et al., 1999), illustrating that GATA-3 plays an important role in many developmental processes. Disruption of GATA-3 in mature T cells results in an inhibition of TH2 polarization (Pai et al., 2004; Zhu et al., 2004), and expression of GATA-3 is sufficient to induce TH2 polarization in naive helper T cells (Lee et al., 2000). High levels of ectopic GATA-3 expression in TH1 cells is sufficient to induce the expression of TH2 cytokines while inhibiting the expression of TH1 cytokines (Lee et al., 2000; Zhang et al., 1997). As can been seen in Figure 4, GATA-3 exerts its TH2 polarizing function through several mechanisms. In addition to enhancing the its own expression (Ouyang et al., 2000), GATA-3 has been shown to promote the expression of c-Maf (Ouyang et al., 2000), which in turn enhances the expression of IL-4 through a direct interaction with the IL-4 proximal promoter (Ho et al., 1996; Lee et al., 2000). GATA-3 has also been shown to contribute to the expression of the TH2 cytokine genes by promoting the epigenetic "opening" of the TH2 cytokine gene cluster (Ouyang et al., 2000; Takemoto et al., 2000). While there is little evidence to suggest that GATA-3 interacts directly with the IL-4 promoter, it is able to drive expression of IL-5 and IL-13 through direct interactions with 26 locus regulatory regions (Kishikawa et al., 2001; Zhang et al., 1997). In addition to its positive effect on the expression of TH2 cytokines, GATA-3 has also been shown to inhibit T polarization. While the exact mechanisms of this inhibition are not completely clear, GATA-3 has been shown to inhibit the ability of Stat4 to enhance IFNy expression (Usui et al., 2003), and to prevent the upregulation of the IL-12 receptor (Ouyang et al., 1998). The initial molecular interactions in an in vivo TH2 response are not well understood. While it is clear that IL-4 can efficiently induce TH2 polarization in vitro, there is little evidence that dendritic cells, or other professional antigen presenting cells, are capable of expressing IL-4. The major source of IL-4 in mammals is, in fact, activated TH2 cells (de Jong et al., 2005), leading to the possibility that the major roles of IL-4 in TH2 polarization are by acting as an autocrine signal, and by contributing to the further TH2 polarization of helper T cells. It is therefore possible that the initial stages of TH2 polarization are IL-4 independent. The hypothesis of IL-4 independent TH2 polarization is strengthened by the observation that Stat6 deficient mice are still able to mount a limited TH2 response (Ouyang et al., 2000), and TH2 cells from these mice express normal levels of TH2 cytokines and high levels of GATA-3 (Ouyang et al., 2000). So the question arises, how can TH2 polarization occur in the absence of IL-4 and Stat6? While there are several molecules that could contribute to Stat6 independent TH2 polarization, it is possible that a strong activation signal in the absence of TH polarizing signals could initiate this polarization process. Nafve helper T cells have a low level of GATA-3 expression that gets upregulated under TH2 polarizing conditions (Grogan et al., 2001). It has been shown that this low level of GATA-3, in conjunction with a strong TCR signal, is sufficient to induce IL-4 transcription (Grogan et al., 2001; Zhu et al., 2004). Supporting this, IL-4 transcription can be detected within one hour of TCR stimulation under both TH1 and TH2 polarizing conditions, and GATA-3 upregulation is not seen until 24 to 72 hours after TCR stimulation and only under TH2 polarizing conditions (Grogan and Locksley, 2002; Hwang et al., 2005b). Furthermore, it has been shown that a strong activation signal from the antigen presenting cell favors TH2 polarization (Hosken et al., 1995; Rulifson et al., 1997). This could be why helper T cells 27 deficient in the inhibitory B7 ligand CTLA-4 are skewed towards T 112 differentiation, even in the absence of Stat6 (Kato and Nariuchi, 2000), and why high amounts of CD28 costimulation also skews helper T cells towards TH2 differentiation (Rulifson et al., 1997). Thus, it is possible that a strong activation signal in the absence of THI polarizing signals could induce the initial expression of IL-4, which could then act in an autocrine fashion through Stat6 to re-enforce the polarization. Once the TH2 response was initiated, the early TH2 cells could provide the IL-4 signal to push undifferentiated helper T cells towards TH2 polarization. In addition to IL-4, it is likely that IL-2 plays a role in promoting a TH2 response. IL-2 is rapidly produced by all newly activated T cells independent of polarizing conditions (Jain et al., 1995), so autocrine IL-2 will likely be available during the initial stages of a TH2 response. It has been shown that IL-2 neutralizing antibodies inhibit TH2 polarization (Zhu et al., 2003), suggesting that IL-2 signaling enhances TH2 polarization. Furthermore, the downstream molecular mediator of the IL-2 receptor is Stat 5, and activated helper T cells that express constitutively active Stat5 express IL-4, even when activated under THI polarizing conditions (Zhu et al., 2003), while helper T cell polarization is biased towards THI in Stat5 -' - mice (Kagami et al., 2001). Thus, IL-2 autocrine signaling could contribute to the effect of a strong activation signal in the absence of polarizing cytokines to initiate TH2 polarization. REGULATION OF IFN-y TRANSCRIPTION BY PROXIMAL PROMOTER BINDING FACTORS In addition to being the effector cytokine of TH1 cells, IFN-y is also expressed by natural killer cells and activated cytotoxic CD8 T cells. IFN-y is involved in the activation of macrophages, antiviral immunity, and protection against tumorogenesis (Dredge et al., 2002; Romagnani, 1994; Spellberg and Edwards, 2001). Given its importance in immunity and its wide range of effects, it is not surprising that much work has gone into examining the cis-elements and transcription factors that regulate IFN-y expression. 28 Figure 5 is a schematic of the IFN-y locus indicating some of the known and suspected transcription factor binding sites. Included among the factors that have been demonstrated to interact with the IFN-y proximal promoter are TH specific factors (Stat4 and T-bet), factors induced by the TCR signal (AP-1 and NFAT), and ubiquitously expressed factors, like Ying-Yang 1. One of the most important transcription differentiation., but not during TH2 differentiation factors upregulated during TH is T-bet. T-bet expression is downstream of the IFN-y receptor and Statl activation (Afkarian et al., 2002). While Tbet has been shown to have an important role in the epigenetic opening of the IFN-y locus (Mullen et al., 2001), its role in driving transcription is less clear. T-bet overexpression has been shown to enhance IFN-y proximal promoter driven reporter gene expression (Soutto et al., 2002), and mutation of a conserved T-box half site located 63 bp upstream of the transcription start site inhibits this enhancement (Tong et al., 2005). Furthermore, chromatin immunoprecipitation (ChIP) assays have indicated that T-bet is able to bind to the IFN-y proximal promoter following PMA and ionomycin stimulation (Tong et al., 2005). While the above experiments indicate that T-bet is able to enhance IFN-y proximal promoter function, how much it does so in vivo is less clear. It has been demonstrated that, independent of polarizing conditions, IFN-y transcription is initiated within 1 hour of T cell stimulation, and peaks within 3 hours (Grogan et al., 2001). T-bet transcription, on the other hand, is not upregulated for 24 to 48 hours after activation (Groganet al., 2001; Hwang et al., 2005b), and then only under TH1 polarizing conditions (Grogan et al., 2001; Szabo et al., 2000). This indicates that early IFN-y transcription is T-bet independent. Also, while CD4+ T cells and NK cells from T-bet deficient mice show a defect in IFN-y expression, CD8+ cells from these same mice express normal levels of T-bet (Szabo et al., 2002). Thus, while T-bet may play a direct role in IFN-y transcription in TH1 cells and NK cells, it is not necessary for IFN-y expression in cytotoxic T cells. Finally, expression of a dominant negative T-bet protein is able to block IFN-y expression and THI polarization in newly activated helper T cells, but is unable to block IFN-y expression in fully differentiated TH1 cells (Martins et al., 2005; Mullen et al., 2002). This reinforces the idea that T-bet's main role in IFN-y expression 29 The IFN-y Proximal Promoter Stat4 YY1 YY1 AP1 -240 -223 -205 -200 NFAT AP1 -98 -85 T-bet AP1 -63 -53 If. 0 Figure 5. A schematic representation of the IFN-y proximal promoter indicating some of the transcription factor binding sites. 30 is the epigenetic opening of the locus, rather than acting as a direct mediator of transcription. The engagement of the IL-12 receptor with its ligand leads to the activation and nuclear localization of Stat4 (Jacobson et al., 1995; Wurster et al., 2000). Stat4 has been shown to play a critical role in TH1 polarization, potentially through a direct interaction with the IFN-y promoter (Xu et al., 1996). In transient transfection assays it has been shown that Stat4 is able to enhance IFN-y proximal promoter driven luciferase expression (Barbulescu et al., 1998). While it has been shown by EMSA that Stat4 is able to bind to a sequence located 240 bp upstream of the transcription start site of the human IFN-y proximal promoter (Barbulescu et al., 1998), this sequence is not conserved in mice and, when the analogous mouse sequence was used in a similar EMSA, no binding was detected (Nakahira et al., 2002). This could indicate that Stat4 plays a different role in the regulation of the IFN-y proximal promoter in humans than in mice, or it could indicate that the in vitro binding (or lack thereof) demonstrated in these assays is not representative of what happens in vivo. Therefore, while it is clear that Stat4 is important for IFN-y proximal promoter function, it is not certain whether Stat4 mediates its activity through a direct interaction with the promoter. Yin-Yang 1 (YY1) is a zinc-finger transcription factor that is expressed ubiquitously within the nucleus (Shi et al., 1991), and has been shown to have both activating and repressing properties (Thomas and Seto, 1999). Two YY 1 binding sites have been demonstrated in the IFN-y proximal promoter, one at -205 and the other at *-223 relative to the transcription start site (Ye et al., 1996). YY 1 has been shown to have a repressive effect when bound to these sites. Mutation of either of the YY 1 binding sites enhances promoter function in transient transfection assays (Ye et al., 1996). There is evidence that suggests that one mechanism by which YY1 inhibits IFN-y proximal promoter function is by blocking AP1 factors from binding to a site just downstream of the -205 YY1 site (Ye et al., 1996). Furthermore, YY 1 has been shown to play a role in the chromatin remodeling, and specifically the recruitment of histone deacetylases (Yang et al., 1996; Yang et al., 1997). While there is little evidence either for or against it functioning in this way at the IFN-y promoter, changes in the histone acetylation pattern have been shown to play a role in IFN-y regulation (Avni et al., 2002). It is therefore 31 possible that one mechanism that YY 1 uses for suppression of IFN-y transcription is chromatin modification. In T cells, the NFAT family of transcription factors becomes dephosphorylated by the calmodulin-dependent phosphatase calcineurin downstream of the calcium flux that is initiated by TCR engagement (Macian, 2005). This dephosphorylation leads to NFAT nuclear translocation, where the NFAT proteins contribute to the transcription of a wide range of genes involved in the immune response, including IFN-y (Macian, 2005). Mice deficient in NFAT1 or deficient in both NFAT1 and NFAT4 show a skewing towards TH2 polarization, and a decrease in IFN-y expression (Kiani et al., 2001; Rengarajan et al., 2002), and NFAT binding to the IFN-y promoter in TH1, but not TH2 cells has been demonstrated by ChIP assays (Agarwal et al., 2000). Notably, NFAT often acts synergistically with the AP1 family of transcription factors (Macian et al., 2001), and a probable NFAT binding site is located immediately upstream of an AP1 binding site in the IFN-y promoter. Thus, it is likely NFAT/AP1 cooperation occurs at the IFN-y locus. As NFAT has also been shown to play an important role in IFN-y transcription by CD8+ T cells (Teixeira et al., 2005), it is likely that NFAT acts as a general inducer of IFN-y expression downstream of the TCR signal. AP1, like NFAT, has been acts downstream of the TCR and CD28 signals (Genot and Cantrell, 2000). The AP1 family acts as heterodimers or homodimers of Jun and Fos transcription factors (Hess et al., 2004). Complicating matters, members of the CREB/ATF family of transcription factors often are able to bind to the same sites as AP1 family members, and can even form heterodimers with AP1 family members (Hai and Curran, 1991; Hess et al., 2004). The role of AP1 family members on the transcriptional regulation of the IFN-y promoter is further complicated by the fact that there are at least three AP1 binding sites within the proximal promoter. The most distal of the sites, located 200 bp upstream of the transcription start site, has been shown to bind c-Fos and c-Jun in vitro (Ye et al., 1996). As described above, it has been indicated that AP1 family member binding to this site is inhibited by the presence of YY 1 (Ye et al., 1996). A second AP1 binding site is located between -98 and -78 bp relative to the IFN-y transcription start site (Penix et al., 1993; Zhang et al., 1998a). A dimer of this site is sufficient to drive reporter gene expression in IFN-y expressing cells (Penix et al., 1993), 32 and its activity is significantly enhanced by IL-12 (Zhang et al., 1998a). Members of the Jun and ATF families of transcription factors have been shown to bind to this site in vitro (Zhang et al., 1998a). The most proximal of the AP1 binding sites in the IFN-y proximal promoter is located between -70 and -44 bp relative to the IFN-y transcription start site (Penix et al., 1993; Penix et al., 1996). Like the site located between -98 and -78 bp, multiple members of the Jun, ATF and CREB families have been shown to bind this site in vitro (Penix et al., 1996), and multimers of this site are sufficient to drive reporter gene expression in IFN-y expressing cells (Penix et al., 1996). Interestingly, a CpG located within this site has been shown to be methylated in TH2 cell lines, but not in TH2 cell lines (Young et al., 1994), and methylation of this CpG has been shown to affect factor binding in vitro (Young et al., 1994), though it is unclear what factors are involved in this effect. There is evidence that differential expression of the AP1 and CREB/ATF family members plays a role in IFN-y expression. It has been demonstrated that a dominant negative mutant of c-Jun inhibits the function of the entire IFN-y proximal promoter, multimers of the AP1 binding site located between -98 and -78 bp, or multimers of the site located between -70 and -44 bp relative to the transcription start site (Cippitelli et al., 1995; Penix et al., 1996). This indicates that c-Jun is likely to play an activating role in IFN-y expression. Likewise, overexpression of CREB inhibits the function of the entire IFN-y proximal promoter, multimers of the AP1 binding site located between -98 and -78 bp, or multimers of the site located between -70 and -44 bp relative to the transcription start site (Penix et al., 1996; Zhang et al., 1998a). This indicates that CREB is likely to play an inhibiting role in IFN-y expression. Furthermore, in naive helper T cells, there is a relatively high nuclear expression level of both CREB and c-Jun, but upon TCR stimulation and the initiation of IFN-y expression, the level of CREB diminishes, while the level of c-Jun remains constant (Zhang et al., 1998b). This suggests that c-Jun and CREB, which may both be able to bind two of the AP1 binding sites in the IFN-y proximal promoter, may have mutually antagonistic effects with CREB inhibiting IFN-y transcription and c-Jun enhancing transcription. CREB binding to the AP1 sites in nai've cells may prevent IFN-y expression. Following TCR stimulation, nuclear CREB levels drop, which may allow c-Jun access to the IFN-y proximal 33 promoter, initiating early transcription. While consistent with current observations, this model has yet to be verified. EPIGENETIC REGULATION OF HELPER T CELL POLARIZATION The signaling cascades that lead a newly activated helper T cell differentiate into either a THl cell or a TH2 cell have many effects. In addition to changing the nuclear transcription factor composition, helper T cells polarization also changes how different cytokine genes are packaged (Ansel et al., 2003; Grogan and Locksley, 2002). Through a combination of DNA methylation, histone modification, and nuclear localization, a polarized helper T cell enhances access to one set of cytokines while restricting access to another. The heritable nature of these changes is thought to ensure long-term gene silencing of following polarization. DNA Methylation The methylation of the 5 position of cytosine residues in CpG dinucleotides has been shown to play a role in the regulation of mammalian genes (Jeltsch, 2002; Richards and Elgin, 2002). This nucleotide modification does not interfere with Watson-Crick basepairing, but is located within the major groove of the DNA double-helix, and thus can be readily recognized by interacting transcription factors. While this modification has been shown to occur at between 60-90% of CpG dinucleotides in mammals (Jeltsch, 2002), it is almost completely absent from non-CpG cytosines. As both strands of a CpG palendromic motif generally share the same methylation state (either methylated or unmethylated), DNA replication results in the generation of hemi-methylated DNA. A DNA methyltransferase specific for hemi-methylated DNA can then methylate the hemimethylated daughter strands, allowing for the maintenance of the DNA methylation pattern following cell division (Stein et al., 1982). This property makes DNA methylation a useful mechanism for long-term gene silencing following cell differentiation. There is a strong correlation between DNA methylation and gene transcription, whereby silent genes are often hypermethylated, and transcribed genes are usually 34 hypomethylated (Siegfried and Cedar, 1997). This suggests that CpG methylation plays a role in the repression of transcription. There are three mechanisms by which this covalent DNA modification may exert this effect, through the direct inhibition of transcription factor binding, through the recruitment of methylated CpG binding proteins that directly inhibit transcription, and through the recruitment of factors that influence the way the DNA is packaged, and in doing so make the DNA less accessible to transcription factors. While some transcription factors show no preference for methylated DNA versus unmethylated DNA, others have shown a decreased affinity for certain methylated sequences versus their unmethylated counterparts. Included among these genes are several involved in immune function, including AP1, AP2, and NF-KB (Siegfried and Cedar, 1997). It is therefore possible that the function of such transcription factors could be regulated by DNA methylation. Indeed, direct inhibition of transcription factor binding by methylated DNA at several genetic loci has been well demonstrated in vitro by EMSA (Dong et al., 2000; Fujimoto et al., 2005; Young et al., 1994). Included among the sites where methylation has been shown to affect factor binding is the IFN-y promoter (Young et al., 1994). Thus, while it is likely that the direct inhibition of factor binding by DNA methylation has some effect on gene expression, it remains unclear how important this mechanism is for transcription inhibition in vivo. Several factors able to mediate transcriptional inhibition have been found that bind preferentially to methylated DNA, including MeCP2, MBD1 and MBD2 (Cross et al., 1997; Hendrich and Bird, 1998). Given these factors' ability to bind to methylated CpGs, it is possible that they could act as repressors by simply blocking access of activating transcription factors to hypermethylated promoters. Furthermore, the MeCP2 complex has been shown to have a repressor domain that can inhibit promoter transcription at a distance (Kalinski et al., 1999), suggesting that MeCP2 can interact with transcriptional machinery, in addition to blocking specific transcription factors. In addition to directly acting as transcription repressors, methyl-CpG binding proteins have also been implicated in the induction of further chromatin remodeling through the recruitment of histone modification proteins to hypermethylated promoters (Fujita et al., 2003; Fuks et al., 2003; Jones et al., 1998; Nan et al., 1998). Modifications 35 to the amino terminal histone tails, including methylation, acetylation, phosphorylation and ubiquitination have been shown to play a role in gene accessibility (see below). Histone acetylation of histones H3 and H4 is associated with transcriptionally active genes, where a lack of histone acetylation is associated with silent genes (Richards and Elgin, 2002). It has been demonstrated that MeCP2, MBD1 and MBD2 can all recruit histone deacetylaces to regions with methylated DNA (Jones et al., 1998; Nan et al., 1998). Through these factors, DNA methylation can induce the local hypoacetylation of a locus, reducing the accessibility of the site. This effect can be further strengthened because methyl-CpG binding proteins have also been demonstrated to recruit histone methyltransferases to regions of hypermethylated DNA (Fujita et al., 2003; Fuks et al., 2003). As methylation of lysines on histone H3 have been shown to play a role in transcription regulation (Richards and Elgin, 2002), this histone methyltransferase recruitment may also play a role in transcriptional suppression. In order to function in gene transcription regulation, there must me mechanisms in place to establish and maintain methylation patterns. Enzymes involved in both de novo CpG methylation and in the maintenance of methylation during DNA replication have been identified and their activities established in vitro. However, very little is known about how these methyltransferases are targeted to a specific locus, or even which enzymes methylated specific genes. Furthermore, while there is evidence for the existence of an active demethylation mechanism, no active demethylase has been convincingly identified. Then first mammalian methyltransferase identified, Dnmt 1, preferentially methylates hemimethylated DNA compared to unmethylated DNA (Bestor et al., 1988; Bestor, 1992). Dmntl has been shown to be expressed ubiquitously in dividing cells, and to localize to the replication fork (Leonhardt et al., 1992). It is therefore likely that Dnmtl acts primarily as a maintenance methyltranferase, maintaining the established methylation patterns during DNA replication. It has been shown that dnmtl can methylate unmethylated DNA in vitro (Bestor, 1992), but there is little in vivo evidence that it functions as a de novo methyltransferase. Mice lacking Dnmtl die during embryogenesis (Li et al., 1992) at which point they show a dramatic reduction in global 36 methylation patterns (Li et al., 1992), indicating the importance of CpG methylation during development. Both in vitro and in vivo, the methyltransferase dnmt3a shows an enzymatic preference for unmethylated DNA over hemimethylated DNA (Okano et al., 1998), suggesting that it functions as de novo methyltransferase. Dnmt3a is highly expressed in undifferentiated embryonic stem cells (Okano et al., 1998) and has broad somatic expression across many tissues (Chen et al., 2002). Mice deficient in dnmt3a appear normal at birth, but soon become runted and usually die within 4 weeks of birth (Okano et al., 1999). Despite surviving to term, dnmt3a -' - embryos show reduced methylation compared to wild-type embryos, suggesting that dnmt3a plays a role in the establishment of methylation during early development (Okano et al., 1999). The role of dnmt3a in somatic tissues is unknown. Dnmt3a is partly regulated through alternative splicing and alternative transcription start sites. There have been at least 5 separate splice variants of the dnmt3a gene identified (Weisenberger et al., 2002). As they all contain an intact enzymatic domain, and it is likely that the proteins coded by these variants all have a level of enzymatic activity, though this has yet to be established. The only reported difference between these splice forms is in their expression pattern, with transcripts containing exon Ia being preferentially expressed in somatic cells, and transcripts containing exon 113 being preferentially expressed in embryonic stem (ES) cells (Weisenberger et al., 2002). Dnmt3a also has a functional intronic promoter, and transcription from this promoter produces the transcriptional variant dnmt3a2 (Chen et al., 2002). Dnmt3a2 contains most of Dnmt3al, including the enzymatic regions, but lack dnmt3al's 219 most N-terminal amino acids (Chen et al., 2002). There is a dnmt3a2 specific intron, but it is upstream of the translation start site, and thus does not code for protein. While both dnmt3al and dnmt3a2 are expressed in ES cells and dnmt3a2 shows similar methylation activity in vitro to dnmt3al (Chen et al., 2002), mice deficient in dnmt3al alone have a similar phenotype to mice completely deficient for dnmt3a, but dnmt3a2 deficient mice appear to be normal (personal communication). It is also interesting that dnmt3al localizes to heterochromatic regions of the nucleus, but dnmt3a2 localizes to euchromatic regions of the nucleus, and where dnmt3al is expressed at similar levels across a broad array of 37 somatic tissues, dnmt3a2 expression appears to be largely restricted to the spleen, thymus and testis (Chen et al., 2002). Thus, despite dnmt3a2 being a truncated form of dnmt3a2 and having similar activity in vitro, it is clear that they have very different functions in vivo. Like dnmt3a, dnmt3b preferentially methylates unmethylated DNA, and is thought to function as a de novo methyltransferase (Okano et al., 1998). Dnmt3b is highly expressed in ES cells, and Dnmt3b deficiency results in embryonic lethality (Okano et al., 1999). In addition to general hypomethylation, dnmt3b -' - ES cells are hypomethylated at their centromeric repeats, implying that dnmt3b plays a critical role in this process (Okano et al., 1999; Xie et al., 1999). Dnmt3b appears to be partially regulated through alternative splicing, with at least six splice variants having been identified (Chen et al., 2002; Hansen et al., 1999; Okano et al., 1998). Of these six alternative splice forms, only two encode for functional enzymatic domains, suggesting that the other four lack methyltransferase activity. Somatically, dnmt3b is expressed at low levels ubiquitously (Baylin et al., 2001), with a much higher level of expression in the testis, ovary, liver, spleen and thymus (Chen et al., 2002). In humans, dnmt3b mutations have been shown to be present in people with ICF syndrome (Hansen et al., 1999). This disease is characterized by facial abnormalities and immunodeficiency. Notably, individuals with this disease have hypomethylated centromeres and centromeric instability (Ehrlich, 2003). Like dnmt3a, the role of dnmt3b in the regulation of somatic methylation patterns is unknown. There are two possible mechanisms for CpG demethylation. The first is through passive demethylation. In this instance, genes become demethylated during DNA replication through an inhibition of maintenance methyltransferase. Through this process, the methylation level at a CpG could reduce by half with each cell division. The other possible demethylation mechanism is active demethylation. In this instance, either the cytosine is directly demethylated or a 5-methyl-cytosine is replaced with an unmethylated cytosine independent of DNA replication. There is evidence that suggests that widespread active demethylation of the paternal genome occurs in the mouse zygote, without DNA replication (Santos et al., 2002). There is also a report that active demethylation occurs at the IL-2 promoter during T cell activation (Bruniquel and 38 Schwartz, 2003). There are no known active demethylation enzymes, and the chemical demethylation of 5-methyl-cytosine is energetically unfavorable (Jeltsch, 2002), so the mechanism behind active demethylation remains unknown. There is strong evidence that DNA methylation plays an important role in helper T cell polarization. TH1 cell lines, which express IFN-y but not IL-4, are hypomethylated at the IFN-y locus, but hypermethylated at the IL-4 locus (Young et al., 1994). Likewise, TH2 cell lines, which express IL-4 but not IFN-y, are hypomethylated at the IL-4 locus but hypermethylated at the IFN-y locus (Young et al., 1994). Thus, the methylation status of the helper T cell effector cytokine genes correlate well with gene expression in fully polarized cell lines. Naive helper T cells, which do not transcribe IL-4, have been shown to be hypermethylated at the IL-4 promoter (Lee et al., 2002). While naive helper T cells also do not express IFN-y, there have been conflicting reports as to the methylation of the promoter in these cells, with reports both stating that the promoter is hypermethylated (Katamura et al., 1998; Melvin et al., 1995; White et al., 2002), and hypomethylated (Winders et al., 2004). While the dynamics of methylation change during helper T cell differentiation are unclear at the IFN-y promoter, the IL-4 promoter appears to undergo a gradual demethylation that can be accounted for by passive demethylation (Lee et al., 2002). While demethylation is not required for IL-4 expression, there is a correlation between IL-4 promoter demethylation and a high level of IL-4 expression (Lee et al., 2002). In addition to the above correlations between effector cytokine gene methylation status and transcription, knock-out mouse lines provide additional evidence that DNA methylation plays a role in the regulation of cytokine expression during helper T cell polarization. T cells from mice in which the maintenance methyltransferase, dnmtl, was disrupted in thymocytes by Cre-mediated recombination had lower levels of methylation in many genes, including IFN-y (Lee et al., 2001). T cells from these mice expressed a higher level of both IFN-y and IL-4, consistent with the notion that methylation of the cytokine genes acts to inhibit transcription (Lee et al., 2001). Furthermore, mice deficient in the methyl-CpG binding protein, MBD2, also show abnormal cytokine expression (Hutchins et al., 2002). In the T cells from these mice, some cells polarized under TH1 conditions expressed IL-4, in addition to IFN-y, while a significant fraction of 39 the cells polarized under TH2 conditions expressed IFN-y, in addition to IL-4 (Hutchins et al., 2002). This suggests improper cytokine expression in polarized helper T cells is partly repressed by the methyl-CpG binding protein MBD2. Histone Modification and DNA Packaging Eukaryotic genomic DNA is packaged in chromatin, the fundamental unit of which is the nucleosome. This chromatin packaging is not uniform across the genome, as some regions (euchromatin) are more loosely packaged, and thus more accessible to transcription factors, while other regions (heterochromatin) are tightly packaged, and thus inaccessible to transcription factors. In many parts of the genome the chromatin status is dynamic, especially during cell differentiation (Richards and Elgin, 2002). Thus, altering how DNA is packaged at a specific locus, and in doing so altering how accessible that locus is to transcription factors, is a mechanism for the regulation of gene transcription. There are several factors that contribute to the differences between heterochromatin and euchromatin, including nucleosome density, histone composition, and histone modifications (Richards and Elgin, 2002). Histones are subject to a wide array of covalent modifications, including phosphorylation, methylation. acetylation, and ubiquitination (Peterson and Laniel, 2004). It is thought that modifications to specific amino acids on specific histones are able to impart a "histone code," resulting in the recruitment of specific regulatory proteins to a locus that affect the overall gene activity (Turner, 2002). While the effect of many of the modifications remains unclear, there are certain modifications that are clearly correlated with gene transcription. Of particular note, acetylation of histone H3 on lysine residues 9, 14, and 18, and on histone H4 on lysine residue 5 are all associated with an accessible locus and active transcription (Peterson and Laniel, 2004). Likewise, methylation of histone H3 lysine residue 4 is associated with active transcription, while methylation of histone H3 on residues 9 or 27 is associated with inaccessible and transcriptionally silent genes (Zhang and Reinberg, 2001). As mentioned above, histone modification and DNA methylation are interrelated. It has been shown that methyl-CpG binding proteins are able to recruit histone deacetylases (Jones et al., 1998; Nan et al., 1998) and histone methyltransferases (Fujita 40 et al., 2003; Fuks et al., 2003) to hypermethylated DNA. There is also evidence that, in some species, the methylation lysine 9 of histone H3 can induce DNA methylation (Lehnertz et al., 2003). Thus, while there is a strong correlation between histone modification and DNA methylation and it is clear that the regulation of these two events is interrelated, many of the details of this relationship remain unknown. One method of examining the chromatin status of a particular locus is by determining site sensitivity to DNase I treatment. Areas with inaccessible chromatin structure are resistant to DNase I degradation, while regions with accessible chromatin structure are sensitive to DNase I degradation. This technique has proven particularly informative about the chromatin changes that occur at the effector cytokine loci during helper T cell differentiation. Of particular note, the appearance of DNase hypersensitive (HS) sites located at the IL-4 and IFN-y promoters and at a 3' IL-4 enhancer correlate well with the transcriptional activity of these genes, in that the IFN-y HS are present TH1 cells but not in naive helper T cells or TH2cells, while the IL-4 HS are present in TH2 cells, but not naive helper T cells or TH cells (Agarwal and Rao, 1998; Takemoto et al., 1998). As the ectopic expression of T-bet in TH2 cells is able to induce the formation of IFN-y HS (Mullen et al., 2002), while the ectopic expression of GATA-3 is able to induce the formation of IL-4 HS (Lee et al., 2000), it is likely that these changes in chromatin accessibility are mediated by the "master regulators" of helper T cell polarization. It is also possible to directly measure histone modifications at a particular locus through ChIP assays. This type of analysis revealed that histone H3 and H4 acetylation correlates very strongly with transcription and HS formation at the effector cytokine loci. In naive helper T cells both the IFN-y and IL-4 promoters are hypoacetylated, correlating with the lack of gene transcription (Avni et al., 2002). Immediately following TCR stimulation there is a nonspecific increase in the acetylation status at both the IFN-y and IL-4 promoters (Avni et al., 2002). This increase in acetylation occurs independent of polarization signals and correlates well with the observed polarization-independent transcription of both IL-4 and IFN-y within 1 hour of TCR stimulation (Grogan et al., 2001). As THI1 differentiation hyperacetlyatecl, proceeds, the IFN-y promoter becomes further while the IL-4 locus undergoes deacetylation and becomes hypoacetylated (Avni et al., 2002). As TH2 differentiation proceeds, the IL-4 promoter 41 becomes hyperacetylated, while the IFN-y promoter becomes hypoacetylated (Avni et al., 2002). These changes correlate well with the suppression of IL-4 transcription in TH2 cells and the suppression of IFN-y transcription in TH1 cells. While there is a strong correlative evidence in support of epigenetic modification playing an important role in the cytokine expression of helper T cells, very little is known about the mechanisms through which these changes occur, and specifically, how histone modification and DNA methyltransferase enzymes are targeted to particular loci by specific polarization signals. Furthermore, while there is a strong correlation between CpG methylation and gene silencing during this polarization process, how this silencing is mediated is unknown. In this thesis, I have examined the methylation changes that occur at the IFN-y locus during helper T cell polarization. The site-specific nature of these changes was analyzed by quantitatively measuring the methylation status of individual CpGs over time. It was found that the kinetics of methylation change vary from CpG to CpG, with the CpG located at the -53 position relative to the transcription start site becoming methylated faster during TH2 polarization than the other CpGs of the proximal promoter. The downstream effects of the methylation of the -53 CpG were looked at, and methylation of the -53 position alone was found to block promoter binding by ATF2, cJun and CREB, and to inhibit promoter function. Finally, the role of de novo methyltransferases in these methylation changes was studied. Dnmt3a was found to play a role in the de novo methylation of the promoter that occurs during TH2 polarization, and clnmt3a2was found to play a role in the inhibition of promoter methylation during TH1 polarization. 42 References Acuto, O., and Michel, F. (2003). CD28-mediated co-stimulation: a quantitative support for TCR signalling. Nat Rev Immunol 3, 939-951. Afkarian, M., Sedy, J. R., Yang, J., Jacobson, N. G., Cereb, N., Yang, S. Y., Murphy, T. L., and Murphy, K. M. (2002). T-bet is a STAT 1-induced regulator of IL-12R expression in naive CD4+ T cells. Nat Immunol 3, 549-557. Agarwal, S., Avni, O., and Rao, A. (2000). Cell-type-restricted binding of the transcription factor NFAT to a distal IL-4 enhancer in vivo. Immunity 12, 643-652. Agarwal, S., and Rao, A. (1998). Modulation of chromatin structure regulates cytokine gene expression during T cell differentiation. Immunity 9, 765-775. Alegre, M. L., Frauwirth, K. A., and Thompson, C. B. (2001). T-cell regulation by CD28 and CTLA-4. Nat Rev Immunol 1, 220-228. Alexopoulou, L., Holt, A. C., Medzhitov, R., and Flavell, R. A. (2001). Recognition of double-stranded RNA and activation of NF-kappaB by Toll-like receptor 3. Nature 413, 732-738. Alt, F. W., Oltz. E. M., Young, F., Gorman, J., Taccioli, G., and Chen, J. (1992). VDJ recombination. Immunol Today 13, 306-314. Ansel, K. M., Lee, D. U., and Rao, A. (2003). An epigenetic view of helper T cell differentiation. Nat Immunol 4, 616-623. Appleman, L. J., and Boussiotis, V. A. (2003). T cell anergy and costimulation. Immunol Rev 192, 161-180. Ardavin, C. (2003). Origin, precursors and differentiation of mouse dendritic cells. Nat Rev Immunol 3, 582-590. Avni, O., Lee, D., Macian, F., Szabo, S. J., Glimcher, L. H., and Rao, A. (2002). T(H) cell differentiation is accompanied by dynamic changes in histone acetylation of cytokine genes. Nat Immunol 3,643-651. Banchereau, J., Briere, F., Caux, C., Davoust, J., Lebecque, S., Liu, Y. J., Pulendran, B., and Palucka, K. (2000). Immunobiology of dendritic cells. Annu Rev Immunol 18, 767811. 43 Barbulescu, K., Becker, C., Schlaak, J. F., Schmitt, E., Meyer zum Buschenfelde, K. H., and Neurath, M. F. (1998). IL-12 and IL-18 differentially regulate the transcriptional activity of the human IFN-gamma promoter in primary CD4+ T lymphocytes. J Immunol 160, 3642-3647. Basson, M. A., and Zamoyska, R. (2000). The CD4/CD8 lineage decision: integration of signalling pathways. Immunol Today 21, 509-514. Baylin, S. B., Esteller, M., Rountree, M. R., Bachman, K. E., Schuebel, K., and Herman, J. G. (2001). Aberrant patterns of DNA methylation, chromatin formation and gene expression in cancer. Hum Mol Genet 10, 687-692. Bestor, T., Laudano, A., Mattaliano, R., and Ingram, V. (1988). Cloning and sequencing of a cDNA encoding DNA methyltransferase of mouse cells. The carboxyl-terminal domain of the mammalian enzymes is related to bacterial restriction methyltransferases. J Mol Biol 203,971-983. Bestor, T. H. (1992). Activation of mammalian DNA methyltransferase by cleavage of a Zn binding regulatory domain. Embo J 11, 2611-2617. Biet, F., Locht, C., and Kremer, L. (2002). Immunoregulatory functions of interleukin 18 and its role in defense against bacterial pathogens. J Mol Med 80, 147-162. Boehm, U., Klamp, T., Groot, M., and Howard, J. C. (1997). Cellular responses to interferon-gamma. Annu Rev Immunol 15, 749-795. Boring, L., Gosling, J., Chensue, S. W., Kunkel, S. L., Farese, R. V., Jr., Broxmeyer, H. E., and Charo, I. F. (1997). Impaired monocyte migration and reduced type 1 (Thl) cytokine responses in C-C chemokine receptor 2 knockout mice. J Clin Invest 100, 25522561. Bour-Jordan, H., Grogan, J. L., Tang, Q., Auger, J. A., Locksley, R. M., and Bluestone, J. A. (2003). CTLA-4 regulates the requirement for cytokine-induced signals in T(H)2 lineage commitment. Nat Immunol 4, 182-188. Brod, S. A., Benjamin, D., and Hafler, D. A. (1991). Restricted T cell expression of IL- 2/IFN-gamma mRNA in human inflammatory disease. J Immunol 147, 810-815. Bruniquel, D., and Schwartz, R. H. (2003). Selective, stable demethylation of the interleukin-2 gene enhances transcription by an active process. Nat Immunol 4, 235-240. Cantrell, D. (1996). T cell antigen receptor signal transduction pathways. Annu Rev Immunol 14, 259-274. 44 Carpenter, G., and Ji, Q. (1999). Phospholipase C-gamma as a signal-transducing element. Exp Cell Res 253, 15-24. Chan, A. C., Dalton, M., Johnson, R., Kong, G. H., Wang, T., Thoma, R., and Kurosaki, T. (1995). Activation of ZAP-70 kinase activity by phosphorylation of tyrosine 493 is required for lymphocyte antigen receptor function. Embo J 14, 2499-2508. Chatelain, R., Mauze, S., Varkila, K., and Coffman, R. L. (1999). Leishmania major infection in interleukin-4 and interferon-gamma depleted mice. Parasite Immunol 21, 423-431. Chen, Q., Ghilardi, N., Wang, H., Baker, T., Xie, M. H., Gurney, A., Grewal, I. S., and de Sauvage, F. J. (2000). Development of Thl-type immune responses requires the type I cytokine receptor TCCR. Nature 407, 916-920. Chen, T., Ueda, Y., Xie, S., and Li, E. (2002). A novel Dnmt3a isoform produced from an alternative promoter localizes to euchromatin and its expression correlates with active de novo methylation. J Biol Chem 277, 38746-38754. Chensue, S. W., Warmington, K. S., Ruth, J. H., Sanghi, P. S., Lincoln, P., and Kunkel, S. L. (1996). Role of monocyte chemoattractant protein- (MCP- 1) in Th 1 (mycobacterial) and Th2 (schistosomal) antigen-induced granuloma formation: relationship to local inflammation, Th cell expression, and IL-12 production. J Immunol 157, 4602-4608. Cippitelli, M., Sica, A., Viggiano, V., Ye, J., Ghosh, P., Birrer, M. J., and Young, H. A. (1995). Negative transcriptional regulation of the interferon-gamma promoter by glucocorticoids and dominant negative mutants of c-Jun. J Biol Chem 270, 12548-12556. Crabtree, G. R. 2001). Calcium, calcineurin, and the control of transcription. J Biol Chem 276, 2313-2316. Cross, S. H., Meehan, R. R., Nan, X., and Bird, A. (1997). A component of the transcriptional repressor MeCP1 shares a motif with DNA methyltransferase and HRX proteins. Nat Genet 16, 256-259. de Carli, M., D'Elios, M. M., Mariotti, S., Marcocci, C., Pinchera, A., Ricci, M., Romagnani, S., and del Prete, G. (1993). Cytolytic T cells with Thl-like cytokine profile predominate in retroorbital lymphocytic infiltrates of Graves' ophthalmopathy. J Clin Endocrinol Metab 77, 1120-1124. de Jong, E. C., Smits, H. H., and Kapsenberg, M. L. (2005). Dendritic cell-mediated T cell polarization. Springer Semin Immunopathol 26, 289-307. 45 de Jong, E. C., Vieira, P. L., Kalinski, P., Schuitemaker, J. H., Tanaka, Y., Wierenga, E. A., Yazdanbakhsh, M., and Kapsenberg, M. L. (2002). Microbial compounds selectively induce Th cell-promoting or Th2 cell-promoting dendritic cells in vitro with diverse th cell-polarizing signals. J Immunol 168, 1704-1709. Dong, Z., Wang, X., and Evers, B. M. (2000). Site-specific DNA methylation contributes to neurotensin/neuromedin N expression in colon cancers. Am J Physiol Gastrointest Liver Physiol 279, G1 139-1147. Dredge, K., Marriott, J. B., Todryk, S. M., and Dalgleish, A. G. (2002). Adjuvants and the promotion of Thl-type cytokines in tumour immunotherapy. Cancer mmunol Immunother 51.. 521-531. Ebner, C., Szepfalusi, Z., Ferreira, F., Jilek, A., Valenta, R., Parronchi, P., Maggi, E., Romagnani, S., Scheiner, O., and Kraft, D. (1993). Identification of multiple T cell epitopes on Bet v I, the major birch pollen allergen, using specific T cell clones and overlapping peptides. J Immunol 150, 1047-1054. Ehrlich, M. (2003). The ICF syndrome, a DNA methyltransferase 3B deficiency and immunodeficiency disease. Clin Immunol 109, 17-28. Finkelman, F. D., Shea-Donohue, T., Morris, S. C., Gildea, L., Strait, R., Madden, K. B., Schopf, L., and Urban, J. F., Jr. (2004). Interleukin-4- and interleukin-13-mediated host protection against intestinal nematode parasites. Immunol Rev 201, 139-155. Flynn, S., Toellner, K. M., Raykundalia, C., Goodall, M., and Lane, P. (1998). CD4 T cell cytokine differentiation: the B cell activation molecule, OX40 ligand, instructs CD4 T cells to express interleukin 4 and upregulates expression of the chemokine receptor, Blr-l. J Exp Med 188, 297-304. Fugmann, S. D. (2001). RAG1 and RAG2 in V(D)J recombination and transposition. Immunol Res 23, 23-39. Fujimoto, M., Kitazawa, R., Maeda, S., and Kitazawa, S. (2005). Methylation adjacent to negatively regulating AP-1 site reactivates TrkA gene expression during cancer progression. Oncogene 24, 5108-5118. Fujita, N., Watanabe, S., Ichimura, T., Tsuruzoe, S., Shinkai, Y., Tachibana, M., Chiba, T., and Nakao, M. (2003). Methyl-CpG binding domain (MBD1) interacts with the Suv39h 1l-HPI heterochromatic complex for DNA methylation-based transcriptional repression. J Biol Chem 278, 24132-24138. 46 Fuks, F., Hurd, P. J., Wolf, D., Nan, X., Bird, A. P., and Kouzarides, T. (2003). The methyl-CpG-binding protein MeCP2 links DNA methylation to histone methylation. J Biol Chem 278, 4035-4040. Garcia, K. C., Teyton, L., and Wilson, I. A. (1999). Structural basis of T cell recognition. Annu Rev Immunol 17, 369-397. Genot, E., and Cantrell, D. A. (2000). Ras regulation and function in lymphocytes. Curr Opin Immunol 12,289-294. Godfrey, D. ., Kennedy, J., Mombaerts, P., Tonegawa, S., and Zlotnik, A. (1994). Onset of TCR-beta gene rearrangement and role of TCR-beta expression during CD3-CD4CD8- thymocyte differentiation. J Immunol 152, 4783-4792. Goronzy, J. J., and Weyand, C. M. (2005). Rheumatoid arthritis. Immunol Rev 204, 5573. Gould, H. J., Sutton, B. J., Beavil, A. J., Beavil, R. L., McCloskey, N., Coker, H. A., Fear, D., and Smurthwaite, L. (2003). The biology of IGE and the basis of allergic disease. Annu Rev Immunol 21, 579-628. Grogan, J. L., and Locksley, R. M. (2002). T helper cell differentiation: on again, off again. Curr Opin Immunol 14, 366-372. Grogan, J. L., Mohrs, M., Harmon, B., Lacy, D. A., Sedat, J. W., and Locksley, R. M. (2001). Early transcription and silencing of cytokine genes underlie polarization of T helper cell subsets. Immunity 14, 205-215. Gromme, M., and Neefjes, J. (2002). Antigen degradation or presentation by MHC class I molecules via classical and non-classical pathways. Mol Immunol 39, 181-202. Hafler, D. A., Slavik, J. M., Anderson, D. E., O'Connor, K. C., De Jager, P., and Baecher- Allan, C. (2005). Multiple sclerosis. Immunol Rev 204, 208-231. Hai, T., and Curran, T. (1991). Cross-family dimerization of transcription factors Fos/Jun and ATF/CREB alters DNA binding specificity. Proc Natl Acad Sci U S A 88, 37203724. Hansen, R. S., Wijmenga, C., Luo, P., Stanek, A. M., Canfield, T. K., Weemaes, C. M., and Gartler, S. M. (1999). The DNMT3B DNA methyltransferase gene is mutated in the ICF immunodeficiency syndrome. Proc Natl Acad Sci U S A 96, 14412-14417. 47 Hayashi, F., Smith, K. D., Ozinsky, A., Hawn, T. R., Yi, E. C., Goodlett. D. R., Eng, J. K., Akira, S., Underhill, D. M., and Aderem, A. (2001). The innate immune response to bacterial flagellin is mediated by Toll-like receptor 5. Nature 410, 1099-1103. Heinzel, F. P., Sadick, M. D., and Locksley, R. M. (1988). Leishmania major: analysis of lymphocyte and macrophage cellular phenotypes during infection of susceptible and resistant mice. Exp Parasitol 65, 258-268. Heinzel, F. P., Sadick, M. D., Mutha, S. S., and Locksley, R. M. (1991). Production of interferon gamma, interleukin 2, interleukin 4, and interleukin 10 by CD4+ lymphocytes in vivo during healing and progressive murine leishmaniasis. Proc Natl Acad Sci U S A 88, 7011-7015. Hendrich, B., and Bird, A. (1998). Identification and characterization of a family of mammalian methyl-CpG binding proteins. Mol Cell Biol 18, 6538-6547. Hendriks, R. W., Nawijn, M. C., Engel, J. D., van Doorninck, H., Grosveld, F., and Karis, A. (1999). Expression of the transcription factor GATA-3 is required for the development of the earliest T cell progenitors and correlates with stages of cellular proliferation in the thymus. Eur J Imnmunol29, 1912-1918. Hess, J., Angel, P., and Schorpp-Kistner, M. (2004). AP-1 subunits: quarrel and harmony among siblings. J Cell Sci 117, 5965-5973. Himmelrich, H., Parra-Lopez, C., Tacchini-Cottier, F., Louis, J. A., and Launois, P. (1998). The I L-4 rapidly produced in BALB/c mice after infection with Leishmania major down-regulates IL-12 receptor beta 2-chain expression on CD4+ T cells resulting in a state of unresponsiveness to IL-12. J Immunol 161, 6156-6163. Hirose, J., Kouro, T., Igarashi, H., Yokota, T., Sakaguchi, N., and Kincade, P. W. (2002). A developing picture of lymphopoiesis in bone marrow. Immunol Rev 189, 28-40. Ho, . C., Hodge, M. R., Rooney, J. W., and Glimcher, L. H. (1996). The proto-oncogene c-maf is responsible for tissue-specific expression of interleukin-4. Cell 85, 973-983. Hosken, N. A., Shibuya, K., Heath, A. W., Murphy, K. M., and O'Garra, A. (1995). The effect of antigen dose on CD4+ T helper cell phenotype development in a T cell receptoralpha beta-transgenic model. J Exp Med 182, 1579-1584. Hutchins, A. S., Mullen, A. C., Lee, H. W., Sykes, K. J., High, F. A., Hendrich, B. D., Bird, A. P., and Reiner, S. L. (2002). Gene silencing quantitatively controls the function of a developmental trans-activator. Mol Cell 10, 81-91. 48 Hwang, E. S., Hong, J. H., and Glimcher, L. H. (2005a). IL-2 production in developing Th cells is regulated by heterodimerization of RelA and T-bet and requires T-bet serine residue 508. J Exp Med 202, 1289-1300. Hwang, E. S., Szabo, S. J., Schwartzberg, P. L., and Glimcher, L. H. (2005b). T helper cell fate specified by kinase-mediated interaction of T-bet with GATA-3. Science 307, 430-433. Jacobson, N. G., Szabo, S. J., Weber-Nordt, R. M., Zhong, Z., Schreiber. R. D., Darnell, J. E., Jr., and Murphy, K. M. (1995). Interleukin 12 signaling in T helper type 1 (Thl) cells involves tyrosine phosphorylation of signal transducer and activator of transcription (Stat)3 and Stat4. J Exp Med 181, 1755-1762. Jain, J., Loh, C., and Rao, A. (1995). Transcriptional regulation of the IL-2 gene. Curr Opin Immunol 7, 333-342. .laneway, C. A., Jr., and Medzhitov, R. (2002). Innate immune recognition. Annu Rev Immunol 20, 197-216. Jankovic, D., Liu, Z., and Gause, W. C. (2001). Thl- and Th2-cell commitment during infectious disease: asymmetry in divergent pathways. Trends Immunol 22, 450-457. Jeltsch, A. (2002). Beyond Watson and Crick: DNA methylation and molecular enzymology of DNA methyltransferases. Chembiochem 3, 274-293. Jones, P. L., Veenstra, G. J., Wade, P. A., Vermaak, D., Kass, S. U., Landsberger, N., Strouboulis, J., and Wolffe, A. P. (1998). Methylated DNA and MeCP2 recruit histone deacetylase to repress transcription. Nat Genet 19, 187-191. Kagami, S., Nakajima, H., Suto, A., Hirose, K., Suzuki, K., Morita, S., Kato, I., Saito, Y., Kitamura, T., and Iwamoto, I. (2001). Stat5a regulates T helper cell differentiation by several distinct mechanisms. Blood 97, 2358-2365. Kalinski, P., Hilkens, C. M., Wierenga, E. A., and Kapsenberg, M. L. (1999). T-cell priming by type--I and type-2 polarized dendritic cells: the concept of a third signal. Immunol Today 20, 561-567. Kaplan, M. H., Schindler, U., Smiley, S. T., and Grusby, M. J. (1996a). Stat6 is required for mediating responses to IL-4 and for development of Th2 cells. Immunity 4, 313-319. Kaplan, M. H., Sun, Y. L., Hoey, T., and Grusby, M. J. (1996b). Impaired IL-12 responses and enhanced development of Th2 cells in Stat4-deficient mice. Nature 382, 174-177. 49 Kapsenberg, M. L. (2003). Dendritic-cell control of pathogen-driven T-cell polarization. Nat Rev Immunol 3, 984-993. Katamura, K., Fukui, T., Kiyomasu, T., io, J., Tai, G., Ueno, H., Heike, T., Mayumi, M., and Furusho, K. (1998). IL-4 and prostaglandin E2 inhibit hypomethylation of the 5' regulatory region of IFN-gamma gene during differentiation of naive CD4+ T cells. Mol Immunol 35, 39-45. Kato, T., and Nariuchi, H. (2000). Polarization of naive CD4+ T cells toward the Thl subset by CTLA-4 costimulation. J Immunol 164, 3554-3562. Kelly, M. A., Rayner, M. L., Mijovic, C. H., and Barnett, A. H. (2003). Molecular aspects of type I diabetes. Mol Pathol 56, 1-10. Kiani, A., Garcia-Cozar, F. J., Habermann, I., Laforsch, S., Aebischer, T., Ehninger, G., and Rao, A. (2001). Regulation of interferon-gamma gene expression by nuclear factor of activated T cells. Blood 98, 1480-1488. Kishikawa, H., Sun, J., Choi, A., Miaw, S. C., and Ho, I. C. (2001). The cell type-specific expression of the murine IL-13 gene is regulated by GATA-3. J Immunol 167, 44144420. Kloetzel, P. M. (2004). The proteasome and MHC class I antigen processing. Biochim Biophys Acta 1695, 225-233. Kong, G., Dalton, M., Wardenburg, J. B., Straus, D., Kurosaki, T., and Chan, A. C. (1996). Distinct tyrosine phosphorylation sites in ZAP-70 mediate activation and negative regulation of antigen receptor function. Mol Cell Biol 16, 5026-5035. Kopf, M., Brombacher, F., Kohler, G., Kienzle, G., Widmann, K. H., Lefrang, K., Humborg, C., Ledermann, B., and Solbach, W. (1996). IL-4-deficient Balb/c mice resist infection with Leishmania major. J Exp Med 184, 1127-1136. Kupfer, A., and Singer, S. J. (1989). Cell biology of cytotoxic and helper T cell functions: immunofluorescence microscopic studies of single cells and cell couples. Annu Rev Immunol 7, 309-337. Lee, D. U., Agarwal, S., and Rao, A. (2002). Th2 lineage commitment and efficient IL-4 production involves extended demethylation of the IL-4 gene. Immunity 16, 649-660. Lee, H. J., Takemoto, N., Kurata, H., Kamogawa, Y., Miyatake, S., O'Garra, A., and Arai, N. (2000). GATA-3 induces T helper cell type 2 (Th2) cytokine expression and chromatin remodeling in committed Thl cells. J Exp Med 192, 105-115. 50 Lee, P. P., Fitzpatrick, D. R., Beard, C., Jessup, H. K., Lehar, S., Makar, K. W., PerezMelgosa, M., Sweetser, M. T., Schlissel, M. S., Nguyen, S., et al. (2001). A critical role for Dnmtl and DNA methylation in T cell development, function, and survival. Immunity 15, 763-774. Lehnertz, B., Ueda, Y., Derijck, A. A., Braunschweig, U., Perez-Burgos, L., Kubicek, S., Chen, T., Li, E., Jenuwein, T., and Peters, A. H. (2003). Suv39h-mediated histone H3 lysine 9 methylation directs DNA methylation to major satellite repeats at pericentric heterochromatin. Curr Biol 13, 1192-1200. Leonhardt, H., Page, A. W., Weier, H. U., and Bestor, T. H. (1992). A targeting sequence directs DNA methyltransferase to sites of DNA replication in mammalian nuclei. Cell 71, 865-873. Li, E., Bestor, T. H., and Jaenisch, R. (1992). Targeted mutation of the DNA methyltransferase gene results in embryonic lethality. Cell 69, 915-926. Lighvani, A. A., Frucht, D. M., Jankovic, D., Yamane, H., Aliberti, J., Hissong, B. D., Nguyen, B. V., Gadina, M., Sher, A., Paul, W. E., and O'Shea, J. J. (2001). T-bet is rapidly induced by interferon-gamma in lymphoid and myeloid cells. Proc Natl Acad Sci U S A 98, 15137-15142. Luk, J., Gross, P., and Thompson, W. W. (2001). Observations on mortality during the 1918 influenza pandemic. Clin Infect Dis 33, 1375-1378. Macian, F. (2005). NFAT proteins: key regulators of T-cell development and function. Nat Rev Immunol 5, 472-484. Macian, F., Lopez-Rodriguez, C., and Rao, A. (2001). Partners in transcription: NFAT and AP-1. Oncogene 20, 2476-2489. Magram, J., Connaughton, S. E., Warrier, R. R., Carvajal, D. M., Wu, C. Y., Ferrante, J., Stewart, C., Sarmiento, U., Faherty, D. A., and Gately, M. K. (1996). IL-12-deficient mice are defective in IFN gamma production and type 1 cytokine responses. Immunity 4, 471-481. Martins, G. A., Hutchins, A. S., and Reiner, S. L. (2005). Transcriptional activators of helper T cell fate are required for establishment but not maintenance of signature cytokine expression. J Immunol 175, 5981-5985. Melvin, A. J., McGurn, M. E., Bort, S. J., Gibson, C., and Lewis, D. B. (1995). Hypomethylation of the interferon-gamma gene correlates with its expression by primary T-lineage cells. Eur J Immunol 25, 426-430. 51 Misra, N., Murtaza, A., Walker, B., Narayan, N. P., Misra, R. S., Ramesh, V., Singh, S., Colston, M. J., and Nath, . (1995a). Cytokine profile of circulating T cells of leprosy patients reflects both indiscriminate and polarized T-helper subsets: T-helper phenotype is stable and uninfluenced by related antigens of Mycobacterium leprae. Immunology 86, 97-103. Misra, N., Selvakumar, M., Singh, S., Bharadwaj, M., Ramesh, V., Misra, R. S., and Nath, I. (1995b). Monocyte derived IL 10 and PGE2 are associated with the absence of Th 1 cells and in vitro T cell suppression in lepromatous leprosy. Immunol Lett 48, 123128. Mosmann, T. R., Cherwinski, H., Bond, M. W., Giedlin, M. A., and Coffman, R. L. (1986). Two types of murine helper T cell clone. . Definition according to profiles of lymphokine activities and secreted proteins. J Immunol 136, 2348-2357. Mullen, A. C., High, F. A., Hutchins, A. S., Lee, H. W., Villarino, A. V., Livingston, D. M., Kung, A. L., Cereb, N., Yao, T. P., Yang, S. Y., and Reiner, S. L. (2001). Role of T- bet in commitment of TH cells before IL-12-dependent selection. Science 292, 19071910. Mullen, A. C., Hutchins, A. S., High, F. A., Lee, H. W., Sykes, K. J., Chodosh, L. A., and Reiner, S. L. (2002). Hlx is induced by and genetically interacts with T-bet to promote heritable T(H)1 gene induction. Nat Immunol 3, 652-658. Munder, M., Mallo, M., Eichmann, K., and Modolell, M. (1998). Murine macrophages secrete interferon gamma upon combined stimulation with interleukin (IL)-12 and IL-18: A novel pathway of autocrine macrophage activation. J Exp Med 187, 2103-2108. Murphy, K. M., Ouyang, W., Farrar, J. D., Yang, J., Ranganath, S., Asnagli, H., Afkarian, M., and Murphy, T. L. (2000). Signaling and transcription in T helper development. Annu Rev Immunol 18, 451-494. Murphy, K. M., and Reiner, S. L. (2002). The lineage decisions of helper T cells. Nat Rev Immunol 2, 933-944. Nakahira, M., Ahn, H. J., Park, W. R., Gao, P., Tomura, M., Park, C. S., Hamaoka, T., Ohta, T., Kurimoto, M., and Fujiwara, H. (2002). Synergy of IL-12 and IL-18 for IFNgamma gene expression: IL- 12-induced STAT4 contributes to IFN-gamma promoter activation by up-regulating the binding activity of IL-18-induced activator protein 1. J Immunol 168, 1146-1153. Nan, X., Ng, H. H., Johnson, C. A., Laherty, C. D., Turner, B. M., Eisenman, R. N., and Bird, A. (1998). Transcriptional repression by the methyl-CpG-binding protein MeCP2 involves a histone deacetylase complex. Nature 393, 386-389. 52 Nelms, K., Keegan, A. D., Zamorano, J., Ryan, J. J., and Paul, W. E. (1999). The IL-4 receptor: signaling mechanisms and biologic functions. Annu Rev Immunol 17, 701-738. Okano, M., Bell, D. W., Haber, D. A., and Li, E. (1999). DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 99, 247-257. Okano, M., Xie, S., and Li, E. (1998). Cloning and characterization of a family of novel mammalian DNA (cytosine-5) methyltransferases. Nat Genet 19, 219-220. Oppmann, B., Lesley, R., Blom, B., Timans, J. C., Xu, Y., Hunte, B., Vega, F., Yu, N., Wang, J., Singh, K., et al. (2000). Novel p19 protein engages IL-12p40 to form a cytokine, IL-23, with biological activities similar as well as distinct from IL-12. Immunity 13, 715-725. Ouyang, W., Lohning, M., Gao, Z., Assenmacher, M., Ranganath, S., Radbruch, A., and Murphy, K. M. (2000). Stat6-independent GATA-3 autoactivation directs IL-4independent Th2 development and commitment. Immunity 12, 27-37. Ouyang, W., Ranganath, S. H., Weindel, K., Bhattacharya, D., Murphy, T. L., Sha, W. C., and Murphy, K. M. (1998). Inhibition of Thl development mediated by GATA-3 through an IL-4-independent mechanism. Immunity 9, 745-755. Pai, S. Y., Truitt, M. L., and Ho, I. C. (2004). GATA-3 deficiency abrogates the development and maintenance of T helper type 2 cells. Proc Natl Acad Sci U S A 101, 1993-1998. Palmer, E. (2003). Negative selection--clearing out the bad apples from the T-cell repertoire. Nat Rev Immunol 3, 383-391. Pandolfi, P. P., Roth, M. E., Karis, A., Leonard, M. W., Dzierzak, E., Grosveld, F. G., Engel, J. D., and Lindenbaum, M. H. (1995). Targeted disruption of the GATA3 gene causes severe abnormalities in the nervous system and in fetal liver haematopoiesis. Nat Genet 11, 40-44. Pearce, E. J., Caspar, P., Grzych, J. M., Lewis, F. A., and Sher, A. (1991). D)ownregulation of Th 1 cytokine production accompanies induction of Th2 responses by a parasitic helminth, Schistosoma mansoni. J Exp Med 173, 159-166. Penix, L., Weaver, W. M., Pang, Y., Young, H. A., and Wilson, C. B. (1993). Two essential regulatory elements in the human interferon gamma promoter confer activation specific expression in T cells. J Exp Med 178, 1483-1496. 53 Penix, L. A., Sweetser, M. T., Weaver, W. M., Hoeffler, J. P., Kerppola, T. K., and Wilson, C. B. (1996). The proximal regulatory element of the interferon-gamma promoter mediates selective expression in T cells. J Biol Chem 271, 31964-31972. Pestka, S., Kotenko, S. V., Muthukumaran, G., Izotova, L. S., Cook, J. R., and Garotta, G. (1997). The interferon gamma (IFN-gamma) receptor: a paradigm for the multichain cytokine receptor. Cytokine Growth Factor Rev 8, 189-206. Peterson, C. L., and Laniel, M. A. (2004). Histones and histone modifications. Curr Biol 14, R546-551. Pleiman, C. M., D'Ambrosio, D., and Cambier, J. C. (1994). The B-cell antigen receptor complex: structure and signal transduction. Immunol Today 15, 393-399. Rao, A., Luo, C., and Hogan, P. G. (1997). Transcription factors of the NFAT family: regulation and function. Annu Rev Immunol 15, 707-747. Rengarajan, J., Tang, B., and Glimcher, L. H. (2002). NFATc2 and NFATc3 regulate T(H)2 differentiation and modulate TCR-responsiveness of naive T(H)cells. Nat Immunol 3, 48-54. Richards, E. J., and Elgin, S. C. (2002). Epigenetic codes for heterochromatin formation and silencing: rounding up the usual suspects. Cell 108, 489-500. Romagnani, S. (1994). Lymphokine production by human T cells in disease states. Annu Rev Immunol 12, 227-257. Rulifson, I. C., Sperling, A. I., Fields, P. E., Fitch, F. W., and Bluestone, J. A. (1997). CD28 costimulation promotes the production of Th2 cytokines. J Immunol 158, 658-665. Rusnak, F., and Mertz, P. (2000). Calcineurin: form and function. Physiol Rev 80, 14831521. Sadick, M. D., Locksley, R. M., Tubbs, C., and Raff, H. V. (1986). Murine cutaneous leishmaniasis: resistance correlates with the capacity to generate interferon-gamma in response to Leishmania antigens in vitro. J Immunol 136, 655-661. Saint-Ruf, C., Ungewiss, K., Groettrup, M., Bruno, L., Fehling, H. J., and von Boehmer, H. (1994). Analysis and expression of a cloned pre-T cell receptor gene. Science 266, 1208-1212. Samelson, L. E. (2002). Signal transduction mediated by the T cell antigen receptor: the role of adapter proteins. Annu Rev Immunol 20, 371-394. 54 Santos, F., Hendrich, B., Reik, W., and Dean, W. (2002). Dynamic reprogramming of DNA methylation in the early mouse embryo. Dev Biol 241, 172-182. Scott, P., Pearce, E., Cheever, A. W., Coffman, R. L., and Sher, A. (1989). Role of cytokines and CD4+ T-cell subsets in the regulation of parasite immunity and disease. Immunol Rev 112, 161-182. Seder, R. A., and Ahmed, R. (2003). Similarities and differences in CD4+ and CD8+ effector and memory T cell generation. Nat Immunol 4, 835-842. Shi, Y., Seto, E., Chang, L. S., and Shenk, T. (1991). Transcriptional repression by YY 1, a human GLI-Kruppel-related protein, and relief of repression by adenovirus E1A protein. Cell 67, 377-388. Shortman, K., and Wu, L. (1996). Early T lymphocyte progenitors. Annu Rev Immunol 14, 29-47. Siegfried, Z., and Cedar, H. (1997). DNA methylation: a molecular lock. Curr Biol 7, R305-307. Sleckman, B. P., Bassing, C. H., Bardon, C. G., Okada, A., Khor, B., Bories, J. C., Monroe, R., and Alt, F. W. (1998). Accessibility control of variable region gene assembly during T-cell development. Immunol Rev 165, 121-130. Soutto, M., Zhang, F., Enerson, B., Tong, Y., Boothby, M., and Aune, T. M. (2002). A minimal IFN-gamma promoter confers Thl selective expression. J Immunol 169, 42054212. Spellberg, B., and Edwards, J. E., Jr. (2001). Type 1/Type 2 immunity in infectious diseases. Clin Infect Dis 32, 76-102. Stein, R., Gruenbaum, Y., Pollack, Y., Razin, A., and Cedar, H. (1982). Clonal inheritance of the pattern of DNA methylation in mouse cells. Proc Natl Acad Sci U S A 79, 61-65. Straus, D. B., and Weiss, A. (1992). Genetic evidence for the involvement of the lck tyrosine kinase in signal transduction through the T cell antigen receptor. Cell 70, 585593. Szabo, S. J., Dighe, A. S., Gubler, U., and Murphy, K. M. (1997). Regulation of the interleukin (IL)-12R beta 2 subunit expression in developing T helper 1 (Thl) and Th2 cells. J Exp Med 185, 817-824. 55 Szabo, S. J., Kim, S. T., Costa, G. L., Zhang, X., Fathman, C. G., and Glimcher, L. H. (2000). A novel transcription factor, T-bet, directs Th 1 lineage commitment. Cell 100, 655-669. Szabo, S. J., Sullivan, B. M., Stemmann, C., Satoskar, A. R., Sleckman, B. P., and Glimcher, L. H. (2002). Distinct effects of T-bet in TH lineage commitment and IFNgamma production in CD4 and CD8 T cells. Science 295, 338-342. Takeda, A., Hamano, S., Yamanaka, A., Hanada, T., Ishibashi, T., Mak, T. W., Yoshimura, A., and Yoshida, H. (2003). Cutting edge: role of IL-27/WSX-1 signaling for induction of T-bet through activation of STAT1 during initial Thl commitment. J Immunol 170, 4886-4890. Takeda, K., Tanaka, T., Shi, W., Matsumoto, M., Minami, M., Kashiwamura, S., Nakanishi, K., Yoshida, N., Kishimoto, T., and Akira, S. (1996). Essential role of Stat6 in IL-4 signalling. Nature 380, 627-630. Takemoto, N., Kamogawa, Y., Jun Lee, H., Kurata, H., Arai, K. I., O'Garra, A., Arai, N., and Miyatake, S. (2000). Cutting edge: chromatin remodeling at the IL-4/IL-13 intergenic regulatory region for Th2-specific cytokine gene cluster. J Immunol 165, 6687-6691. Takemoto, N., Koyano-Nakagawa, N., Yokota, T., Arai, N., Miyatake, S., and Arai, K. (1998). Th2-specific DNase I-hypersensitive sites in the murine IL-13 and IL-4 intergenic region. Int Immunol 10, 1981-1985. Tan, S. L., and Parker, P. J. (2003). Emerging and diverse roles of protein kinase C in immune cell signalling. Biochem J 376, 545-552. Teixeira, L. K., Fonseca, B. P., Vieira-de-Abreu, A., Barboza, B. A., Robbs, B. K., Bozza, P. T., and Viola, J. P. (2005). IFN-gamma production by CD8+ T cells depends on NFAT 1 transcription factor and regulates Th differentiation. J Immunol 175, 59315939. Thomas, M. J., and Seto, E. (1999). Unlocking the mechanisms of transcription factor YY 1: are chromatin modifying enzymes the key? Gene 236, 197-208. Tivol, E. A., Borriello, F., Schweitzer, A. N., Lynch, W. P., Bluestone, J. A., and Sharpe, A. H. (1995). Loss of CTLA-4 leads to massive lymphoproliferation and fatal multiorgan tissue destruction, revealing a critical negative regulatory role of CTLA-4. Immunity 3, 541-547. 56 Tong, Y., Aune, T., and Boothby, M. (2005). T-bet antagonizes mSin3a recruitment and transactivates a fully methylated IFN-gamma promoter via a conserved T-box half-site. Proc Natl Acad Sci U S A 102, 2034-2039. Trinchieri, G. (2003). Interleukin-12 and the regulation of innate resistance and adaptive immunity. Nat Rev Immunol 3, 133-146. Trinchieri, G., Pflanz, S., and Kastelein, R. A. (2003). The IL-12 family of heterodimeric cytokines: new players in the regulation of T cell responses. Immunity 19, 641-644. Turner, B. M. (2002). Cellular memory and the histone code. Cell 111, 285-291. Usui, T., Nishikomori, R., Kitani, A., and Strober, W. (2003). GATA-3 suppresses Thl development by downregulation of Stat4 and not through effects on IL-12Rbeta2 chain or T-bet. Immunity 18, 415-428. Villadangos, J. A., and Ploegh, H. L. (2000). Proteolysis in MHC class II antigen presentation: who's in charge? Immunity 12, 233-239. von Boehmer, FI. (2005). Unique features of the pre-T-cell receptor alpha-chain: not just a surrogate. Nat Rev Immunol 5, 571-577. von Boehmer, H., Aifantis, I., Gounari, F., Azogui, O., Haughn, L., Apostolou, I., Jaeckel, E., Grassi, F., and Klein, L. (2003). Thymic selection revisited: how essential is it? Immunol Rev 191, 62-78. Wange, R. L., Guitian, R., Isakov, N., Watts, J. D., Aebersold, R., and Samelson, L. E. (1995). Activating and inhibitory mutations in adjacent tyrosines in the kinase domain of ZAP-70. J Biol Chem 270, 18730-18733. Wange, R. L., and Samelson, L. E. (1996). Complex complexes: signaling at the TCR. Immunity 5, 197-205. Waterhouse, P., Penninger, J. M., Timms, E., Wakeham, A., Shahinian, A., Lee, K. P., Thompson, C. B., Griesser, H., and Mak, T. W. (1995). Lymphoproliferative disorders with early lethality in mice deficient in Ctla-4. Science 270, 985-988. Watford, W. T., Hissong, B. D., Bream, J. H., Kanno, Y., Muul, L., and O'Shea, J. J. (2004). Signaling by IL-12 and IL-23 and the immunoregulatory roles of STAT4. Immunol Rev 202, 139-156. Watts, C. (2004). The exogenous pathway for antigen presentation on major histocompatibility complex class II and CD1 molecules. Nat Immunol 5, 685-692. 57 Weisenberger, D. J., Velicescu, M., Preciado-Lopez, M. A., Gonzales, F. A., Tsai, Y. C., Liang, G., and Jones, P. A. (2002). Identification and characterization of alternatively spliced variants of DNA methyltransferase 3a in mammalian cells. Gene 298, 91-99. Wenner, C. A., Guler, M. L., Macatonia, S. E., O'Garra, A., and Murphy, K. M. (1996). Roles of IFN-gamma and IFN-alpha in IL-12-induced T helper cell-I development. J Immunol 156, 1442-1447. White, G. P., Watt, P. M., Holt, B. J., and Holt, P. G. (2002). Differential patterns of methylation of the IFN-gamma promoter at CpG and non-CpG sites underlie differences in IFN-gamma gene expression between human neonatal and adult CD45RO- T cells. J Immunol 168, 2820-2827. Wierenga, E. A., Snoek, M., Bos, J. D., Jansen, H. M., and Kapsenberg, M. L. (1990). Comparison of diversity and function of house dust mite-specific T lymphocyte clones from atopic and non-atopic donors. Eur J Immunol 20, 1519-1526. Winders, B. R., Schwartz, R. H., and Bruniquel, D. (2004). A distinct region of the murine IFN-gamma promoter is hypomethylated from early T cell development through mature naive and Thl cell differentiation, but is hypermethylated in Th2 cells. J Immunol 173, 7377-7384. Wu, L., Antica, M., Johnson, G. R., Scollay, R., and Shortman, K. (1991). Developmental potential of the earliest precursor cells from the adult mouse thymus. J Exp Med 174, 1617-1627. Wurster, A. L., Tanaka, T., and Grusby, M. J. (2000). The biology of Stat4 and Stat6. Oncogene 19, 2577-2584. Xie, S., Wang, Z., Okano, M., Nogami, M., Li, Y., He, W. W., Okumura, K., and Li, E. (1999). Cloning, expression and chromosome locations of the human DNMT3 gene family. Gene 236, 87-95. Xu, X., Sun, Y. L., and Hoey, T. (1996). Cooperative DNA binding and sequence- selective recognition conferred by the STAT amino-terminal domain. Science 273, 794797. Yang, W. M., Inouye, C., Zeng, Y., Bearss, D., and Seto, E. (1996). Transcriptional repression by YY 1 is mediated by interaction with a mammalian homolog of the yeast global regulator RPD3. Proc Natl Acad Sci U S A 93, 12845-12850. 58 Yang, W. M., Yao, Y. L., Sun, J. M., Davie, J. R., and Seto, E. (1997). Isolation and characterization of cDNAs corresponding to an additional member of the human histone deacetylase gene family. J Biol Chem 272, 28001-28007. Yazdanbakhsh, M., Kremsner, P. G., and van Ree, R. (2002). Allergy, parasites, and the hygiene hypothesis. Science 296, 490-494. Ye, J., Cippitelli, M., Dorman, L., Ortaldo, J. R., and Young, H. A. (1996). The nuclear factor YY 1 suppresses the human gamma interferon promoter through two mechanisms: inhibition of AP1 binding and activation of a silencer element. Mol Cell Biol 16, 47444753. Yoshida, H., Hamano, S., Senaldi, G., Covey, T., Faggioni, R., Mu, S., Xia, M., Wakeham, A. C., Nishina, H., Potter, J., et al. (2001). WSX-1 is required for the initiation of Th 1responses and resistance to L. major infection. Immunity 15, 569-578. Yoshimura, A., Lien, E., Ingalls, R. R., Tuomanen, E., Dziarski, R., and Golenbock, D. (1999). Cutting edge: recognition of Gram-positive bacterial cell wall components by the innate immune system occurs via Toll-like receptor 2. J Immunol 163, 1-5. Young, H. A., Ghosh, P., Ye, J., Lederer, J., Lichtman, A., Gerard, J. R., Penix, L., Wilson, C. B., Melvin, A. J., McGurn, M. E., and et al. (1994). Differentiation of the T helper phenotypes by analysis of the methylation state of the IFN-gamma gene. J Immunol 153, 3603-3610. Zhang, D. H., Cohn, L., Ray, P., Bottomly, K., and Ray, A. (1997). Transcription factor GATA-3 is differentially expressed in murine Thl and Th2 cells and controls Th2specific expression of the interleukin-5 gene. J Biol Chem 272, 21597-21603. Zhang, F., Wang, D. Z., Boothby, M., Penix, L., Flavell, R. A., and Aune, T. M. (1998a). Regulation of the activity of IFN-gamma promoter elements during Th cell differentiation. J Immunol 161, 6105-6112. Zhang, W., Sloan-Lancaster, J., Kitchen, J., Trible, R. P., and Samelson, L. E. (1998b). LAT: the ZAP-70 tyrosine kinase substrate that links T cell receptor to cellular activation. Cell 92, 83-92. Zhang, Y., and Reinberg, D. (2001). Transcription regulation by histone methylation: interplay between different covalent modifications of the core histone tails. Genes Dev 15, 2343-2360. Zhu, J., Cote-Sierra, J., Guo, L., and Paul, W. E. (2003). StatS activation plays a critical role in Th2 differentiation. Immunity 19, 739-748. 59 Zhu, J., Min, B., Hu-Li, J., Watson, C. J., Grinberg, A., Wang, Q., Killeen, N., Urban, J. F., Jr., Guo, L., and Paul, W. E. (2004). Conditional deletion of Gata3 shows its essential function in T(H)l-T(H)2 responses. Nat Immunol 5, 1157-1165. 60 Chapter 2: Site-Specific Methylation Suppresses IFN-y Promoter Activity by Directly Inhibiting Factor Binding Brendan Jones and Jianzhu Chen 61 Summary When they become activated, naive helper T cells are able to polarize into either TH cells or TH2 cells. Development of naive CD4+ T cells into TH1 cells is characterized by the expression of IFN-y and the silencing of IL-4, while development into TH2 cells is characterized by expression of IL-4 and silencing of IFN-y. Here we show that the IFN-y proximal promoter undergoes progressive de novo methylation during TH2 polarization. Notably, methylation at different CpG sites occurs at different rates, with methylation occurring fastest at the CpG located at the -53 position relative to the transcription start site. Methylation at this position inhibits c-Jun, ATF2 and CREB binding in vitro. Consistently, the same factors bind to the unmethylated promoter in a TH1 cell line, but not the methylated promoter in a TH2 cell line. Furthermore, methylation of the proximal promoter at the -53 position alone is sufficient to inhibit promoter activity in transient transfection assays. Thus, the rapid methylation of the -53 CpG at the onset of TH2 polarization helps to prevent IFN-y transcription by directly inhibiting transcription factor binding prior to the extensive methylation of the IFN-y promoter. 62 Introduction One of the most important aspects of the adaptive immune system is the ability to adjust its response in order to more effectively combat different forms of pathogenic infection. An important mechanism that contributes to this adaptive process is the polarization of CD4+ helper T cells. When a naive helper T cell becomes activated, it can differentiate into at least two phenotypes, T helper type 1 (TH1),or T helper type 2 (TH2) (Jankovic et al., 2001; Mosmann et al., 1986; Murphy and Reiner, 2002). T 1 cells are generated in response to intracellular pathogens, such as virus or intracellular bacteria (Romagnani, 1994; Spellberg and Edwards, 2001), and secrete interferon-y (IFN-y), tumor necrosis factor a (TNFa) and TNF3 (Grogan and Locksley, 2002; Murphy et al., 2000). TH2 cells are generated in response to helminths (Pearce et al., 1991; Scott et al., 1989), and secrete a different set of cytokines, including interleukin-4 (IL-4), IL-5, and IL-13 (Romagnani, 1994; Spellberg and Edwards, 2001). Improper helper T cell polarization has been shown result in an ineffective immune response, allergies, and autoimmune disease (Chitnis and Khoury, 2003; Romagnani, 1994; Spellberg and Edwards, 2001). The molecular and genetic interactions involved in the regulation of this polarization process have been extensively studied, and have been described in detail in the previous chapter. One of the major factors that determines naive helper T cell fate upon antigenic stimulation is the induction of transcription factors T-bet and GATA3 (Lee et al., 2000; Szabo et al., 2000; Zhang et al., 1997). Expression of T-bet, which is downstream of the IFN-y receptor (Lighvani et al., 2001) and Statl (Mullen et al., 2001), is sufficient to induce TH1 polarization of naive CD4+ T cells, and ectopic expression in fully differentiated TH2 cells is sufficient to induce IFN-y expression upon PMA and ionomycin stimulation (Szabo et al., 2000). Furthermore, mice that are deficient in T cell T-bet expression have impaired T 1 polarization (Szabo et al., 2002). Expression of GATA3, which has been shown to be downstream of the IL-4 receptor and Stat6 (Zhang et al., 1997), is sufficient to induce a TH2 phenotype in CD4 + T cells (Lee et al., 2000), and mice that are deficient in T cell GATA3 expression have an impaired, though not completely depleted, TH2 response (Pai et al., 2004; Zhu et al., 2004). Furthermore, T-bet 63 suppresses TH2 polarization, at least partly through a direct binding and inhibition of GATA3 (Hwang et al., 2005), while GATA3 represses TH polarization by inhibiting Stat4, (Usui et al., 2003) and suppressing IL-12 receptor beta expression (Lee et al., 2000). Because of this, once a sufficient level of T-bet or GATA3 is induced, a T cell will polarize to one of the two subsets. While T-bet and GATA3 play a major roll in the differentiation of helper T cells, the upregulation of these transcription factors are not necessary for the initial transcription of IFN-y and IL-4. It has been demonstrated that, under both THI and TH2 polarizing conditions, both IFN-y and IL-4 transcription is initiated within one hour of naive helper T cell activation (Grogan et al., 2001). In contrast, T-bet and GATA3 mRNA levels are not significantly increased until between 24 and 72 hours postactivation (Grogan et al., 2001). These observations indicated that IFN-y and IL-4 can be expressed without upregulation of T-bet or GATA3 respectively. Furthermore, factors sufficient for transcription of IFN-y and IL-4 preexist in naive helper T cells, and, upon activation, conditions temporarily become conducive to the expression of both cytokines. A sustained expression of either cytokine following CD4+ T cell activation would likely interfere with helper T cell polarization because IFN-y promotes TH polarization but inhibits TH2 polarization (Afkarian et al., 2002; Seder et al., 1992), and 11-4promotes TH2 polarization but inhibits TH polarization (Hsieh et al., 1992; Seder et al., 1992). Thus, proper helper T cell polarization probably requires a mechanism to suppress the inappropriate cytokine gene expression. Indeed, as CD4+ T cell polarization progresses, IFN-y transcription is repressed in cells polarized under TH2 conditions, while transcription of IL-4 is repressed in cells polarized under THI conditions (Grogan et al., 2001). As was described in the previous chapter, a mechanism that has been implicated in long-term suppression of IFN-y expression is DNA methylation (Yano et al., 2003; Young et al., 1994) and chromatin remodeling (Agarwal and Rao, 1998; Ansel et al., 2003). CpG methylation in the promoter region often correlates with gene expression in that transcribed genes are usually hypomethylated whereas silent genes are usually hypermethylated (Jeltsch, 2002; Richards and Elgin, 2002). Consistently, the IFN-y locus is hypomethylated in IFN-y expressing THI cell lines but hypermethylated in TH2 cell 64 lines, which do not express IFN-y (Young et al., 1994). In naive CD4+ T cells, from which the THI and TH2 populations arise, there are conflicting reports as to the methylation status of IFN-y promoter, as it has been reported as both hypermethylated (Katamura et al., 1998; Melvin et al., 1995; White et al., 2002) and hypomethylated(Winders et al., 2004). It has been suggested that hypermethylation could induce chromatin remodeling through a variety of mechanisms, including the recruitment of methylated CpG binding proteins and histone deacetylases (Jones et al., 1998; Nan et al., 1998). As histone hyperacetylation is associated with an open chromatin confirmation, while histone hypoacetylation is associated with a closed chromatin confirmation (Jenuwein and Allis, 2001), histone cleacetylases provide a mechanism for the induction of chromatin mediated silencing. It has been shown that the IFN-y locus is hypoacetylated in nafve helper T cells (Avni et al., 2002), correlating with a lack of IFN-y expression in these cells. Upon T cell activation, the IFN-y locus rapidly becomes acetylated independent of polarizing conditions (Avni et al., 2002), which correlates with the rapid T-bet independent IFN-y transcription that occurs following activation (Grogan et al., 2001). During TH1 polarization, the locus remains hypoacetylated, while during TH2 polarization the locus becomes hyperacetylated (Avni et al., 2002). This correlates both with the IFN-y transcription and the promoter methylation state in these populations. Thus, promoter methylation provides a possible mechanism for the chromatin-mediated silencing of the IFN-y locus that has been observed in long-term polarized TH2 cells. Because establishment of chromatin-mediated transcription suppression is usually a slow process, the question that arises is whether methylation at the IFN-y promoter directly and immediately inhibits IFN-y transcription by inhibiting transcription factor binding during the course of TH2 polarization. Among the transcription factors where this type of regulation is likely are the AP1 and CREB/ATF families. There are at least two possible binding sites for AP1 and CREB/ATF family members in the proximal IFNy promoter, one located at -90 to -78 bp (distal) and the other at -70 to -44 bp (proximal) relative to the transcription start site (Figure 1) (Aune et al., 1997; Penix et al., 1996; Zhang et al., 1998), with both sites capable of driving some level of reporter gene expression in cells that express IFN-y (Aune et al., 1997; Penix et al., 1993). 65 -205 -190 -170 -52 -45 -34 +16 +96' A. B. IFN-y proximal promoter sequence alignment Mouse Rat Human Chimp Dog -205 -190 -170 TTCAGAGAATCCCACAAGAATGGCACAGGTGGGCACAGCGGGGCTGTCTCATCGTCAGAGAGCCCAAGGAGTCGAAAGGA TTCAGAGAATCCCACAAGAATGGCACAGGTGGGCACGGTGGGACCGTCTCATCGTCAGAGAGCCCAAGGAGTCGAAAGGA TTCAAAGAATCCCACCAGAATGGCACAGGTGGGCATAATGGGTCTGTCTCATCGTCAAAGGACCCAAGGAGTCTAAAGGA TTCAAAGAATCCCACCAGAATGGCACAGGTGGGCATAATGGGTCTGTCTCATCGTCAAAGGACCCAAGGAGTCTAAAGGA TTCAAAGGATCCCACAAGAATGGCACAGAGGGGCATAATGGGTCTGTCTCATCGTCAAAAGACCCAAGGAGTTGAAAGGA Mouse Rat Human Chimp Dog AACTCTAAC----ATGCC-ACA------AAA-CCATAGCTGTAATGCAAAGTAACTTAGCTCCCCCCACCTATCTGTCAC AACTCTAACTACAACACCGACAGGCCACAAA-CCATAGCTATAATGCAAAGTAACTAAGCTCCCGCCACCTATCTTTCAC AACTCTAACTACAACACCCAAATGCCACAAAACCTTAGTTAT----TAATACAAACTATCATCC-CTGCCTATCTGTCAC AACTCTAACTACAACACCCAAATGCCACAAAACCTTAGTTAT----TAATACAAACTAGCATCC-CTGCCTATCTGTCAC AACTCTAACTACAACACCAAAATGCCACAAAACCATAGTTAT----TAATACAAACTAGCATCT-CTGCCTATCTGTCAC Mouse Rat Human Chimp Dog -53 45 -34 CATCTTAAAAAAAAAAAAAAACCAAAAAAAAACTTG AAAATACGTAAT CCGAGGAGCCTTCGATCAGGTATAAA-AC CATCTTAAC ----------TTAAAAAAAAACCTGW AAAATACGTAAT¶CCAAGAAGCCTTCGGTCATGTATAAA-AC CATCTCA--------------TCTTAAAAAA-CTTGWAAAATACGTAATCTCAGGAGACTTCAATTAGGTATAAATAC CATCTCA--------------TCTTAAAAAA-CTTGWAAAATACGTAATCTCAGGAGACTTCAATTAGGTATAAATAC CATCTCA--------------GCTAAAAAAAACTTG1TAAAATACGTAA CT--GAGGACTTCAATTAGGTATAAATAC CREB/ATF AP1 Mouse Rat Human Chimp Dog Mouse Rat Human Chimp Dog +16 I TGGAAGCCAGAG-AGGTGCAGGCTATAGCT---GCCATC----GGCTGACC--TAGAGAAGACACATCAGCTGA-TCCTT TGGAAGCAAGAG-AGGTGCAGCGTATAGCT---GCCATC---- GGCTGATC--TAGAGAAGACACATCAGCTGA-TTCTT CAGCAGCCAGAGGAGGTGCAGCACATTGTTCTGATCATCTGAAGATCAGCTATTAGAAGAGAAAGATCAGTTAAGTCCTT CAGCAGCCAGAGGAGGTGCAGCACATTGTTCTGATCATCTGAAGATCAGCTATTAGAAGAGAAAGATCAGTTAAGTCCTT CAGCAGCAGAAGGAGATGCAGTACATTTTTCTGATTGTCTACAGGTTGGCTATTAGAAAAGAAAGATCAGCTGAGTCCTT +96 TGGACCCT-CTGACTTGAGACAGAAGTTCTGGGCTTCTCCTCCTGCGG CGGACTCT-CTGACTTAATACAGGAGTTCTGGGCTTTCCCTGCCTTGG TGGACCTGATCAGCTTGATACAAGAACTACTGATTTCAACTTCTTTGG TGGACCTGATCAGCTTGATACAAGAACTACTGATTTCAACTTCTTTGG TGGACCTGATCAACTTCATCCAGGAGCTACTGACTTCAACTACTTCGG Figure 1. Conservation of CpGs in the IFN-y proximal promoter and contiguous transcribed region. (A) Schematic showing the CpG locations in the IFN-y proximal promoter and contiguous transcribed region. (B) A sequen ce alignment of t he IFN-y proximal promoter and the contiguous transcribed region from mouse, rat, human, chimp and dog. The CpGs located at the -190 and -53 positions relative to the transcription start site are conserved between all shown species. The position of the proximal CREB/ATF and AP1 transcription factor binding site is also indicated. 66 Interestingly, one of the two CpGs that are conserved in the IFN-y promoter among mouse, rat, dog, chimpanzee, and human resides in the proximal AP1 binding site (the -53 CpG) (Figure 1), and methylation of this CpG has been shown to change factor binding to this site, though it is unclear exactly what factors are affected by methylation (Young et al., 1994). Considering that CpG methylation can inhibit the binding of some AP1 family members to the promoter sequences of TrkA and neurotensin/neuromedin N gene (Dong et al., 2000; Fujimoto et al., 2005), it is possible that CpG methylation plays a direct role in regulating IFN-y transcription. However, the kinetics and the exact nature and consequences of CpG methylation in the promoter on IFN-y transcription during TH2 polarization have yet to be elucidated. We have here examined, in detail, the methylation changes that occur in the IFN-y promoter during helper T cell polarization and how these changes affect transcription factor binding and promoter function. We have shown that all CpGs within the IFN-y proximal promoter are hypomethylated in naive CD4+ T cells and undergo progressive de novo methylation during T. 2 polarization, with the CpG at the conserved -53 position becoming methylated much more rapidly than the other CpGs. Methylation of the -53 CpG inhibits binding to the proximal AP1 CREB/ATF site by CREB and ATF2/c-Jun in vitro. Correspondingly, the same factors bind to the hypomethylated IFN-y promoter in TH1 cells but not the hypermethylated IFN-y promoter in TH2 cells. Furthermore, methylation of the -53 CpG alone is sufficient to inhibit the IFN-y promoter-driven reporter gene expression in a TH1 cell line. Collectively, these findings suggest that the rapid and site-specific methylation of the IFN-y promoter can immediately suppress IFN-y transcription during TH2cell polarization by directly inhibiting transcription factor binding. 67 Results The IFN-y promoter is hypermethylated in cells that do not express IFN-y In mice, the IFN-y proximal promoter contains six CpG dinucleotides (Figure 1A), two of which, one at -53 position and the other at -190 position, are also conserved in rat, dog, chimpanzee, and human (Figure 1B). Studies have shown that the IFN-y proximal promoter is hypomethylated in IFN-y expressing TH1 cells and hypermethylated in TH2cells, which do not express IFN-y (Young et al., 1994). This correlates with the presumption that the promoters of silent genes are hypermethylated, while the promoters of transcribed genes are hypomethylated (Jeltsch, 2002; Richards and Elgin, 2002). In order to confirm that this correlation holds true for the IFN-y locus, we quantitatively determined the methylation state of the IFN-y promoter in cells can do not express IFN-y. To make a quantitative measurement of CpG methylation, we used sodium bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Sodium bisulfite treatment, when followed by a deamination step, converts unmethylatied cytosine to uracil. However, methylated cytosine residues are resistant to bisulfite conversion. During a subsequent PCR amplification, the uracil becomes converted to thymadine. Therefore, by cloning and sequencing the PCR product we could quantitatively determine the methylation percentage at a given CpG dinucleotide by dividing the number of cytosine residues at a particular position by the total number of sequenced clones. In order to test the efficiency of conversion, we calculated the frequency of conversion of C to T of cytosines that were not part of a CpG dinucleotide. As non-CpG cytosines are almost never methylated in mammalian cells, we expected a near 100% conversion of these bases. The conversion percentage we obtained was greater than 99%, indicating the adequacy of this approach. In order to determine the methylation state of the IFN-y promoter in cells that can not transcribe IFN-y, genomic DNA was isolated from sorted B220+ B cells, kidney cells, and heart cells, and was then subject to bisulfite conversion, PCR, cloning and sequencing. As summarized in the schematic representation of representative sequences and the total methylation percentages displayed in Figure 2, the kidney cells and heart cells were almost completely methylated at both the IFN-y promoter and the proximal 68 Representative IFN-y promoter Sequences A. Kidney Heart AAA VVW la, Ift AAA WWW AAA A Ah Ah AAA AA AAA AAA AAA AhA --- WW AAA - - A - A UVW AA& AAA so$ lowW W WWW ,a II/WWW AAA ###--WWW AA& WWW WWW V A WWW Ah WWW WWW AAA W-4 VIVMr--VVV AAA AAA B-cells WV A W --- V AAAA WaW fvw AA AAA - -205 -190 -170 dA A& WmFvr-- VVW VV OUnmethylated CpG B. WWVW W-~0M W s~~A' WaN A A A AAA A a WWW AAA A-Am A W W AA W lAAA IWWVWW *Methylated CpG -53 -45 -34 16 96 Percentages of CpG methylation in cells that do not express IFN-y Cell Type/Tissue Kidney Heart B Cells N 50 18 15 -205 96 100 80 -190 96 94 87 -170 100 100 73 -53 98 94 93 -45 96 94 87 -34 98 100 100 16 98 100 93 96 98 100 93 Figure 2. The IFN-y proximal promoter and contiguous transcribed region are hypermethylated in cells that will never express IFN-y. (A) Schematic representation of the methylation status of the CpGs within the IFN-y proximal promoter and contiguous transcribed region of kidney, heart, and B cells. Data shown is from 10 randomly selected clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Heart and kidney cells were taken from Balb/c mice, while B cells were isolated by FACS from the spleens of C57B16 mice. (B) The percentages of CpG methylation at the IFN-y locus in heart, kidney and B cells. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least two different PCR amplifications with two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 69 coding region (> 94%). While the IFN-y promoter and coding region was also highly methylated in B cells, there was a slight, but significant (p < 0.001) reduction in the methylation percentage in the promoter when compared to the kidney or heart cells. While the physiological significance of this difference, if any, is unclear, IFN-y expression by some human B cell subsets (Li et al., 1996) and human B cell lines (Pang et al., 1992) has been demonstrated under certain conditions. It is therefore possible that B cells may be slightly more predisposed towards IFN-y expression than heart or kidney cells. The IFN-y promoter is already hypomethylated in precursor T cells It has been demonstrated that the IFN-y promoter is hypomethylated at the CpG located at the -53 position relative to the transcriptional start site in IFN-y expressing THI cell lines, and is hypermethylated at this position in TH2 cell lines that do not express IFN-y (Young et al., 1994). In order to expand upon this observation, we determined the methylation percentage for the six CpGs of the IFN-y proximal promoter and the two most 5' CpGs of the transcribed region for the THI cell line AE7 and the TH2 cell line D10 (Figure 3). The results we obtained confirmed the assumption that, in these cells, the -53 CpG was representative of the other CpGs within proximal promoter. In the THI cell line, each CpG within the IFN-y proximal promoter was completely unmethylated, while the CpGs within the proximal transcribed region had only low levels of methylation ( 1%). In the TH2cell line, the CpGs within both the proximal promoter and transcribed region were almost completely methylated ( 94%). As has been previously shown, the AE7 cells, but not the D10 cells, were able to rapidly express IFNy upon PMA and ionomycin stimulation (Figure 4). Thus, the CpG methylation patterns within the TH1 clone AE7 and the TH2 clone DO10correlate with the IFN-y expression of these cells. While the fully differentiated THI and TH2 cell lines have IFN-y promoter methylation patterns that correlate with gene expression, in naive CD4' T cells, from which the THI and TH2 populations arise, the methylation status of the IFN-y promoter has been reported as both hypermethylated and hypomethylated (Katamura et al., 1998; Melvin et al., 1995; White et al., 2002; Winders et al., 2004). To resolve this 70 Representative IFN-y promoter Sequences A. AE7 Cells D10 Cells (TH1) (TH 2 ) we~~~~~~~.W __ ~~~~~~~~AAnew CellType oo00 0N -205 0ooE4AAA Ae -341 -190 -170AA -53 VAA -45 CpG 18 0 -205 -1 90-170 B. 0 -53 -45 18 94 100 WWW WWW W WW 16 W WW AAAh AAhhA[ 96 A Methylated AUnmethylated CpG 0 WAE7(TH1) 0 W0 0 -34 Percentagesof CpG methylationin THi D 1 0(TH2) ''-WWW 100 16 and 1 00 6 11 100 100 96 TH 2 cell clones 1 00 1 00 Figure 3. The IFNy proximal promoter and contiguous transcribed AA Ah 'A region are -205IFN-y -190 -170 -53and -45 Din -34 cells. regosent 16 number 96 diffeigurent PCR amplifications. promoter ncolumnsre CpG B.hypomethylated Percentagmethylation at the locusand inThe A E7 The in the N of columnes hypomethylated hypermethylated D1O cells. in AE7 AE7 cells cells and hypermethylated in D10 cells.the percents represents thype number of clones sequenced. are 0from at leastIFN-y (A) Schematic representation methylation status (A) Schematic representation of the tWW he0CpGs wWithin AE7 (TH1) 18 0 methylation 0 Sequenced 0status 1 1two96 OW0ofclones W6 the IFN-y D 10 (TH2) 18 94 100 100 100 100 100 100 100 the TH THi cell line AE7 and the proximal promoter and contiguous transcribed region of the TH2 Data randomly clones, with the filledCpGs. ovals TH2cell line D1O. D0. shown is from 10 selected methylatedOUrepresenting CpGs and the empty ovals representing unmethylated CpG m ethylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. (B) The percentages of CpG representing methylationed CpGs a the emptIFN-y locuvalsrepresenting unmethyldcated cell types or tissues pas determined by bisulfitate was determined by sequencing. bg.sulfite conversion of genomic ofDNAg. followed by PCR amplification, cloning and (B) The percentages CpG methylation at number the IFN-y A E7 and D0 cells. The number in theatNleast column represents the of locus clonesinThe sequenced. Sequenced clones are from two different PCR amplifications. other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bsulfite sequencing. 71 IFN-y D 1 hour of PMA and lonomycin Stimulation [~J No Stimulation. IIlsotype Control Figure 4. The T HI cell line AE7 expresses IFN-y when stimulated, but the T H2 cell line D10 does not. FACS histograms showing the IFN-y expression of AE7 and D 10 cells. AE7 and D 10 cells were either stimulated with PMA and i onomycin for 2 hours, or left without stimulation, and IFN-y expression was measured by cytokine recapture FACS. Stimulated cells were also stained with an isotype control antibody. The sh aded histogram represents the isotype control, the dashed histogram represents cells without stimulation and the solid line represents cells with stimulation. 72 inconsistency, we measured the extent of methylation of all six CpGs in the proximal promoter, as well as the two CpGs in the transcribed region immediately following the promoter, in purified naive CD4+ T cells (Figure 5). We found that in DNA isolated from freshly purified naive CD4+ T cells, which do not transcribe IFN-y, the IFN-y promoter was hypomethylated ( 9% methylation at any CpG), while the transcribed region of the gene was hypermethylated ( 85% methylation at both CpGs). These results are consistent with and further extend those reported by Winders et al. Like naive CD4* T cells, naive CD8+ T cells do not express IFN-y, but have the capacity to express IFN-y following activation (Grayson et al., 2001). To determine whether these cells have the same methylation pattern at the IFN-y promoter as the naive CD4+ T cells, we purified fresh naive CD8+ T cells and analyzed their methylation state (Figure 5). Like naive CD4+ T cells, in this cell population the IFN-y promoter was hypomethylated ( 4% methylation at any CpG), while the transcribed region of the gene was hypermethylated ( 92% methylation at both CpGs). CD4+ T cells and CD8+ T cells are derived from a common progenitor within the thymus, while B cells and T cells are derived from an earlier progenitor within the bone marrow. As the IFN-y proximal promoter is hypermethylated in B cells, but hypomethylated in naive CD4+ and CD8+ T cells, it is possible that demethylation of the IFN-y promoter takes place during thymic development. We investigated the stages during T cell development in which the IFN-y promoter first becomes hypomethylated. To accomplish this, CD4-CD8- (double negative or DN), CD4+CD8+ (double positive or D)P), CD4 + (single positive or SP), and CD8 + SP thymocytes were purified by FACS and assayed for methylation at the IFN-y locus. In all four thymocyte populations, the IFN-y promoter was hypomethylated (< 5% methylation at any CpG) while the transcribed region was hypermethylated ( 96% methylation at both CpGs) (Figure 6), showing the same IFN-y promoter methylation phenotype as naive CD4+ and CD8+ T cells that were isolated from spleens and lymph nodes. To further determine the developmental stages when IFN-y promoter becomes hypomethylated, and to further correlate IFN-y expression with IFN-y locus methylation, we assayed the methylation status of freshly purified natural killer (NK) cells. Like T cells, NK cells are differentiated from DN thymocytes, 73 Representative IFN-y promoter Sequences A. Nai'Ve CD4+ T cells NaVe CD8+ T cells 0 0~~ooE QOO-G&--( ooo-oo^ ooo=oo0L *oo-ooQ-z oo00ooL .oo QO-OO7 ooo-.o-' C.oE ooo~rooo.5L oo00_00~E oooo~~E OOO-OOOUnmethylated -205 -190 -170 B. CpG OMethylated -53 -45 -34 CpG 16 96 Percentages of CpG methylation in naive T cells Cell Type Naive CD4 + T ccells Na've CD8 + T ccells N 34 26 -205 3 4 -190 9 0 -170 3 4 - -53 3 4 -45 0 4 -34 0 0 16 85 92 96 97 100 - Figure 5. The IFN-y proximal promoter is hypomethylated and contiguous transcribed region is hypermethylated in naive T cells. (A) Schematic representation of the methylation status of t he CpGs w ithin the IFN-y proximal promoter and contiguous transcribed region of naive CD4+ and CD8+ T cells. Data shown i s from 10 randomly selected clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Naive CD4+ and Na've CD8+ were isolated from the spleens and lymph nodes of Balb/c mice by FACS. (B) The percentages of CpG methylation at the IFN-y locus in different thymocyte populations. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least three different PCR amplifications with at least two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 74 Figure 6 Representative IFN-y promoter Sequences A. Double Positive Thymocytes Double Negative Thymocytes ooo-oo4 4 ooo-Go- oo.-ooo- 4 CD8 Thymocytes 4 ooo-ooo Qoo0QCF + ooo-o~o-'4 0 0~~oo1 ooo-ooo4 ooo-ooo 14 E4 ooo-ooo ,o~oo~E Qo0ooCL ooo-oo'4 ooo-&oo-i~ 0o.L oo0 QO00 OUG0~ E Qoo~o-oooE4 (X QOO-QO( oo-o0-' ooo-ooo-'4 QQCE ooo0oQ>E Qo-Oo( oo-ooC oo00 ooE oo00 o&E oo0 ooo-~ooo E4 CpG f Methylated CpG (nUnmethylated -205 -190 -170 B. 0o&E6 -53 -45 16 -34 96 Percentages of CpG methylation in Thymocyte Populations Cell Type/Tissue N -205 -190 -170 -53 -45 -34 16 96 T DN Thymocytes DP Thymocytes CD4 Thymocytes CD8 Thymocytes = 20 29 25 23 0 0 0 0 0 0 4 0 5 0 4 0 0 0 0 4 0 3 0 0 5 3 4 4 100 97 96 100 100 100 100 100 75 Figure 6. The IFN-y proximal promoter is hypomethylated and contiguous transcribed region is hypermethylated in thymocytes. (A) Schematic representation of the methylation status of t he CpGs w ithin the IFN-y proximal promoter and contiguous transcribed region of different thymocyte populations. Data shown i s from 10 randomly selected clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. The double positive and single positive thymocytes were isolated from the thymuses of C57BL6 mice by FACS, while the double negative thymocytes were isolated from the thymuses of RAG 1 deficient C57BL6 mice by FACS. (B) The percentages of CpG methylation at the IFN-y locus in different thymocyte populations. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least two different PCR amplifications with two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 76 but unlike naive T cells, NK cells constitutively transcribe IFN-y (Stetson et al., 2003). Within this population of cells, all CpGs in both the promoter and the transcribed region were completely demethylated (Figure 7). These results suggest that the IFN-y promoter becomes hypomethylated after lymphoid lineage commitment but before bifurcation between T cell and NK cell development in the thymus. Hypomethylation of the IFN-y promoter is correlated with the cells' potential to express IFN-y The above results indicate that hypomethylation of the IFN-y promoter is correlated with the ability of a cell to differentiate into an IFN-y expressing cell, rather than with the cell's actual expression of the gene. To further investigate this possibility, we assayed the methylation status of the IFN-y locus in CD4 + T cells after THI1 and TH2 polarization. Naive CD4+ T cells were purified from Balb/c mice and activated by exposure to plate-bound anti-CD3 and anti-CD28, and recombinant IL-2. TO polarization was induced by addition of IL-12 and anti-IL-4 antibody to the culture, while TH2 polarization was induced by addition of IL-4 and anti-IFN-y antibody to the culture. Six days later, methylation was assayed in polarized cells. This in vitro polarization results in the expected difference cytokine expression between the cell populations, as stimulation rapidly induces IFN-y but not IL-4 expression in the THl polarized cells, and IL-4 but not IFN-y expression in the TH2 polarized cells (Figure 8). Following culture under T hypomethylated conditions, the IFN-y promoter remained (< 11% methylation at each CpG), while the transcribed region underwent a level of demethylation (51% and 76% methylation at the +16 and +96 position CpGs respectively) as compared to naive CD4+ T cells (p < 0.001) (Figure 9). It is notable that, while the CpG located at the +16 position has undergone a greater degree of demethylation than the CpG located at the +96 position, there are clones in which the +16 position CpG is methylated, but the +96 position CpG is demethylated. This suggests that the +16 position CpG is more prone to demethylation than the +96 position CpG, but that the demethylation is not progressive from a 5' to a 3' direction. When cells were cultured under TH2polarizing conditions, during which IL-4 but not IFN-y was expressed (Figure 8), the CpGs within the IFN-y promoter became 77 Representative IFN-y promoter Sequences A. Natural Killer Cells Day 6 THO Cells QOOOGCE QOOOQ-( ooooo-( QOO-G#O-( 00-GO-0 oo00o( EI QOO(GO00E 00_0 00~OOE QOOOO-( GOO-QOZ QO00QOE QO00OOE QOOCOGe QOOOQ-( QOO0OO(50 QO-G _~ QOO~OQE OUnmethylated CpG *Methylated -205 -190 -170 B. -53 -45 -34 CpG 16 96 Perccentages of CpG methylation in natural killer cells Cell Type Natural Killer Cells 14 Day 6 THO Cells 31 N -205 -190 0 0 0 10 -170 0 -53 -45 -34 0 0 0 10 13 0 7 16 0 87 96 0 87 Figure 7. The IFN-y proximal promoter is hypomethylated in natural killer (NK) cells and unpolarized, activated helper T cells (THO cells), and contiguous transcribed region is hypomethylated in natural killer cells, but hypermethylated THO cells. (A) Schematic representation of the methylation status of t he CpGs w ithin the IFN-y proximal promoter and contiguous transcribed region of natural killer cells and THOcells. Data shown i s from 10 randomly selected clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. The NK cells were isolated from the spleens of RAGI deficient C57BL6 mice by FACS, while THOcells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of neutralizing anti-IFN-y and anti-IL-4 antibodies. (B) The percentages of CpG methylation at the IFN-y locus in NK and THOcells. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least two different PCR amplifications with two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 78 IFN-y IL-4 D 2 hour of PMA and lonomycin IIlsotype stimulation Control. Figure 8. In vitro polarized T HI cells express IFN-y, but not IL-4, while in vitro polarized T H2 cells express IL-4, but not IFN-y. IFN-y and IL-4 expression by polarized T H I and TII2 cells. Day 6 polarized Till and TII2 cells were stimulated with PMA and ionomycin for 3 hours and cytokine expression was measured by cytokine recapture FACS. The open histogram represents anti-IFN-y or anti-IL-4 staining, while the shaded histogram represents an isotype control. 79 Figure 9 Day 6 TH1 Cell IFN-y promoter Sequences A. *o Ore E4 QOOOQCF www oo00CoE QO-0O' QO-GO0 00(\. 000-0 ooo0(oo ooo0oCFE QO00QOE QOO00~E E oo00ooE oooCooE QO-OO-( 000~OOL 0 Unmethylated CpG 0 Methylated CpG Q0O(XGGQ~L~ _QOQOOEA 00 -GOQO-GO-0- UU-y -205 -190 -170 -53 -45 16 -34 96 B. Percentages of CpG methylation in Day 6 TH1 Cells Cell Type N Day 6 TH1 Cells 45 -205 7 -190 4 -170 7 -53 11 -45 4 -34 9 16 51 96 76 80 Figure 9. The IFN-y proximal promoter is hypomethylated and the contiguous transcribed region is partially demethylated in Day 6 TH1 cells. (A) Schematic representation of the methylation status of the CpGs within the IFN-y proximal promoter and contiguous transcribed region of day 6 TH cells. Data shown is from all sequenced clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. TH1 cells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL- 12 protein and neutralizing anti-IL-4 antibodies. (B) The percentages of CpG methylation at the IFN-y locus day 6 TH cells. The number in the N column represents the number of clones sequenced. Sequenced clones are from four different PCR amplifications with three independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 81 hypermethylated as compared to that in naive CD4+ T cells (p < 0.001), while the transcribed region remained hypermethylated (Figure 10). In particular, the -53 CpG became significantly more methylated than the other CpGs within the promoter (70% versus 13-32%, p 0.001). There were specific clones in which there was not methylation of the -53 position CpG, but that there was methylation at other CpGs. This indicates that, while the -53 CpG is more prone to becoming methylated than the other proximal promoter CpGs during TH2 polarization, de novo methylation at the -53 position is not required for methylation of the other CpGs. When the cells were activated in the presence of IFN-y and IL-4 neutralizing anti-bodies, but in the absence of polarizing cytokines (THO),there was no detectable change in methylation of the IFN-y promoter as compared to naive CD4+ T cells (Figure 7). We also assayed the methylation status of the IFN-y locus in effector and memory CD8+T cells, both of which transcribe IFN-y (Grayson et al., 2001). The effector CD8+T cells were generated in vitro by activating purified naive CD8+ T cells with anti-CD3 and anti-CD28 for three days. To generate memory CD8+T cells, sorted naive CD8' T cells from a mouse expressing a transgenic 2C T cell receptor were injected into RAG deficient mice. The mice were immunized with the 2C cognate peptide SIYRYYGL and complete Freund's adjuvant (CFA), and, after 6 months, CD44 high CD8+ T cells were sorted from lymph nodes and spleens. As shown in Figure 11, the IFN-y promoter remained hypomethylated in these CD8+T cells. Notably, the CpGs at the +16 and +96 positions were more hypomethylated in memory CD8+T cells (31% and 69% methylation respectively) than in naive CD8+ T cells (92% and 100% methylation respectively) (p < 0.001). These results further support the notion that hypomethylation of the IFN-y promoter is correlated with the cells' potential to express IFN-y. In addition, hypomethylation of the transcribed region in NK cells, THI cells, and memory CD8+ T cells and hypermethylation of the promoter in TH2 cells suggest dynamic changes in the methylation status of the IFN-y locus in association with the cell's history of IFN-y transcription. 82 Figure 10 Day 6 TH 2 Cell IFN-y promoter Sequences A. QO-O-^ oo.rmoyE GOwOOeE Q00QE 0 0~~&OE oo00 1 000~n~E 000- B Qo00c(L~ ew oo00 ooo ooE 0 Unmethylated CpG * o.0E Methylated CpG oo00ooE oo00ooE QO0 0Q~E oo00 CoE oo000o~E oo&oo(E 000 00~4 000_400s1 oo OO00G-~ &o4 oo00 o. vvv -205 -190 -170 -53 -45 -34 16 96 B. Percentages of CpG methylation in Day 6 TH1 Cells CellType Day 6 TH2 Cells N 47 -205 -190 -170 26 28 32 -53 -45 -34 16 96 70 13 21 96 98 - 83 Figure 10. IFN-y proximal promoter has undergone de novo methylation, and the contiguous transcribed region is hypermethylated in Day 6 TH2 cells. (A) Schematic representation of the methylation status of the CpGs within the IFN-y proximal promoter and contiguous transcribed region of day 6 TH2 cells. Data shown is from all sequenced clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. TH2cells were generated by activating FACS purified naive Balb/c CD4 + T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 protein and neutralizing anti-IL-12 antibodies. (B) The percentages of CpG methylation at the IFN-y locus day 6 TH2cells. The number in the N column represents the number of clones sequenced. Sequenced clones are from four different PCR amplifications with three independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the FN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 84 Representative IFN-y promoter Sequences 00(~7- Effector CD8 + T cells A. Memory CD8+ T cells QOO-004 4 oo-0o' oo-ooocy 000 A&& o0 & OOO-GGOd'p 000-00 Q0C8OOnmyl4 oo00ooCL oooooJ. Qo0 0~o1 OUnmethylated CpG OMethylated CpG Percentages of CpG methylation in Effector and Memory CD8+ T cells B. Cell Type Effector CD8+ T cells Memory CD8+ T cells N -205 -190 -170 0 0 0 - 23 16 6 6 6 -53 0 0 -45 -34 16 96 0 0 0 0 65 31 91 69 - Figure 11. The IFN-y proximal promoter is hypomethylated and the contiguous transcribed region has undergone demethylation in effector and memory CD8+ T cells. (A) Schematic representation of the methylation status of t he CpGs w ithin the IFN-y proximal promoter and contiguous transcribed region of effector and memory CD8+ T cells. Data shown is from 10 randomly selected clones, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Effector CD8+ T cells were generated by stimulating FACS purified naive C57B16 CD8+ T cells with anti-CD3 and anti-CD28 antibodies for 3 days. Memory CD8+ T cells were generated by intravenously adoptively transferring naive CD8+ T cells from RAG-1 deficient, transgenic 2C TCR expressing C57B16 mice into RAG-1 deficient C57B16 mice. These mice were immunized with SIYRYYGL peptide in CFA. Approximately 6 months later, memory CD8 T cells were purified from these mice by FACS. (B) The percentages of CpG methylation at the IFNy locus in different thymocyte populations. The number in the N column represents the number of clones sequenced. Effector CD8+ T ce 11sequenced clones are from three different PCR amplifications with two independently isolated DNA, while the memory CD8 T cell clones are from two different PCR amplifications, but a s ingle DNA isolation. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. 85 The -53 CpG in the IFN-y promoter is rapidly methylated during TH2 cell polarization Increased level of methylation of the IFN-y promoter in day 6-polarized TH2 cells suggest that the IFN-y promoter can become de novo methylated during TH2 cell polarization. To unequivocally demonstrate this event, we examined the methylation changes at the IFN-y locus during TH1 and TH2 polarization over 19 and 25 days respectively. As before, naive CD4+ T cells were purified and activated under either TH1 or TH2 polarizing conditions. Polarizing conditions were maintained, and cells were restimulated with anti-CD3 and anti-CD28 every 6 to 7 days. DNA was isolated from the T cells for methylation analysis on day 3 and prior to each restimulation. T cells cultured under both TH1 and TH2 polarizing conditions underwent progressive methylation changes at the IFN-y locus. In T cells cultured under TH1 conditions, the promoter remained hypomethylated and the transcribed region became increasingly demethylated from day 3 to day 19 (Figures 12 and 13). At all time points, the CpG at the +16 position was less methylated than the CpG at the +96 position, suggesting that the +16 position CpG is more prone to demethylation than the +96 position CpG. There were again instances in which the +16 position CpG remained methylated but the +96 position CpG was demethylated, confirming that progressive 5' to 3' demethylation is unlikely. In T cells polarized under TH2 conditions, in contrast, the promoter became increasingly methylated from day 3 to day 25, while the transcribed region remained hypermethylated (Figures 14 and 15). These patterns in methylation change are consistent with the observation that the long-term TH1 polarized cell line AE7 is almost completely hypomethylated at the IFN-y locus, while the long-term TH2 polarized cell line D10 is almost completely hypermethylated at the IFN-y locus (Figure 3). It is notable that during the TH2 polarization the methylation rate varied from CpG to CpG, with the CpG located at the -53 position consistently becoming methylated earlier than other CpGs in the promoter. As the -53 CpG is evolutionarily conserved (Figure 1), and the -53 CpG resides in the proximal AP1 binding site of the IFN-y promoter, it is possible that the rapid de novo methylation of the -53 CpG may help to promote TH2 cell polarization by inhibiting IFN-y transcription. 86 TH1 Polarization IFN-y promoter Representative Sequences Figure 12 A. Day3 0 Day6 Day 13 Qoo-0oZ 0-OQ~ Qdd SPAoQE oo-oow oooIooKE oooooo}0i QO-GO( QOO_ ooo0G(0E QO-OO-0- o-C 000o oo00 0 ooco&E 000G&- 4 _O_ _ 0 0~~G&L QOOGG-0 QQE OMethylated CpG Unmethylated CpG Day 19 ooo-~ooo-E4 oo-ooo-Io ooo-ooo-E4 QO00GGE6 QO0 GGC1 -53 -45 -34 -205-190-170 16 96 B. Percentages of CpG methylation in TH1 Cells Cell Type Day 3 TH1 Cells Day 6 TH1 Cells Day 13 TH1 Cells Day 19TH1 Cells N w - -205 -190 -170 -53 -45 -34 16 96 - - 32 3 9 3 3 0 0 85 97 45 19 21 7 0 0 4 5 5 7 0 5 11 11 0 4 5 0 9 0 0 51 37 24 76 53 33 87 Figure 12. The IFN-y proximal promoter remains hypomethylated and contiguous transcribed region becomes hypomethylated during TH polarization. (A) Schematic representation of the methylation status of t he CpGs w ithin the IFN-y proximal promoter and contiguous transcribed region of TH cells isolated at day 6, 13 and 19. Data shown is from 10 randomly selected clones each, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG m ethylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Polarized TH cells were stimulated every 6-7 days and w ere harvested for methylation analysis just prior to restimulation. (B) The percentages of CpG methylation at the IFN-y locus on different days during TH polarization. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least two different PCR amplifications with two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. These data are also shown in Figure 13. 88 IFN-y Methylation Changes During TH1 Polarization 100 - * -205 CPG 80 * c o --- 170 CpG 60 ra) X -53 CpG N- -47 CpG 4-_ 40 I * -34 CPG 0 I÷ +16 CpG -+96 CpG 20 0 -190 CpG I - - - M 0 MfttI ! _ 10 5 I 15 20 Time (Days) Figure 13. The IFN-y proximal promoter remains hypomethylated and contiguous transcribed region becomes hypomethylated during TH polarization. A graph showing the changes in the levels of methylation at different CpGs in the IFN-y locus during the course of TH1 polarization. Polarized TH1 cells were stimulated every 67 days and were harvested for methylation analysis just prior to restimulation. These data are also shown in Figure 12. 89 TH2 Polarization Representative IFN-y promoter Sequences Figure 14 Dav 3 A. Day 6 Day 13 _ww Co-oQOA - A_-' 0 *Mehlae Une0yatd0p Day 2 0 QO&i4QiE Day 19 AAA CpG oo00_00. _ww oo00_o~E QOOPLEAOAs4 QO00 GOE 000_001.*Q *r 1^ B. Percentages of CpG methylation in TH2 Cells Cell Type Day 3 TH2 Cells Day 6 TH2 Cells Day 13 TH2 Cells Day 19 TH2 Cells Day 25 TH2Cells - N - -205 28 47 29 30 28 25 32 42 47 64 | -190 -170 25 14 26 28 63 29 60 30 82 32 -53 43 70 92 97 100 -45 0 13 21 23 29 -34 17 21 4 17 25 16 86 96 100 97 100 96 96 98 100 100 96 90 Figure 14. The IFN-y proximal promoter becomes hypermethylated and contiguous transcribed region remains hypermethylated during TH2 polarization. (A) Schematic representation of the methylation status of the CpGs within the IFN-y proximal promoter and contiguous transcribed region of TH2 cells isolated at day 6, 13, 19 and 25. Data shown is from 10 randomly selected clones each, with the filled ovals representing methylated CpGs and the empty ovals representing unmethylated CpGs. CpG methylation state was determined by bisulfite conversion of genomic DNA, followed by PCR amplification, cloning and sequencing. Polarized TH2 cells were stimulated every 6-7 days and were harvested for methylation analysis just prior to restimulation. (B) The percentages of CpG methylation at the IFN-y locus on different days during TH2 polarization. The number in the N column represents the number of clones sequenced. Sequenced clones are from at least two different PCR amplifications with two independently isolated DNA samples. The other columns represent the percents of CpG methylation at the specific position at the IFN-y locus in the indicated cell types or tissues as determined by bisulfite sequencing. These data are also shown in Figure 15. 91 IFN-y Methylation Changes During TH2 Polarization 100 C 60 * -205 CpG ---- 190 CpG &-170 CpG 40 ---- -53 CpG X -47 CpG 80 O o ca) -0 - *-34 CpG A 1~~~~~~~~~~~~~~~~~M 20 .. 0 0 5 10 15 Time (Days) 20 +16 CpG +96 CpG 25 Figure 15. The IFNy proximal promoter becomes hypermethylated and contiguous transcribed region remains hypermethylated during TH2 polarization. A graph showing the changes in the levels of methylation at different CpGs in the IFN-y locus during the course of TH2 polarization. Polarized TH2 cells were stimulated every 67 days and were harvested for methylation analysis just prior to restimulation. These data are also shown in Figure 12. 92 Methylation of the -53 CpG impairs ATF2/c-Jun and CREB binding in vitro We next investigated the effect of -53 CpG methylation on transcription factor binding by electrophoretic mobility shift assays (EMSA). In these studies, we used nuclear extracts from the mouse TH1 cell line AE7 and oligonucleotide probes corresponding to the proximal AP1 site (-62 through -32) of the IFN-y promoter that were either unmethylated, or methylated at the -53 CpG, the -47 CpG, the -34 CpG, or methylated at all three CpGs simultaneously. When an EMSA was done with the unmethylated oligonucleotide probe, there were two major shifted bands (Figure 16), indicating factor binding. Methylation at either the -47 CpG or the -34 CpG had no effect on the formation of these bands. In contrast, the same sequence methylated at only the -53 position or at all three positions abolished the formation of the EMSA complexes. To confirm the observed results, we carried out competition assays in which increasing amounts of unlabeled competitor oligonucleotides were added to a fixed amount of labeled, unmethylated probe during the incubation step of EMSA assays. As expected, formation of the two complexes was effectively inhibited by an excess of the unlabeled, unmethylated probe (Figure 17). Oligonucleotides that were methylated at either the -45 or -34 CpG also inhibited the formation of the two complexes to a similar degree. In contrast, oligonucleotides that were methylated at the -53 position, or at all three CpGs, were much less effective, but still more effective than non-specific NFAT oligonucleotide, in inhibiting the complex formation (Figure 17). Based on the relative intensities of the shifted bands, -53 CpG methylation reduced factor binding between 10fold and 100-fold. These results show that methylation at the -47 or -34 CpGs does not affect in vitro factor binding, while methylation at the -53 CpG significantly reduces in vitro factor binding. It has been shown that various members of the AP1 and CREB/ATF families of transcription factors are able to bind the proximal AP1 site (Cippitelli et al., 1995; Penix et al., 1996; Yano et al., 2003). We next wished to determine the identity of factors present in the complexes we observed in the above EMSA assays. In order to accomplish this, we next determined the composition of transcription factors in the two complexes by inclusion of specific antibodies in the binding reaction of the EMSA assay. Antibodies specific for FosB, c-Fos, and JunB did not significantly affect the two shifted bands 93 Figure 16. Inhibition of factor binding by methylation of the -53 position CpG. An EMSA using probes corresponding to the proximal API CREB/ATF site of the IFN-y promoter that has been methylated CpG -53, CpG -45, CpG -37, or at all three CpGs on the same probe, and nuclear extracts from the TH 1 cell line AE7. Data shown are representative of greater than three experiments. 94 Probe :Competitor Ratio ~..~ ~..~.~ ~. No Compo No Me -53 Me -45 Me ~ .~ .~ ~ ~.~.~.~. -34 Me ~ .~.~.~ ~. ~. Trip Me ~ NFAT Competitor Methylation Figure 17. Methylation of the -53 position CpG inhibits factor binding by greater than 10 fold. An EMSA in the presence of competitor oligonucleotides was performed using the AE7 nuclear extract and labeled, unmethylated probe corresponding to the proximal API CREB/ATF site of the IFN-y promoter. The EMSA was carried out in the presence of increasing amounts of unlabeled methylated or unmethylated or non-specific (NFAT) competitor oligonucleotides. The first lane was from the incubation without competitor oligonucleotide. Data shown are representative of greater than three experiments. 95 (Figure 18A). In contrast, antibodies specific for c-Jun supershifted the upper complex, and those specific for ATF2 diminished its formation. Furthermore, antibodies specific for CREB or both ATF1 and CREB supershifted the lower complex. In order to test whether the components required for the formation of the two major complexes were present in TH2 cells, as well as THI cells, we next repeated the above supershift EMSA experiments using nuclear extracts from the mouse TH2 cell line D10, but with the same probes and antibodies as before. When the TH2 nuclear extract was used, the same two complexes were detected and the same effects were observed with the various antibodies (Figure 18B). Thus, the upper complex contains ATF2/c-Jun and the lower complex contains CREB (and possibly ATF1), and these factors are present in the nucleus of both THI1 and TH2 cells. CREB, ATF2 and c-Jun are bound to the IFN-y promoter in THI but not TH2cells To assess CREB and ATF2/c-Jun binding to the IFN-y promoter in vivo, we performed chromatin immunoprecipitation (ChIP) assays using the THI cell line AE7 and the TH2 cell line D10. As described above, the IFN-y promoter is nearly completely unmethylated in AE7 cells and nearly completely methylated in D10 cells (Figure 3), and therefore should give a clear indication as to any correlation between promoter methylationand factor binding in vivo. Cells were treated with formaldehyde to cross- link proteins to DNA, and lysed. Sonication was used to fragment the DNA to sizes between 200 bp and 500 bp. This was followed by immunoprecipitation with various antibodies. The presence of IFN-y promoter sequence in the precipitates was then determined by PCR. As expected, PCR signal of the IFN-y promoter was detected in DNA isolated from pre-precipitates, but not in precipitates where no antibody was added in both the THI and the TH2 samples (Figure 19). In DNA from TH1 precipitates, the same size PCR product was detected when antibodies specific for FosB, JunB, c-Jun, both ATF1 and CREB, ATF2, and CREB alone were used, but not when anti-c-Fos was used (Figure 19), indicating binding of FosB, JunB, c-Jun, ATF2 and CREB to the IFN-y promoter in these cells. In DNA from TH2 precipitates, the PCR product was detected when antibodies specific for FosB, c-Fos, JunB, and both ATF1 and CREB was used, but not when 96 Antibody A. ~ "$)0 ~o ~ ~o Q. 0'" ~ $> ~ ~o ~ ':J.::5 G s ;S G ~' ~~ " cr ~CV " ~ ~ ~ w u .... W ~ ~~ W1 AE7 (T H 1) Nuclear Extract Antibody B. ~ "$)0 ~o ~ Q.~o $> ~ ~o ~ G 0'" ~ ~ ;SS G ~' " ~ ~~ " cr ~CV ~ ~ 010 (TH2) Nuclear Extract Figure 18. c-Jun, ATF2 and CREB from both T HI and T H2 cell lines are able to bind to the IFN-y proximal API CREB/ATF binding site. EMSA assays done using unmethylated probe corresponding to the proximal AP I CREB/ ATF binding site of the IFN-y promoter and nuclear extracts from the T HI cell line AE7 (A) or the TH2 cell line D 10(8). The assays were carried out in the presence of the indicated specific antibodies. The EMSA with labeled, methylated API probe serve as controls. The anti-ATFI antibody cross-reacts with CRE8. Data shown are representative of greater than three experiments. 97 Antibody Promoter Intron 1 Promoter Intron 1 Figure 19. Transcription factor binding to the IFN-y promoter in T HI and T H2 cell lines. Chip assay of the indicated API and CREB/ATF family members binding within the IFN-y promoter in AE7 and D 10 cell lines. DNA and proteins were cross-linked in AE7 or D I0 cells, followed by sonication and precipitation with the indicated antibody. The cross-linking was reversed, and t he presence of I FN-y DNA in the precipitates was determined by PCR. PCR assays of IFN-y intron I were used to demonstrate specificity of the immunoprecipitation. Representative data from one of two independent experiments is shown. 98 antibodies specific for c-Jun, ATF2 and CREB alone were used (Figure 19), indicating the binding of FosB, c-Fos and JunB to the IFN-y promoter in these cells. The observed bands are unlikely to be the result of nonspecific binding because PCR reactions specific for a portion of IFN-y intron-1, located one kb downstream of the promoter, resulted in product when the pre-precipitate DNA sample was used, but not when any antibodyprecipitated DNA samples were used. It should be noted that there are likely other positions where API and CREB/ATF family members bind to the IFN-y promoter within 500 bp of the proximal AP1 CREB/ATF binding site. It is therefore probable that some of the factors that were shown by this assay to bind to the promoter in either the TH1 cell line or the TH2 cell line are bound at locations other than the -53 position. However, these results correlate well with the in vitro EMSA results, and suggest that the TH1 cell line's unmethylated IFN-y promoter is bound by CREB, ATF2 and c-Jun, whereas the TH2 cell line's methylated IFN-y promoter is not. To further investigate the differences in factor binding of the IFN-y promoter between TH1 and TH2 cells, we assayed for c-Jun, CREB, ATF1/CREB, and ATF2 in nuclear extracts of AE7 and DO10cells by Western blotting. As shown in Figure 20, the relative levels of c-Jun and ATF1 were similar in TH1 and TH2 nuclear extracts, whereas the relative levels of ATF2 and CREB were significantly higher in the TH1 nuclear extracts than in the TH2 nuclear extracts. Thus, nuclear protein levels, in addition to methylation status of the IFN-y promoter, may contribute to the observed differences in factor binding between the THI1and TH2 cells. Methylation of the -53 CpG inhibits the IFN-y promoter activity While the above studies examined the effect of CpG methylation on transcription factor binding at the IFN-y promoter, they did not address how the observed methylation changes affected promoter function. In order to examine this issue, we performed a series of transient transfection assays where we were able to test the ability of the IFN-y proximal promoter to drive the expression of a luciferase reporter while methylated at various CpGs. 99. D10 (T H2) AE7 (T H 1) c-Jun CREB CREB ATF1 1__ "_Al~' :: 1._ -_----' .- - .... , .... , .. ,' ~- ATF2 Figure 20. c-Jun, CREB, ATFl, and ATF2 are present in both AE7 and 010 cells. Western blots demonstrating relative nuclear protein levels of c-Jun, CREB, ATFl, and ATF2 in AE7 and 010 cells. 100 For these studies, we constructed a vector, referred to as y-luc, in which the firefly luciferase gene was under the control of the proximal 250 bp of the IFN-y promoter (Figure 21). This construct was co-transfected with a control vector that contained CMV driven ranilla luciferase into either the TH1 cell line AE7, which, as described above, expressed IFN-y following PMA plus ionomycin stimulation (Figure 5), or the TH2 cell line DIO, which did not express IFN-y following stimulation. Transfection was done by electroporation using the Amaxa Nucleofector device. The level of IFN-y promoter driven luciferase expression for the two cell lines was determined both before and after PMA and ionomycin stimulation. Compared to a vector without the IFN-y promoter (pGL3) (Figure 21), significant luciferase activities were observed when the y-luc vector was transiently transfected into both the AE7 and the DIO cell lines, even without PMA and ionomycin stimulation (p < 0.001), and that luciferase expression in both cell lines increased significantly stimulation (p < 0.001) (Figure 22). These results suggest that the 250 bp IFN-y promoter is sufficient to drive the reporter gene expression. Furthermore, the presence of luciferase activities in the TH2 cell line is consistent with the presence of transcription factors known to be involved in IFN-y transcription in DIO cells (Figure 20) (Yano et al., 2003; Zhang et al., 1998). The ability of the proximal 250 bp of the IFN-y promoter to drive luciferase expression in DO10cells, which do not express IFN-y, suggests that there is a suppressive mechanism that is active in the endogenous promoter and that is not present in the transfected promoter. Nevertheless, the 250 bp IFN-y promoter is significantly more active in AE7 cells than in DO10cells, both with and without PMA plus ionomycin stimulation (p < 0.02 for both). In order to test the importance of the proximal API binding site in promoter function, we generated a construct identical to y-luc except that this site was deleted from the proximal promoter (Figure 21). When this construct was transfected into AE7 cells that were then stimulated with PMA and ionomycin, the resulting luciferase expression was still significantly higher that of pGL3 (p < 0.01), but was approximately 18 fold lower than when a construct containing the full promoter was used (Figure 23). To test the effect of full construct methylation on promoter function, we methylated y--luc using mSss I (CpG methylase). When this construct was transfected 101 I PI l y-luc IFN-y promoter -250 to +1oo00 Firefly Luciferase I- pGL3 I y-luc AP1 site deletion IFN-y pro. -250 to -57 -47 to +100 Firefly Luciferase _ I Firefly Luciferase Figure 21. Schematic representation of the vectors used in the transient transfection assays. Schematic representations of y-luc, pGL3 basic, and the y-luc vector containing a deletion of the proximal API binding site. 102 25 20 y-Iuc Expression is Inducible T 1 :::> ...J a: 15 "0 Q) .~ co E ~ 10 o Z 5 o P/I Vector + pGL3 + + y-Iuc pGL3 + y-Iuc Figure 22. The 250 bp IFN-y proximal promoter can drive luciferase expression in both AE7 and DIO cells. Data shown are firefly luciferase activities normalized to renilla luciferase activities y-Iuc and pGL3 vectors transfected into AE7 or DID cells with or without PMA and ionomycin stimulation. The error bars indicate standard deviations from triplicate samples in each experiment. Representative data from one of two independent experiments are shown. P values were calculated by the student t-test for 103 20.0 18.0 16.0 ::> 14.0 -.J a: 12.0 "'0 Q) .~ 10.0 a:s E ~ 8.0 0 z 6.0 4.0 2.0 0.0 pGL3 y-Iuc AP1 site Deletion y-Iuc mSss I Treated y-Iuc Figure 23. The proximal API CR EB/ ATF binding site is required for full IFN-y proximal promoter function. Data shown are firefly luciferase activities normalized to renilla luciferase activities for pGL3, y-Iuc, y-Iuc treated with mSss. I, or y-Iuc with the proximal API CREB/ATF binding site deleted transfected into AE7 cells with 2 hours of PMA and ionomycin stimulation. The error bars indicate standard deviations from triplicate samples in each experiment. Representative data from one of two to three independent experiments are shown. P values were calculated by the student t-test. 104 into PMA and onomycin stimulated T cells the resulting luciferase expression was approximately 10 fold less than when an unmethylated construct was used (Figure 23). This demonstrates that complete construct methylation is sufficient to inhibit promoter function, but leaves uncertain the importance of the methylation of individual CpGs. In order to address the effect of methylation of specific CpGs on IFN-y promoter function, we modified the y-luc vector so that each of the promoter's six CpGs was individually methylated or the three CpGs at -53, -45, and -34 positions were methylated simultaneously by a PCR-mediated mutagenesis. Using a protocol adapted from Martinowich et al, we PCR amplified the entire y-luc construct using self-complementary primers that contained site-specific methylation at the desired CpGs. The template plasmid was then digested using Dpn. I, and the resulting PCR product was column purified and concentrated. As controls, we generated unmethylated y-luc vector by the same PCR technique. These vectors were co-transfected into AE7 cells with a renilla luciferase plasmid standard. The transfected cells were stimulated with PMA and ionomycin and assayed for luciferase activities. The luciferase activities (normalized to the renilla luciferase activities) were virtually the same in cells transfected with the unmethylated vector or vector methylated at the -205, -190, or-170 position (Figure 24). In contrast, methylation at the -53 site alone reduced the luciferase activity significantly (p < 0.001), to a level that was approximately 33% of that produced by the unmethylated PCRgenerated construct. Methylation at the -45 or -34 sites also reduced luciferase activity, although by a lesser, but still significant, amount (p = 0.003 and p = 0.04, respectively). However, methylation of the -53 site along with the -45 and -34 sites in the same vector did not reduce luciferase activities more than methylation of the -53 site alone. These results show that the methylation of the -53 CpG alone has the most pronounced effect on IFN-y promoter activity. 105 10 8 2 -- + +- - -- -- -- --- -- -- +- +- -- -- +- - - - - + +- ++ ------ o + Methylated CpG - -205 -190 -170 -53 IFN-y Promoter Position -45 -34 Unmethylated CpG Figure 24. Inhibition of IFN-y promoter activity by site-specific methylation. The y-luc vector with the indicated methylation(s) and the pGL3 vector were transfected with the renilla luciferase vector into AE7 cells. Six hours later, the transfected cells were stimulated with PMA and i onomycin for two hours and luciferase activities were measured. Data shown are firefly luciferase activities normalized to renilla luciferase activities. (+) indicate a methylated CpG at the indicated position, while (-) indicate an un methylated CpG at the indicated position. The error bars indicate standard deviations from triplicate samples in each experiment. Representative data from one of three to five independent experiments are shown. P values were calculated by the student t-test. 106 Discussion Dynamic relationships between methylation state and transcription at the IFN-y locus The methylation status of the IFN-y promoter in naive CD4 T cells has been reported both as hypermethylated (Katamura et al., 1998; Melvin et al., 1995; White et al., 2002) and hypomethylated (Winders et al., 2004). Furthermore, these studies only looked at one or two CpGs within the proximal promoter by semi-quantitative southern blotting, and made the assumption that those CpGs were representative of all the CpGs within this region. Our study, on the other hand, provides quantitative analyses of all six CpGs in the proximal promoter, and has unequivocally demonstrated that the IFN-y promoter is hypomethylated in naive CD4+ T cells. Furthermore, our results show that the IFN-y promoter already hypomethylated in precursor thymocytes. The hypomethylation of the promoter during precursor T cell development is contrasted by the hypermethylation of the transcribed region of the IFN-y locus, indicating the sitespecificity of the process that established this methylation phenotype. In addition, our analyses of the methylation status in the IFN-y locus during the course of T helper cell differentiation reveal that the IFN-y promoter becomes de novo methylated during TH2 cell polarization, whereas the transcribed region becomes demethylated during the TH cell polarization and memory CD8 T cell development. Together, these results demonstrate dynamic changes in the methylation of the IFN-y locus during T cell, and especially T helper cell, development. Based on our findings and previous observations, it is clear that there are three different the IFN-y locus methylation states that correlate with the cell's potential and/or history of IFN-y transcription. The first is the hypermethylated (or repressed) state of the IFN-y locus. Cells with this phenotype, including kidney cells, heart cells, B cells, and long-term TH2 cell lines, have both promoter and transcribed region hypermethylated (Figures 2-2 and 2-3), and are programmed not to express IFN-y. The heritable nature of )NA methylation allows this phenotype to be passed on following cell division to daughter cells, preventing them from expressing IFN-y as well. This methylation state is correlated with histone hypoacetylation, and promoter nuclear localization in 107 heterochromatic regions of the nucleus (Avni et al., 2002; Eivazova and Aune, 2004; Grogan et al., 2001). Thus, the permanent repression of the IFN-y locus in these cells is likely mediated by chromatin changes, to which CpG methylation is thought to contribute through the recruitment of methyl-CpG binding proteins and histone deacetylases (Richards and Elgin, 2002). Given that the cytokine genes share many activating transcription factors, it is also possible that methylation of the IFN-y promoter prevents inappropriate transcription of IFN-y when other cytokines are induced in the same cells, such as in T,, 2 cells (see below). The second methylation phenotype we saw at the IFN-y promoter is the "ready" (or open) state, found in cells such as naive CD4+ and CD8+ T cells and thymocytes, which have the potential to express IFN-y, but have yet to transcribe the gene for extended periods of time. In these cells, the IFN-y promoter is hypomethylated, but the transcribed region is hypermethylated (Figures 5 and 6). These observations reaffirm the notion that the promoter demethylation is not sufficient for IFN-y transcription. It is likely that cells in this state, such as naive CD4+ T cells, are able to rely on regulation of transcription factors to prevent improper IFN-y transcription, while at the same time maintain the ability for rapid transcriptional induction (see below). As the histones at the IFN-y promoter are hypoacetylated in naive helper T cells (Avni et al., 2002), it is likely that there are also other epigenetic mechanisms for transcriptional suppression at work in these cells. The third methylation phenotype found at the IFN-y promoter is the hypomethylated (or active) state of the IFN-y locus. Cells in this state, such as memory CD8+ T cells, long-term polarized THi cells, and NK cells, have undergone extensive IFN-y transcription and have a completely hypomethylated promoter and transcribed region (Figure2 3, 7 and 11). Even when cells in this state are not expressing IFN-y protein, they often express a low level of IFN-y transcript (Grayson et al., 2001; Stetson et al., 2003), and may regulate IFN-y production at a post-transcriptional level (Malter, 1998; Nagy et al., 1994). This state enables cells, such as memory CD8+T cells and THi cells, to rapidly respond to stimulation with production of IFN-y without waiting for transcription to occur. It has been demonstrated that cells with this methylation phenotype often also have histone hyperacetylation at the IFN-y promoter (Avni et al., 108 2002), which may further contribute to the accessibility of the locus. It is also tempting to speculate that this active state of the IFN-y locus contributes to the T-bet independent IFN-y expression acquired by TH cells once they have been polarized for a long period of time (Martins et al., 2005; Mullen et al., 2002). The kinetics of methylation change during helper T cell polarization vary depending upon CpG location During T cell polarization, the CpG located at the +16 position becomes hypomethylated faster than the CpG located at the +96 position. The existence of cells in which the +16 position CpG is methylated but the +96 position CpG is demethylated (Figure 9) suggests that this difference in demethylation kinetics is the result of the CpG located at the + 16 position being more susceptible to demethylation than the CpG located at the +96 position, rather than a directional demethylation mechanism. It is also important to note that this demethylation process is relatively slow, suggesting passive demethylation taking place during T cell proliferation rather than an active demethylation process. Furthermore, IFN-y transcription occurs well before most of the T cells have undergone demethylation, indicating that transcribed region demethylation is not required for IFN-y expression. The demethylation of the IFN-y promoter proximal transcribed region is similar to the demethylation event that occurs at the IL-4 promoter (Lee et al., 2002). In these instances, the demethylation occurs slowly enough to be attributed to a passive demethylation process, occurs faster at the more 5' CpGs, and occurs after transcription is initiated. These similarities suggest that a similar demethylation mechanism may be responsible for both events. While the demethylation event that occurs at the IL-4 promoter is not required for IL-4 expression, cells that are hypomethylated at this location express higher levels of IL-4 than IL-4 promoter hypermethylated cells (Lee et al., 2002). It would be interesting to investigate whether a similar correlation exists between IFN-y expression level and the methylation status of the promoter proximal transcribed region CpGs. It is also notable that de novo methylation does not occur with the same kinetics at all six CpGs within the IFN-y proximal promoter during TH2 cell polarization (Figure 15). 109 The methylation does not spread in a simple pattern, e.g., from 5' to 3' or from 3' to 5', but rather seems to pick and choose CpGs, with some CpGs becoming methylated faster than others. While the -53 CpG becomes methylated faster than the other CpGs within the proximal promoter, there are instances where other CpGs are methylated but the -53 CpG is not methylated. This suggests that the methylation machinery may be targeted to particular CpGs more readily than others, but implies that there is not a specific order to the de novo methylation events. While the mechanism behind this de novo methylation is unknown, it is interesting to note that the -53 CpG remains unmethylated when the T cells are activated in the absence of polarizing conditions. This suggests that the signals that induce other aspects of TH2 cell development also induce the methylation of the -53 CpG, rather than methylation occurring as a result of T cell activation in the absence of TH1 signals. Methylation of the -53 CpG inhibits transcription factor binding to the IFN-y promoter The rapid methylation at the conserved -53 CpG during the course of TH2 cell polarization may affect factor binding to the CpG-containing proximal AP1 site. In support of this hypothesis, our EMSA studies demonstrate that two complexes from the nuclear extract of the TH1 cell line AE7 are capable of binding to the proximal AP1 site of the IFN-y promoter in vitro (Figure 16). One complex contains CREB and the other ATF2 and c-Jun (Figure 18), consistent with previous reports of AP1 and CREB/ATF binding at this site (Cippitelli et al., 1995; Penix et al., 1996; Zhang et al., 1998). Importantly, we show that methylation of the -53 CpG alone, but not the -45 or -34 CpGs, was sufficient to reduce the levels of factor binding by greater than 10 fold (Figure 17). These findings are consistent with previous observations showing that methylation of the -53 CpG results in a change in factor binding to the site, although the early study did not identify the specific transcription factors involved (Young et al., 1994). Our findings are also consistent with the observation that CpG methylation can inhibit the binding of some AP1 family members to certain DNA sequences, such as in the TrkA and neurotensin/neuromedin N genes (Dong et al., 2000; Fujimoto et al., 2005). Complementing the in vitro binding results, we found that the same factors are bound to 110 the hypomethylated IFN-y promoter in a TH I cell line but not the hypermethylated IFN-y promoter in a TH2 cell line (Figure 19). While the ChIP assay is unable to demonstrate exactly where in the promoter the factors are bound, the ChIP data correlates with the EMSA data. Together, these findings suggest that methylation of the -53 CpG inhibits transcription factor binding to the IFN-y promoter both in vitro and in vivo. Methylation of the -53 CpG inhibits IFN-y promoter activity The effect of the -53 CpG methylation on the IFN-y promoter activity was directly examined by reporter assays in a TH 1 cell line, in which the IFN-y is transcribed (Figure 4). We showed that the 250 bp IFN-y promoter is capable of driving a significant reporter gene expression in both a TH 1 cell line and a TH2 cell line, especially after PMA plus ionomycin stimulation (Figure 22). The existence of promoter activity in a TH2 cell line is consistent with the presence of activating transcription factors in the nucleus of these cells (Figure 20). The fact that the IFN-y proximal promoter located in the transcribed vector was able to drive luciferase expression, while the endogenous IFN-y vector was not able to drive IFN-y expression, is further evidence for a suppressive mechanism that affects the endogenous promoter more than the transfected promoter. This is not surprising, considering that the endogenous promoter is nearly completely hypermethylated in DO10cells (Figure 3), and is probably packaged in hypoacetylated histones and localized in a heterochromatic region of the nucleus. Furthermore, there may be additional suppressive cis-elements present in the larger endogenous locus that are not in the proximal promoter. It is clear that the proximal API site is critical for the promoter activity because its deletion from the vector results in an almost complete abolition of promoter activity (Figure 23). Importantly, methylation of the -53 CpG alone, but not methylation of the -205, the -190 or the -170 CpGs in the reporter vector results in a significant reduction of luciferase activity (Figure 24). This suggests that methylation of the -53 CpG initiates a location specific inhibitory mechanism that represses IFN-y proximal promoter function. Surprisingly, methylation of the proximal promoter at the -45 or the -34 CpG also results in a significant reduction of luciferase activity, though methylation at these sites do not affect the observed factor binding to the proximal AP1 site in vitro. It is 111 possible that the inhibition of transcription by methylation of the -45 or -34 CpG in vivo is the result of recruitment of 5-methylcytosine binding proteins that interfere with binding of activating transcription factors to the proximal API binding site. This possibility is strengthened because mice deficient in MBD2 show disregulation of IFN-y expression (Hutchins et al., 2005), suggesting that MBD2 may play a role in the suppression of the locus. Alternatively, it is possible that there are other factors that contribute to induction of transcription of the reporter construct that may not be able to exert their effect unless the -53 CpG site is also occupied. In support of this interpretation, methylation of the -53, -45, and -34 CpGs simultaneously does not reduce luciferase activities more than methylation of the -53 CpG alone. Together, these results suggest a critical role of the methylation of the conserved -53 CpG in inhibiting IFN-y promoter activity. They further suggest that methylation of other CpGs in the vicinity may help to suppress the promoter activity. Regulation of IFN-y transcription in helper T cell development When nuclear extract from the TH2 cell line D10 was used in the EMSA experiments, methylation specific factor binding was found to be similar to the THI cell line AE7. Similarly, luciferase expression driven by the 250 bp IFN-y promoter was also seen in DO10cells, especially following PMA plus ionomycin stimulation. As the API, ATF and CREB proteins are important transcription factors for many genes, it is not surprising that these factors are not specific for THI cells. The presence and similar binding ability of these transcription factors to the IFN-y promoter in both THI and TH2 cells and the inhibition of TH2 polarization by IFN-y underscores the need to rapidly suppress IFN-y transcription in developing TH2 cells by other mechanisms. Our findings suggest that the rapid and site-specific methylation of the promoter likely contributes to this regulation. By rapidly repressing the "ready" state of the IFN-y promoter, the methylation event helps to promote TH2 cell development. How does promoter methylation contribute to the overall regulation of the IFN-y transcription in CD4+ T cells? It has been shown that a dominant negative variant of the AP1 family member c-Jun inhibits IFN-y expression (Cippitelli et al., 1995; Penix et al., 1996), implicating that this factor may normally activate IFN-y transcription. In contrast, 112 overexpression of CREB was shown to inhibit IFN-y promoter function (Penix et al., 1993; Zhang et al., 1998), indicating that CREB may normally suppress IFN-y transcription. Upon activation of CD4+ T cells, regardless of polarizing conditions, CREB levels are reduced whereas c-Jun levels remain unchanged (Zhang et al., 1998), suggesting that the ratios of these two transcription factors may play a critical role in IFN-y transcription. Thus, we propose a general model that integrates the contributions of both promoter CpG methylation and ATF2/c-Jun and CREB in IFN-y transcriptional regulation in CD4 + T cells. In naive CD4 + T cells, the IFN-y promoter is hypomethylated but IFN-y is not transcribed. It is possible that, in these cells, the negatively acting CREB contributes to the suppression of the locus, perhaps by preventing the positively acting cJun from binding to a common or overlapping cis-element (Cippitelli et al., 1995; Penix et al., 1996; Zhang et al., 1998) (Figure 25A). Upon CD4+ T cell activation, nuclear CREB, but not c-Jun, levels are reduced (Zhang et al., 1998), this change in c-Jun to CREB ratio may allow c-Jun to interact with the hypomethylated IFN-y promoter, contributing to IFN-y transcription in newly activated CD4+ T cells and in T.1 polarized cells (Figure 25B). Under TH2 polarizing conditions, the rapid methylation of the -53 CpG in the IFN-y promoter directly inhibits c-Jun/ATF2 binding and therefore prevents inappropriate IFN-y transcription during the course of TH2 cell polarization (Figure 25C). As the TH2 polarization progresses, the remaining CpGs in the IFN-y promoter gradually become hypermethylated, contributing to further transcription repression, chromatin remodeling and the permanent suppression of the locus (Figure 25D). In conclusion, our results show that the IFN-y promoter is hypomethylated in naive CD4+ T cells and becomes progressively methylated during TH2 cell polarization. The rapid methylation of the -53 CpG probably prevents IFN-y transcription immediately by directly inhibiting transcription factor binding to the promoter. As the -53 CpG is conserved in the IFN-y promoter among mouse, rat, dog, chimpanzee and human, the rapid methylation of the -53 CpG is likely a general mechanism for repressing IFN-y transcription during TH2 cell polarization. The more extensive methylation of the IFN-y promoter in polarized TH2 cells probably contributes to the permanent silencing of the locus by mediating chromatin remodeling. 113 A NaYve CD4 T cells ?? B CR - U AB -53 Recently polarized TH1 cells -53 C Recentlypolarized,, TH2 cells -??53 -53 D Long-term polarized TH2 cells -53 T Methylated CpG ? Unmethylated CpG Figure 25. A schematic diagram depicting the relationship among CpG methylation, AP1 and CREB/ATF transcription factor binding, and IFN-y transcription. (A) In naive CD4 T cells, the high level of the IFN-y inhibitory factor CREB relative to an activating complex containing c-Jun and ATF2 contributes to suppression of the hypomethylated IFN-y promoter. (B) Activation under TH 1 polarizing conditions leads to a reduction in the nuclear levels of CREB, enabling the c-Jun/ATF2 complex to bind to the promoter and contribute to IFN-y transcription. (C) Activation under TH2 polarizing conditions leads to a reduction in the nuclear levels of CREB, but rapid methylation of the -53 CpG prevents c-Jun/ATF2 from binding to the promoter, and thus contributes to the suppression of IFN-y transcription. (D) In long-term polarized TH2 cells, the remaining CpGs in the IFN-y pro moter are methylated, contributing to chromatin remodeling and t he permanent suppression of t he locus. For simplicity, only the methylation status of the -53 CpG is considered. 114 Materials and Methods Cell Preparation and Culture Primary naive CD4* T cell populations (CD4+, CD45RB h gI h , CD62L h g h, CD44ow) and B-cell populations (B220+) were purified by flow cytometry from lymph nodes and spleens of Balb/c mice. CD4 and CD8 double positive thymocytes, CD8* thymocytes and CD4+ thymocytes were purified from thymuses of C57B16 mice by flow cytometry. CD4 and CD8 double negative thymocytes were sorted from thymuses of RAGl-deficient C57BL6 mice, and Natural Killer cells (Pan-NK+, NK-1. 1+)were sorted from spleens of RAG Il-deficientC57BL6 mice. Naive CD8* T cells (CD8+, CD44'°W) were sorted from spleens and lymph nodes of Balb/c mice. All antibodies used in flow cytometry were obtained from BD Pharmingen, San Diego, CA. Purity of all cell populations was greater than 95%. Sorted naive CD4* T cells were stimulated at a density of x 106/ml with 5 [ig/ml plate-bound anti-CD3 and 5 tg/ml plate-bound anti-CD28 in the presence of polarizing cytokines. THI polarized cultures contained 5 ng/ml recombinant IL-12 and 10 gg/ml neutralizing anti-IL-4 antibody (BD Pharmingen), while TH2 polarized cultures contained 25 ng/ml recombinant IL-4 and 10 [xg/ml neutralizing anti-IFN-y antibody (BD Pharmingen). THO cells contained both 10 [tg/ml anti-IL-4 antibody and 10 gg/ml anti IFN-y antibody, but no polarizing cytokines. After 24 hours, 40 U/ml IL-2 was added to all cultures. Cultures were washed and fresh cytokines were added every 3 days and restimulated under the above conditions every 6-7 days. Effector CD8 T cells were generated by stimulating sorted naive CD8+ T cells at a density of x 106 /ml with 5 g/ml plate-bound anti-CD3 and 5 g/ml plate-bound anti- CD28 for three days. Memory phenotype CD8 T cells were generated by sorting naive CD8* T cells from spleens and lymph nodes of RAG 1-deficient C57BL6 mice expressing a 2C transgenic TCR. These cells were adoptively transferred intravenously into RAG 1deficient C57BL/6 mice, which were then immunized with SIYRYYGL peptide in CFA. Approximately 6 months later, CD8+CD44himemory 2C T cells were sorted from spleens and lymph nodes of these mice. 115 Cytokine Recapture Staining Cytokine recapture staining was done using either the Mouse IFN-y Secretion Assay kit or the Mouse IL-4 Secretion Assay kit (both from Miltenyi Biotec, Auburn, CA) according to the manufacturer's instructions. Briefly, T cell populations were either restimulated with 5 ng/ml PMA and 100 ng/ml ionomycin in 10% FCS RPMI media or cultured in 10% FCS RPMI media without PMA or ionomycin for 2 or 3 hours. Cells were washed and stained in 100 [d 5% FCS RPMI containing 10 ¢1 of the catch antibody in a 50 ml conical tube on ice. After 5 minutes, 30 ml of warm 5% FCS RPMI was added to the tubes, and cells were incubated with constant rotation at 37 degrees for 45 minutes. Cells were washed with cold 1.5 mM EDTA 0.5% BSA PBS buffer and stained in a 100 tl volume with 10 la detection antibody and 1 1tlAPC conjugated anti-IL-4 antibody. Cell were cultured on ice for 15 minutes, washed, and analyzed by FACS. Bisulfate Conversion and Methylation Analysis Figure 26 is a schematic for bisulfite sequencing methylation analysis. Methylation analysis was done by bisulfite conversion of genomic DNA using the CpGenome Universal DNA Modification Kit (Chemicon International, Temecula, CA) according to the manufacturer's amplified using instructions. the The IFN-y promoter was then PCR following primers: TAGAGAATTTTATAAGAATGGTATAGGTGGGTAT and Forward: Reverse: CCATAAAAAAAAACTACAAAACCAAAATACAATA. The initial annealing temperature for the PCR reaction was 56 degrees. The annealing temperature was reduced at a rate of 0.5 degrees per cycle until an annealing temperature of 47 degrees was reached. The PCR reaction was run at this annealing temperature for 25 more cycles, followed by a 5-minute elongation step. The PCR product was cloned using the TOPO TA Cloning kit (Invitrogen, Carlsbad, CA), according to the manufacturer's instructions, and clones were sequenced using the included primers. Electrophoretic Mobility Shift Assay Nuclear extracts of AE7 and D10 T cell lines were generated as previously described (Schreiber et al., 1989) except that a Complete Mini protease inhibitor cocktail 116 Bisulfite Conversion Assay Unmethylated CpGs Methylated CpGs CH 3 ATACGAATCCCGA OH 3 CH 3 OH 3 ATAC(GAATCC!CGA I Sodium bisulfite treatment deaminates unmethylated cytosine (converting them to uracil) but leaves methylated cytosine intact CH 3 ATAUGAATUUUGA CH3 ATAGAATU UGA ~~~~ATA GAATUUGA ] l I The locus of interest is amplified by PCR, which converts the uracil bases to thymidine ATATGAATTTTGA ATACGAATTTCGA The PCR product is cloned and sequenced. The ratio of cytosine to thymidine at a CpG is used to determine the original methylation state of that base 4 Figure 26. The bisulfite conversion assay. A flow chart illustrating the steps of the sodium bisulfite sequencing method for methylation analysis. Genomic DNA is first treated with sodium bisulfite, followed by deamination. This converts unmethylated cytosine into uracil, but methylated cytosine are resistant to conversion. This is followed by PCR amplification of the locus of interest, during which uracil is converted to thymidine. The PCR product is cloned and sequenced. The m ethylation percentage is determined by comparing the amount of cytosine to the amount of thymidine at a particular position. 117 tablet (Roch, Mannheim, Germany) was included in buffers A and C. DNA binding reactions were performed for 30 minutes at room temperature as previously described (Shen and Stavnezer, 2001). For competition experiments, a 1, 10 or 100 fold molar excess of the specified unlabeled competitor oligonucleotide were added to the reaction. For Ab supershift experiments, 200 ng of the indicated Ab were added to the reactions. The binding reactions were electrophoresed on a 5% native polyacrylamide gel followed by autoradiography. The following oligonucleotide sequence correlating to the -62 through -32 position of the IFN-y promoter was used with the three included CpGs either methylated or unmethylated: GTGAAAATACGTAATCCCGAGGAGCCTTCGA. NFAT consensus oligonucleotide used TATGAAACAAATTTTCCTCTTTGGGCG. had the following The sequence: The following Abs were used for the supershift assay: Fos B (sc-48) Jun B (sc-46) c-Fos (sc-52), c-Jun (sc-45), ATFI/CREB (sc-270), ATF2 (sc-6233) from Santa Cruz Biotechnology (Santa Cruz, CA) and CREB (35-0900) from Zymed (San Francisco, CA). Western Blotting Nuclear extracts of AE7 and D10 cell lines were generated as described above. 50 tg/lane of the nuclear extracts were fractionated by SDS-PAGE and transferred to a nitrocellulose membrane. The membranes were probed with the specific primary antibodies described above. Membranes were washed and incubated with horseradish peroxidase linked antibodies against either mouse IgG or rabbit IgG (Amersham, Piscataway, NJ). Blots were visualized using Western Lightning chemiluminescence reagent (PerkinElmer, Boston, MA) according to the manufacturer's instructions. Chromatin Immunoprecipitation The Chromatin Immunoprecipitation assay was done using the Chromatin Immunoprecipitation (ChIP) Assay Kit from Upstate (Lake Placid, NY) according to manufacturor's instructions. Briefly, stimulated AE7 and DlO cells were treated with 1% formaldehyde for 10 minutes at 37 degrees. Cells were lysed and the lysate was sonicated with 4 20-second pulses, generating DNA fragments with sizes ranging from 200 to 600 bp. The antibodies used for the EMSA experiments and a Protein A bound 118 Agarose slurry were used to precipitate the targeted complexes. The formaldehyde cross-linking was reversed by incubating the complexes in 200 mM NaCl at 65 degrees for 4 hours. Presence of the IFN-y promoter sequences was determined using the following PCR primers: Forward: GCTGTCTCATCGTCAGAGAGCCCA and Reverse: TGATCGAAGGCTCCTCGGGATTACG. The following primers were used to amplify a region of intron 1: Forward: CAGTAACAGTGTTTGGCTACATGC and Reverse: ACCTGCCCTGAAAATATCTATCA. PCRs were run with an annealing temperature of 54 degrees. Vector Construction and Methylation The sequences between -250 and +100 relative to the IFN-y transcriptional start site was amplified by PCR and inserted into the Sac I and Xho I sites of the pGL3 basic reporter vector (Promega). The resulting vector is referred to as y-luc. The Quickchange Site-Directed Mutagenesis Kit (Stratagene) was used to delete the proximal API site (-47 through -57) in the y-luc vector. Methylation of the above construct was either done using CpG Methylase (mSss. 1) (New England Biolabs, Beverly, MA), or using the Quickchange Site-Directed Mutagenesis Kit and a protocol adapted from Martinowich et al. (Martinowich et al., 2003). A schematic for this protocol can be found in Figure 27. Briefly, the y-luc vector was methylated specifically at the -205. -190, -170, -53, -45, or -34 CpG using sitespecific methylated oligonucleotides purchased from IDT (Coralville, IA). The following primers and their reverse complements, unmethylated containing either methylated CpGs or CpGs, were used for this experiment: CpGs -53, -45 and -34: GTGAAAATACGTAATCCCGAGGAGCCTTCGATCAGGTATAAAAC -190: -205 and GGGCACAGCGGGGCTGTCTCATCGTCAGAGAGCCCAAGG CGTCAGAG(AGCCCAAGGAGTCGAAAGGAAACTCTAAC. -170: PCR was done according to the manufacture's protocol with 100 ng/reaction of the y-luc vector used as a template. Following the PCR, the reaction was treated with Dpn I for 2 hours to remove the template DNA. The product was purified using the Qia-Quick method from Qiagen, re-annealed, and precipitated. DNA concentration was estimated by gel electrophoresis. 119 IV%,IIIL, I I PULI lyl-L-- -.I'.--,Pi 11I Im 0 PCR Amplification I IT I Dpn. I Digestion Template Plasmid Template Plasmid 0 I Figure 27. Site-specific methylation of a plasmid A diagram illustrating the method used to generate site-specific methylated vectors. The entire template vector is amplified by PCR using site-specific methylated primers that are reverse complements of each other. The product of this reaction is nicked, site specific methylated vectors. The PCR product is then digested with Dpn. I, which digests the template, but not the product. The digest is then column purified, re-annealed, and concentrated by ethanol precipitation. 120 Cell Transfection and Luciferase Detection AE7 and DIO cells were transfected using the Amaxa Nucleofector Device and the Amaxa Mouse T Cell Nucleofector Kit (Amaxa, Koelin, Germany) following the manufacturer's protocol. Briefly, 2 x 106AE7 or DIO cells per reaction were harvested and washed in 0.5% BSA in PBS. Cells were resuspended in 100 l nucleofector solution, to which 2 g of the test vector and 100 ng of a control CMV promoter driven renilla luciferase construct were added. After electroporation, the cells were cultured in 1.5 ml of the Mouse T Cell Nucleofector Medium for 6 hours at 37 degrees. The cells were then restimulated with 5 ng/ml PMA and 100 ng/ml onomycin for two hours, following which cells were harvested and lysed. Luciferase levels were determined using the Dual Reporter Luciferase Assay System (Promega, Madison, WI) according to the manufacture's instructions. Acknowledgements I thank Dr. Laurie Glimcher for the AE7 and DIO cell lines; Dr. Qing Ge for assistance in the generation of memory CD8+T cells; and Dr. Ching-Hung Shen for help with the EMSA assays. 121 References Afkarian, M., Sedy, J. R., Yang, J., Jacobson, N. G., Cereb, N., Yang, S. Y., Murphy, T. L., and Murphy, K. M. (2002). T-bet is a STAT 1-induced regulator of IL-12R expression in naive CD4+ T cells. Nat Immunol 3,549-557. Agarwal, S., and Rao, A. (1998). Modulation of chromatin structure regulates cytokine gene expression during T cell differentiation. Immunity 9, 765-775. Ansel, K. M., Lee, D. U., and Rao, A. (2003). An epigenetic view of helper T cell differentiation. Nat Immunol 4, 616-623. Aune, T. M., Penix, L. A., Rincon, M. R., and Flavell, R. A. (1997). Differential transcription directed by discrete gamma interferon promoter elements in naive and memory (effector) CD4 T cells and CD8 T cells. Mol Cell Biol 17, 199-208. Avni, O., Lee, D., Macian, F., Szabo, S. J., Glimcher, L. H., and Rao, A. (2002). T(H) cell differentiation is accompanied by dynamic changes in histone acetylation of cytokine genes. Nat Immunol 3, 643-651. Chitnis, T., and Khoury, S. J. (2003). Cytokine shifts and tolerance in experimental autoimmune encephalomyelitis. Immunol Res 28, 223-239. Cippitelli, M., Sica, A., Viggiano, V., Ye, J., Ghosh, P., Birrer, M. J., and Young, H. A. (1995). Negative transcriptional regulation of the interferon-gamma promoter by glucocorticoids and dominant negative mutants of c-Jun. J Biol Chem 270, 12548-12556. Dong, Z., Wang, X., and Evers, B. M. (2000). Site-specific DNA methylation contributes to neurotensin/neuromedin N expression in colon cancers. Am J Physiol Gastrointest Liver Physiol 279, G1 139-1147. Eivazova, E. R., and Aune, T. M. (2004). Dynamic alterations in the conformation of the Ifng gene region during T helper cell differentiation. Proc Natl Acad Sci U S A 101, 251- 256. Fujimoto, M., Kitazawa, R., Maeda, S., and Kitazawa, S. (2005). Methylation adjacent to negatively regulating AP-1 site reactivates TrkA gene expression during cancer progression. Oncogene 24, 5108-5118. Grayson, J. M., Murali-Krishna, K., Altman, J. D., and Ahmed, R. (2001). Gene expression in antigen-specific CD8+ T cells during viral infection. J Immunol 166, 795799. Grogan, J. L., and Locksley, R. M. (2002). T helper cell differentiation: on again, off again. Curr Opin Immunol 14, 366-372. 122 Grogan, J. L., Mohrs, M., Harmon, B., Lacy, D. A., Sedat, J. W., and Locksley, R. M. (2001). Early transcription and silencing of cytokine genes underlie polarization of T helper cell subsets. Immunity 14, 205-215. Hsieh, C. S., Heimberger, A. B., Gold, J. S., O'Garra, A., and Murphy, K. M. (1992). Differential regulation of T helper phenotype development by interleukins 4 and 10 in an alpha beta T-cell-receptor transgenic system. Proc Natl Acad Sci U S A 89, 6065-6069. Hutchins, A. S., Artis, D., Hendrich, B. D., Bird, A. P., Scott, P., and Reiner, S. L. (2005). Cutting edge: a critical role for gene silencing in preventing excessive type 1 immunity. J Immunol 175, 5606-5610. Hwang, E. S., Szabo, S. J., Schwartzberg, P. L., and Glimcher, L. H. (2005). T helper cell fate specified by kinase-mediated interaction of T-bet with GATA-3. Science 307, 430433. Jankovic, D., Liu, Z., and Gause, W. C. (2001). Th - and Th2-cell commitment during infectious disease: asymmetry in divergent pathways. Trends Immunol 22, 450-457. Jeltsch, A. (2002). Beyond Watson and Crick: DNA methylation and molecular enzymology of DNA methyltransferases. Chembiochem 3, 274-293. Jenuwein, T., and Allis, C. D. (2001). Translating the histone code. Science 293, 10741080. Jones, P. L., Veenstra, G. J., Wade, P. A., Vermaak, D., Kass, S. U., Landsberger, N., Strouboulis, J., and Wolffe, A. P. (1998). Methylated DNA and MeCP2 recruit histone deacetylase to repress transcription. Nat Genet 19, 187-191. Katamura, K., Fukui, T., Kiyomasu, T., Iio, J., Tai, G., Ueno, H., Heike, T., Mayumi, M., and Furusho, K. (1998). IL-4 and prostaglandin E2 inhibit hypomethylation of the 5' regulatory region of IFN-gamma gene during differentiation of naive CD4+ T cells. Mol Immunol 35, 39-45. Lee, D. U., Agarwal, S., and Rao, A. (2002). Th2 lineage commitment and efficient IL-4 production involves extended demethylation of the IL-4 gene. Immunity 16, 649-660. Lee, H. J., Takemoto, N., Kurata, H., Kamogawa, Y., Miyatake, S., O'Garra, A., and Arai, N. (2000). GATA-3 induces T helper cell type 2 (Th2) cytokine expression and chromatin remodeling in committed Thl cells. J Exp Med 192, 105-115. Li, L., Young, D., Wolf, S. F., and Choi, Y. S. (1996). Interleukin-12 stimulates B cell growth by inducing IFN-gamma. Cell Immunol 168, 133-140. Lighvani, A. A., Frucht, D. M., Jankovic, D., Yamane, H., Aliberti, J., Hissong, B. D., Nguyen, B. V., Gadina, M., Sher, A., Paul, W. E., and O'Shea, J. J. (2001). T-bet is rapidly induced by interferon-gamma in lymphoid and myeloid cells. Proc Natl Acad Sci U S A 98, 15137-15142. 123 Malter, J. S. (1998). Posttranscriptional regulation of mRNAs important in T cell function. Adv Immunol 68, 1-49. Martinowich, K., Hattori, D., Wu, H., Fouse, S., He, F., Hu, Y., Fan, G., and Sun, Y. E. (2003). DNA methylation-related chromatin remodeling in activity-dependent BDNF gene regulation. Science 302, 890-893. Martins, G. A., Hutchins, A. S., and Reiner, S. L. (2005). Transcriptional activators of helper T cell fate are required for establishment but not maintenance of signature cytokine expression. J Immunol 175, 5981-5985. Melvin, A. J., McGurn, M. E., Bort, S. J., Gibson, C., and Lewis, D. B. (1995). Hypomethylation of the interferon-gamma gene correlates with its expression by primary T-lineage cells. Eur J Immunol 25, 426-430. Mosmann, T. R., Cherwinski, H., Bond, M. W., Giedlin, M. A., and Coffman, R. L. (1986). Two types of murine helper T cell clone. I. Definition according to profiles of lymphokine activities and secreted proteins. J Immunol 136, 2348-2357. Mullen, A. C., High, F. A., Hutchins, A. S., Lee, H. W., Villarino, A. V., Livingston, D. M., Kung, A. L.., Cereb, N., Yao, T. P., Yang, S. Y., and Reiner, S. L. (2001). Role of T- bet in commitment of TH1 cells before IL-12-dependent selection. Science 292, 19071910. Mullen, A. C., Hutchins, A. S., High, F. A., Lee, H. W., Sykes, K. J., Chodosh, L. A., and Reiner, S. L. (2002). Hlx is induced by and genetically interacts with T-bet to promote heritable T(H)I gene induction. Nat Immunol 3, 652-658. Murphy, K. M., Ouyang, W., Farrar, J. D., Yang, J., Ranganath, S., Asnagli, H., Afkarian, M., and Murphy, T. L. (2000). Signaling and transcription in T helper development. Annu Rev Immunol 18,451-494. Murphy, K. M., and Reiner, S. L. (2002). The lineage decisions of helper T cells. Nat Rev Immunol 2, 933-944. Nagy, E., Buhlmann, J. E., Henics, T., Waugh, M., and Rigby, W. F. (1994). Selective modulation of IFN-gamma mRNA stability by IL-12/NKSF. Cell Immunol 159, 140-151. Nan, X., Ng, H. H., Johnson, C. A., Laherty, C. D., Turner, B. M., Eisenman, R. N., and Bird, A. (1998). Transcriptional repression by the methyl-CpG-binding protein MeCP2 involves a histone deacetylase complex. Nature 393, 386-389. Pai, S. Y., Truitt, M. L., and Ho, I. C. (2004). GATA-3 deficiency abrogates the development and maintenance of T helper type 2 cells. Proc Natl Acad Sci U S A 101, 1993-1998. Pang, Y., Norihisa, Y., Benjamin, D., Kantor, R. R., and Young, H. A. (1992). Interferon- gamma gene expression in human B-cell lines: induction by interleukin-2, protein kinase 124 C activators, and possible effect of hypomethylation on gene regulation. Blood 80, 724732. Pearce, E. J., Caspar, P., Grzych, J. M., Lewis, F. A., and Sher, A. (1991). Downregulation of Th 1 cytokine production accompanies induction of Th2 responses by a parasitic helminth, Schistosoma mansoni. J Exp Med 173, 159-166. Penix, L., Weaver, W. M., Pang, Y., Young, H. A., and Wilson, C. B. (1993). Two essential regulatory elements in the human interferon gamma promoter confer activation specific expression in T cells. J Exp Med 178, 1483-1496. Penix, L. A., Sweetser, M. T., Weaver, W. M., Hoeffler, J. P., Kerppola, T. K., and Wilson, C. B. (1996). The proximal regulatory element of the interferon-gamma promoter mediates selective expression in T cells. J Biol Chem 271, 31964-31972. Richards, E. J., and Elgin, S. C. (2002). Epigenetic codes for heterochromatin formation and silencing: rounding up the usual suspects. Cell 108, 489-500. Romagnani, S. (11994).Lymphokine production by human T cells in disease states. Annu Rev Immunol 12, 227-257. Schreiber, E., Matthias, P., Muller, M. M., and Schaffner, W. (1989). Rapid detection of octamer binding proteins with 'mini-extracts', prepared from a small number of cells. Nucleic Acids Res 17, 6419. Scott, P., Pearce, E., Cheever, A. W., Coffman, R. L., and Sher, A. (1989). Role of cytokines and CD4+ T-cell subsets in the regulation of parasite immunity and disease. Immunol Rev 112, 161-182. Seder, R. A., Paul, W. E., Davis, M. M., and Fazekas de St Groth, B. (1992). The presence of interleukin 4 during in vitro priming determines the lymphokine-producing potential of CD4+ T cells from T cell receptor transgenic mice. J Exp Med 176, 10911098. Shen, C. H., and Stavnezer, J. (2001). Activation of the mouse Ig germline epsilon promoter by I L-4 is dependent on AP-1 transcription factors. J Immunol 166, 411-423. Spellberg, B., and Edwards, J. E., Jr. (2001). Type 1/Type 2 immunity in infectious diseases. Clin Infect Dis 32, 76-102. Stetson, D. B., Mohrs, M., Reinhardt, R. L., Baron, J. L., Wang, Z. E., Gapin, L., Kronenberg, M., and Locksley, R. M. (2003). Constitutive cytokine mRNAs mark natural killer (NK) and NK T cells poised for rapid effector function. J Exp Med 198, 1069-1076. Szabo, S. J., Kim, S. T., Costa, G. L., Zhang, X., Fathman, C. G., and Glimcher, L. H. (2000). A novel transcription factor, T-bet, directs Thl lineage commitment. Cell 100, 655-669. 125 Szabo, S. J., Sullivan, B. M., Stemmann, C., Satoskar, A. R., Sleckman, B. P., and Glimcher, L. H. (2002). Distinct effects of T-bet in TH I lineage commitment and IFNgamma production in CD4 and CD8 T cells. Science 295, 338-342. Usui, T., Nishikomori, R., Kitani, A., and Strober, W. (2003). GATA-3 suppresses Thl development by downregulation of Stat4 and not through effects on IL-I 2Rbeta2 chain or T-bet. Immunity 18, 415-428. White, G. P., Watt, P. M., Holt, B. J., and Holt, P. G. (2002). Differential patterns of methylation of the IFN-gamma promoter at CpG and non-CpG sites underlie differences in IFN-gamma gene expression between human neonatal and adult CD45RO- T cells. J Immunol 168, 2820-2827. Winders, B. R., Schwartz, R. H., and Bruniquel, D. (2004). A distinct region of the murine IFN-gamma promoter is hypomethylated from early T cell development through mature naive and Thl cell differentiation, but is hypermethylated in Th2 cells. J Immunol 173, 7377-7384. Yano, S., Ghosh, P., Kusaba, H., Buchholz, M., and Longo, D. L. (2003). Effect of promoter methylation on the regulation of IFN-gamma gene during in vitro differentiation of human peripheral blood T cells into a Th2 population. J Immunol 171, 2510-2516. Young, H. A., Ghosh, P., Ye, J., Lederer, J., Lichtman, A., Gerard, J. R., Penix, L., Wilson, C. B., Melvin, A. J., McGurn, M. E., and et al. (1994). Differentiation of the T helper phenotypes by analysis of the methylation state of the IFN-gamma gene. J Immunol 153, 3603-3610. Zhang, D. H., Cohn, L., Ray, P., Bottomly, K., and Ray, A. (1997). Transcription factor GATA-3 is differentially expressed in murine Thl and Th2 cells and controls Th2specific expression of the interleukin-5 gene. J Biol Chem 272, 21597-21603. Zhang, F., Wang, D. Z., Boothby, M., Penix, L., Flavell, R. A., and Aune, T. M. (1998). Regulation of the activity of IFN-gamma promoter elements during Th cell differentiation. J Immunol 161, 6105-6112. Zhu, J., Min, B., Hu-Li, J., Watson, C. J., Grinberg, A., Wang, Q., Killeen, N., Urban, J. F., Jr., Guo, L., and Paul, W. E. (2004). Conditional deletion of Gata3 shows its essential function in T(H)1-T(H)2 responses. Nat Immunol 5, 1157-1165. 126 Chapter 3: The Roles of Specific Methyltransferases in the Methylation Changes at the IFN-y Locus during TH2 Polarization Brendan Jones and Jianzhu Chen 127 Summary There is a strong correlation between CpG methylation and gene expression whereby genes that are undergoing transcription are usually hypomethylated and silent genes are usually hypermethylated. A dynamic change in methylation status occurs at the IFN-y locus during the polarization of CD4+ T cells, with the promoter undergoing de novo methylation during TH2 polarization, but remaining hypomethylated during TH polarization. Here we show that the de novo methyltransferase Dnmt3b is not required for this process, and that de novo methylation is reduced in Dnmt3a deficient T cells. Furthermore, we demonstrate that helper T cells deficient in the Dnmt3a alternative transcript, Dnmt3a2, undergo de novo methylation at the IFN-y promoter during THI polarization, and that IFN-y expression is inhibited in these T cells. Collectively, this suggests that Dnmt3a is required for efficient de novo methylation of the IFN-y promoter during TH2 polarization, and that Dnmt3a2 suppresses IFN-y methylation during THI polarization. 128 Introduction It is likely that dynamic changes in the methylation pattern of the IFN-y locus during helper T cell polarization play a role in transcriptional regulation. While there is a general correlation between expressed genes and promoter hypomethylation and between silent genes and promoter hypermethylation, the methylation changes at the IFN-y promoter do not always follow this pattern. Nafve helper T cells do not express IFN-y and are hypomethylated at the IFN-y promoter and hypermethylated at the contiguous transcribed region (Winders et al., 2004). Upon activation, these cells can polarize into either T 1 cells, which express IFN-y, or TH2 cells, in which IFN-y expression is repressed (Jankovic et al., 2001; Mosmann et al., 1986; Murphy and Reiner, 2002). During TH1 polarization, the IFN-y promoter proximal transcribed region undergoes a slow demethylation, whereas during TH2 polarization the promoter becomes hypermethylated (Winders et al., 2004; Young et al., 1994). It is unclear how these methylation changes are regulated and which enzymes are involved. The dynamic methylation changes that occur at the IFN-y promoter during helper T cell polarization have been well characterized, but it is unknown which methyltransferase enzymes are responsible for this process. There are three known mammalian methyltransferase genes, Dnmtl, Dnmt3a, and Dnmt3b (Bestor et al., 1988; Okano et al., 1999; Okano et al., 1998). hemimethylated Dnmtl preferentially methylates DNA (Bestor, 1992), and co-localizes with the replication fork (Leonhardt et al., 1992). Targeted inactivation of Dnmtl results in extensive demethylation of all examined sequences (Li et al., 1992). It is therefore likely that Dlnmtl is primarily responsible for the maintenance of established methylation patterns during cell division. While Dnmtl can methylate unmethylated DNA in vitro (Bestor, 1992), there is little evidence that it acts as a de novo methyltransferase in vivo. Dnmtl deficiency is embryonic lethal in mice (Li et al., 1992), but mice with a T cell specific deficiency of Dnmtl show impaired T cell development, impaired activation-induced proliferation, and a disregulation of cytokine gene expression (Lee et al., 2001). This further demonstrates the importance of CpG methylation in immune function in general, and cytokine regulation in particular. 129 The methyltransferases Dnmt3a and Dnmt3b show an enzymatic preference for unmethylated DNA over hemimethylated DNA (Okano et al., 1998), suggesting that these enzymes function as de novo methyltransferases. These genes have been shown to be highly expressed in undifferentiated ES cells (Okano et al., 1998), and are largely responsible for the establishment of the methylation pattern during early development (Okano et al., 1999). Dnmt3a has broad somatic expression across many tissues, whereas Dnmt3b expression shows a more tissue-specific pattern (Chen et al., 2002). While Dnmt3b is expressed at low levels ubiquitously (Baylin et al., 2001), there is elevated expression in the testis, ovary, liver, spleen and thymus (Chen et al., 2002). Where mice deficient for Dnmt3b do not survive embryogenesis, Dnmt3a deficient mice develop to term, and appear normal at birth, although they quickly become runted and rarely survive past 4 weeks of age (Okano et al., 1999). Both the Dnmt3a and Dnmt3b genes are regulated via alternative splicing. At least 5 separate splice variants of the Dnmt3a gene have been identified (Weisenberger et al., 2002) (Figure 1A). While the enzymatic activity of most of these splice forms has not been characterized, they all contain an intact enzymatic domain, and it is thus likely that they all have some level of enzymatic activity. The only significant difference that has been demonstrated between these variants is the expression pattern, with transcripts containing exon lct being preferentially expressed in somatic cells, and transcripts containing exon 13 being preferentially expressed in embryonic stem cells (Weisenberger et al., 2002). In addition, at least 6 different splice variants of Dnmt3b have been identified (Chen et al., 2002; Hansen et al., 1999; Okano et al., 1998; Xie et al., 1999) (Figure lB). Two of them, Dnmt3bl and Dnmt3b2, have been shown to have enzymatic activity in vitro (Okano et al., 1998), whereas Dnmt3b3, Dnmt3b4, Dnmt3b5, and Dnmt3b6 are all lacking part or all of the enzymatic domain of the protein, and thus likely do not have enzymatic activity. In addition to encoding different splice variants, Dnmt3a also has an alternative intronic promoter, and transcription from this promoter produces the transcriptional variant Dnmt3a2 (Chen et al., 2002) (Figure 1A). Dnmt3a2 contains most of Dnmt3al, including the enzymatic regions, but lacks 219 N-terminal amino acids found in Dnmt3al. Dnmt3a2 shows similar methylation activity in vitro to Dnmt3al (Chen et al., 130 Dnnt3a Locus A1 ATG ATG H 1 Fr1111I l1i 1p 1 2 3 4 5 6 * 1ii 7 8 910 11 12 I lI 11 I 13 14 15 16 17 1819 20 21 22 23 1 Dnmt3al Splice Variants ~~~1a~~~~~~~~ 1 Dnmt3a2 Dnnt3b Locus 13 ATG 12 3 45 6 7 8 9 8 10111213141516171819 10 19 8 10 8 10 2021 22 22 Dnmt3bl \JK7\Vl~AJ~y\J~v\AJ/~/\/Wv\v/\J/ \VJK1'AA" //V/\\ Splice Forms A2A 8\1t 19 \/AJ/\JJ 19 vDnmt3b4 \Vh7//Vv,\1v\vA~V'A~f 8 10 8 10 8 10 V\f,7\YN1 fAVAVAP.V\J\ 19 22 22 Dnmt3b2 Dnmt3b3 22 \J7YAJ/v/J/ '\I\/KJ Dnmt3b5 19 22 19 22 AAVI"7~ Dnmt3b6 Figure 1. Alternative Splice forms of Dnmt3a and Dnmt3b (A) The structure of the mouse Dnmt3a gene and mRNA splice forms, as well as the Dnmt3a2 alternative transcript. Exons are shown as black bars. An asterisk indicates the Dnmt3a2-specific exon. (B) The structure of the mouse Dnmt3b gene and mRNA splice forms. Exons are shown as black bars. 131 2002), but where mice deficient in Dnmt3al alone have a similar phenotype to mice completely deficient for Dnmt3a, Dnmt3a2 deficient mice appear to be normal (En Li, personal communication). Where both Dnmt3al and Dnmt3b localize to heterochromatic regions of the nucleus (Bachman et al., 2001), Dnmt3a2 localizes to euchromatic regions of the nucleus (Chen et al., 2002). Furthermore, where Dnmt3al is expressed at similar levels across a broad array of somatic tissues, Dnmt3a2 expression appears to be largely restricted to the spleen, thymus and testis (Chen et al., 2002). It is thus clear that Dnmt3al and Dnmt3a2 play different physiological roles, despite their structural similarity. This chapter describes preliminary studies examining the roles of Dnmt3a, Dnmt3a2 and Dnmt3b in IFN-y promoter methylation changes during helper T cell polarization. We demonstrate that Dnmt3b is not required for the de novo methylation of the IFN-y promoter during TH2 polarization. We also demonstrate that de novo methylation of the IFN-y promoter is reduced when Dnmt3a is partially deleted from T cells. Finally, we demonstrate that T cells deficient in Dnmt3a2 undergo de novo methylation when activated under both THi and TH2 polarizing conditions. Significantly, Dnmt3a2 deficient T cells also show reduced IFN-y expression when polarized under TH1 conditions. These results indicate that Dnmt3a plays a role in the de novo methylation of the IFN-y promoter during TH2 polarization, and that Dnmt3a2 inhibits Dnmt3a-mediated methylation of the IFN-y promoter during TH1 polarization. 132 Results ° x Mice Have Fewer T cells and a Higher Percentage of Activated lckCreDnmt3bz` CD8 + T cells Than Littermates We acquired mice with a loxP flanked Dnmt3b enzymatic domain (Figure 2) that expressed Cre recombinase under the control of the ck promoter (ckCreDnmt3b 2 °1 x) from Dr. En Li of Massachusetts General Hospital. In these mice, Cre mediated recombination rendered cells Dnmt3b deficient during the double negative stage of thymic development. The average cell number in the spleen of the mutant mice was about 40% lower than in the spleens of littermate Dnmt3b2 °1x mice that did not express Cre (these mice will be referred to as littermates, p < 0.02) (Figure 3). While the thymuses and lymph nodes also had consistently fewer cells in the mutant mice than in the littermates, the difference was not statistically significant (Figure 3). FACS analysis of the thymuses of mutant mice appeared normal, with similar levels of CD4, CD8 double negative, CD4, CD8 double positive, CD4 single positive, and CD8 single positive cells when compared to littermate controls (Figure 4). The spleens of the ckCreDnmt3b2 °1x mice contained a significantly lower percentage of T cells than their littermates (20.8% versus 31.5% T cells, p < 0.02) (Figure 5A). This difference was also present in the lymph nodes of these mice, with the lckCreDnmt3b2 °1x lymph nodes consisting of 47.3% T cells, but the littermate lymph nodes consisting of 64.8% T cells. While there are fewer total cells for both CD4+ T cells and CD8+ T cells in spleens and lymph nodes of the ckCreDnmt3b2°1x mice, the reduction is greater in the CD8+ population, which results in a skewing of the ratio of CD4+ T cells to CD8 + T cells (Figure 5B). The activation state of the CD4+ T cells as measured by CD45RB and CD62L expression was similar in ckCreDnmt3b 2 °1x mice and littermates (Figure 6). However, gh there was a significantly higher percentage of CD44hi CD8+ T cells in the spleens and lymph nodes of lckCreDnmt3b2 °1x mice (68.2% and 48.6% respectively, p < 0.03) than in littermates (41.5% and 29% respectively, p < 0.03) (Figure 7). This indicates that lckCreDnmt3b2 'ox mice have a greater percentage of activated and memory CD8+ T cells than do littermates. 133 Dnnt3b 21ox A loxP FG 12 I I 111 I 3 45 6 7 I11 I 8 9 IoxP I 11111*1 I I 1011121314 15 16171819 2021 22 Dnnt3b 1lox A I ~~~~~~~~~I I |1 12 I I 3 11 II I 45 6 I I~ 7 oxP loxP I 1 Iif Io IIr 8 9 1011121314 15 I I I I 1 II 20 21 22 Figure 2. Cre mediated deletion of Dnmt3b The structure of the Dnmt3b gene in Dnmt3b2 "° x mice before (2lox) and after (1 lox) Cremediated recombination. 134 250 ill 200 0 T""" 2:S 150 ~ Q) ..c E ::J z 100 Q) 0 50 0- Figure 3. There are fewer cells in the lymphoid organs of I ckCreDnmt3b21ox mice than Iittermates. The total cell number from the spleens, lymph nodes, and thymuses of l8-week-old lckCreDnmt3b21ox mice and littermate controls that do not express Cre (WT). Values are the averages of three mice. Error bars represent the standard deviation. P values were determined by the student t-test. 135 Wild Type Ak 13.6 IckCreDnmt3b 78. 2 Iox 85.2 7.56 ,.~~~~~~~~::"' · ... 3;94 3.66 ..· . 84 r5A5 '...... 2.49 J, ' ''1 ' . ' ,'""1 'rig 81.8 8.52 1.Z:... 0 0'l ; . . : :. 4.73 "'..'"I 7.55 . ... .. ''~'.E 3.01 ........ · ;! .... ...... 6 78 r'.... .', ,,;,, ' · · ",'1 · -.... i 294 ,.... CD8 Figure 4. Thymic cell populations are similar between lckCreDnmt3b2 ° x mice and littermates. FACS plots indicating the CD4 and CD8 expression status of thymocytes taken from 182 ox mice and littermates that do not express Cre (Wild Type). week-old ckCreDnmt3b The two plots from each genotype are representative of 5 mice from each genotype. 136 70 A 60 50 C/) 40 a.> () ~ 30 ?ft. 20 10 o ..• B 38.6. .... ' " . 0.5 . 0.5 38.8 .. o. ....~\.;~,;,'~'d~;.~. ,': &.~,,~)~~:::.: , . 39.4 .'. .... J~::.":.t., .. :~.,+";.. WT 0.95. 59.9 1.27 .58.7 1.63. 24.4 0.25 27.4 0.77 27.9 1.0 IckCreDnmt3b21ox co o o t.85 0.77 CD4 Fi gure 5. There are fewer T cells and a IckCreDnmt3b21oll mice compared to littermates. higher CD4 to CDS ration in (A) The percent TCR~ positive cells in spleens and lymph nodes of IckCreDnmt3b21ox mice and littermates that do not express Cre (WT) as determined by FACS. Error bars represent standard deviations of three mice analyzed. P values were determined by the student t-test. (B) FACS plots indicating the CD4 and CD8 expression status of TCR~ positive cells taken from the lymph nodes of 18-week-old IckCreDnmt3b210ll mice and littermates that do not express Cre (WT). Three mice were analyzed. 137 CD4+ T cells 90 A 80 70 -5, 60 £: co 50 0: to """" 0 0 -;:R. 0 40 30 20 10 0 ~ ~ S.:Y ~ ~flj ~flj VjQ.. 0Q.. ~ s:= ~~ s:= Q(;:' Q(;:' B 90 80 70 - -5, £: .....J 60 50 C\J (0 o o eft. 30 20 10 o Figure 6. The activation status of CD4+ T cells is similar in IckCreDnmt3b2lox mice and Iittermates. (A) The percentage of CD4+ cells that are CD45RB high in spleens and lymph nodes of IckCreDnmt3b21ox m ice and littermates that do not express Cre (WT) as determined by FACS. Error bars represent standard deviations of three mice analyzed. (B) The percentage of CD4+ cells that are CD62L high in spleens and I ymph nodes of IckCreDnmt3b21ox m ice and lit termates that do not express Cre (WT) as determined by FACS. Error bars represent standard deviations of three mice analyzed. 138 80 CD8+ T cells 60 g, 50 ..c ~ 40 o () 30 #- 20 10 o Figure 7. A higher percentage of CD8+ T cells are CD44 high in IckCreDnmt3b21ox mice than in littermates. The percentage of CD8+ cells that are C044 high in spleens and lymph nodes of lckCreDnmt3b21ox m ice and littermates that do not express Cre (WT) as determined by FACS. Error bars represent standard deviations of three mice analyzed. P values were determined by the student t-test. 139 Helper T cell Polarization is Normal in Dnmt3b Deficient T cells We next investigated the role of Dnmt3b in helper T cell polarization. Naive CD4+ T cells were purified from the spleens and lymph nodes of either lckCreDnmt3b2 "° x mice or littermates by FACS. This was followed by in vitro activation using plate-bound anti-CD3 and anti-CD28 under polarizing conditions. THi polarization was done by adding recombinant IL-12 and anti-IL-4 antibody to the culture, while TH2 polarization was done by adding recombinant IL-4 and anti-IFN-y antibody to the culture. After 6 days under polarizing conditions, cells were stimulated with PMA and ionomycin and cytokine secretion was assayed by FACS. Cells from both lckCreDnmt3b2°1 x mice and littermates that were polarized under TH1 conditions expressed similar levels of IFN-y and did not express IL-4 following stimulation (Figure 8). Cells from both mice polarized under TH2 conditions expressed similar levels of IL-4, and no IFN-y following stimulation (Figure 8). Thus, Dnmt3b deficiency had no effect on effector cytokine secretion during helper T cell polarization. In order to determine the IFN-y promoter methylation status during helper T cell polarization for the lckCreDnmt3b2° x mice and littermates, genomic DNA was isolated from naive, TH1 and TH2 cells, bisulfite converted, PCR amplified, cloned and sequenced. There was no significant difference in the IFN-y locus methylation state between the mutant mice and the wild-type mice in any of these populations (Figure 9). In naive cells from both types of mice the IFN-y promoter was hypomethylated while the transcribed region was hypermethylated. During TH1 polarization, cells from both the mutant mice and littermates maintained a hypomethylated promoter and had less methylation at both CpGs of the coding region. During TH2 polarization, cells from both mouse genotypes underwent a de novo methylation of the promoter, with all CpGs increasing their methylation level to varying degrees, while the transcribed region remained hypermethylated. Thus, it is clear that Dnmt3b is not required for de novo methylation of the IFN-y promoter during TH2 polarization. 140 WT IckCreDnmt3b210X Figure 8 • No Restimulation B P/I Restimulation IFN-g WT IckCreDnmt3b210X • No Restimulation B P/I Restimulation IFN-g IL-4 141 Figure 8. Cytokine expression following helper T ce 11polarization is similar in 2 ° x mice and littermates. lckCreDnmt3b IFN-y and IL-4 expression by TH1 and TH2 polarized helper T cells from lckCreDnmt3b2° x mice and littermates that did not express Cre (WT). TH1 cells were generated by activating FACS purified naive CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant recombinant IL-12 and neutralizing anti-IL-4 antibody. TH2 cells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. Polarized TH and T. 2 cells were either stimulated with PMA and ionomycin or left unstimulated for hour and cytokine expression was measured by cytokine recapture FACS. The open histogram represents stimulated cells while the shaded histogram represents unstimulated cells. 142 Wild Type 100 80 D c 0 •• 60 +::; rn >£. +-' Q) 40 ~ ~0 20 Naive TH 1 TH2 0-205 -191 -53 -171 -47 -34 +16 +96 CpG IckCreDnmt3b21OX 100 80 D c 0 .+:; m •• 60 '5. £. Q) ~ ~0 40 20 -205 -191 -171 -53 -47 -34 + 16 Naive TH 1 TH2 +96 CpG 21ox Figure 9. IckCreDnmt3b m ice and littermates methylation states during helper T cell polarization. have similar IFN-y promoter The percent methylation at individual CpGs of the IFN-)' proximal promoter for na"ive helper T cells, THI cells and T H2cells generated from either lckCreDnmt3b21ox mice or littermates that did not express Cre (Wild Type). Naive CD4+ T cells were purified from the spleens and lymph nodes of the indicated mice by FACS. T HI cells were generated by activating FACS purified naive CD4+ T cells with plate-bound anti-CD3 and antiCD28 antibodies for 6 days in the presence of recombinant IL-12 and neutralizing antiIL-4 antibody. T H2cells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. The methylation status of the cells was determined by bisulfite sequencing. Between 18 and 23 clones were analyzed for each sample. Sequenced clones are from two different PCR amplifications with two independently isolated DNA samples. 143 The IFN-y Promoter Methylation is Reduced during TH2 Polarization When Dnmt3a is Partially Deleted In order to examine the role of Dnmt3a in the methylation changes at the IFN-y promoter during TH2 polarization we used ER-CreDnmt3a2°xi 2 °x mice. These mice contain a transgenic estrogen-receptor/Cre fusion protein as well as Dnmt3a alleles in which loxP sites flank the enzymatic domain (Figure OA). When these mice are exposed to tamoxifen Cre localizes to the nucleus and is thus able to disrupt the floxed Dnmt3a genes. Unfortunately, treating these mice with tamoxifen in vivo results in inefficient disruption of the Dnmt3a gene in the peripheral lymphoid organs (data not shown). Because of this, we used in vitro tamoxifen treatment of isolated cells to disrupt the Dnmt3a gene. Naive CD4+ T cells were purified by FACS from the spleens and lymph nodes of ° x/ 2 1° x mice and mice that contained ER-Cre transgenes, but were wild ER-CreDnmt3a2' type at the Dnmt3a locus (referred to as wild-type). These cells were activated under TH2 polarizating conditions as described above, with the exception that tamoxifen was added °xI /2 °x cells. After 6 days in to the littermate cells and a subset of the ER-CreDnmt3a2b °x culture, the ER-CreDnmt3a2' /2 °x cells that had been cultured with or without tamoxifen were restimulated with anti-CD3 and anti-CD28 under TH2 polarizing conditions for 6 additional days. The cells' prior tamoxifen treatment was continued during this time. DNA was isolated from naive, day 6, and day 12 cells and analyzed for disruption of the Dnmt3a gene by a PCR reaction specific for the loxP flanked Dnmt3a gene (Dnmt3a 21ox), which does not recognize the wild-type locus or the locus following Cre mediated ° cells that were recombination (Dnmt3a ilox). When DNA from ER-CreDnmt3a2°ox /2 ox not exposed to tamoxifen was used as a template for this reaction, bands of the same size and similar intensity were formed whether the DNA was isolated on day 0, 6 or 12 (Figure 11). This suggests that Cre-mediated recombination did not take place in the absence of tamoxifen. When DNA from ER-CreDnmt3a2° x/2I2°x cells that were exposed to tamoxifen was used as a template for this reaction, a band of the same size but reduced intensity relative to the untreated samples was generated by the day 6 sample, whereas the day 12 sample did not produce a band (Figure 11). This indicates that tamoxifen- 144 A Dnnt3a 21ox ATG ATG [ lI II I1 l2 3II 1l l 2 3 4 5 1 1. I I Il 6 ATG I Ab ¢" * 1, I I 1-h.. o I I I I I la 2 3 4 5 6 * I I II 1 III I I I ATG I I I I l 7 8 9 10 1112 IE II I I I I I I loxP I 13 14 15 16 Dnnt3a 1lox I iu II I _ 17 1819 2021 i I I I I I I I I I I iL I I I I I I I I I I I I I I 11 I I I B 23 loxP I 7 8 910 11 12 22 13 14 15 16 17 19 20 21 I I 22 23 Dnnt3a2 knock out ATG ATG I Ft1 I I I lI 113 la 2 I I I I I I I I 3 4 5 6 I 11 I I I II II II ' 7 8 9 10 11 12 I I I I I I 13 14 15 16 I 17 11 I I I I I I 18 19 20 21 22 23 Figure 10. The Dnmt3a Locus in Dnmt3a mutant mice (A) The structure of the Dnmt3a gene in Dnmt3a2 "° x mice before (21ox) and after (ox) Cre-mediated recombination. (B) The structure of the Dnmt3a gene in Dnmt3a2-' - mice. 145 2 lox IFN-y intron 1 Figure 11. ere mediated recombination at the dnmt3a locus was still incomplete after 6 days in culture with tamoxifen, but was co mplete after 12 days in culture with tamoxifen. PCR specific for dnmt3a2lo\ DNA was performed on cells obtained from mice with a wild-type dnmt3a locus (WT), or on cells from ER-CreDnmt3a2Im/2Im mice. Cells were either FACS purified na'fve CD4+ T cells or TII2 cells that had been polarized for 6 (d6) or 12 (dI2) days in the presence or absence of tamoxifen (Tx). As a control, a PCR specific for IFN-y intron I was also done on the same samples. 146 induced Cre-mediated recombination was not complete after 6 days in culture, but was complete after 12 days in culture. As expected, the PCR did not generate bands when wild-type DNA or no DNA was added to the PCR reaction. As a positive control, a PCR reaction specific for a portion of IFN-y intron I was done using all DNA samples as templates. Similar size and weight bands were generated from all the samples, but not when DNA was withheld from the reaction. The above data indicate that the tamoxifeninduced disruption of Dnmt3a was not complete after 6 days in culture, but was complete after 12 days in culture. We next examined the effect of this gradual disruption of the Dnmt3a locus on the de novo methylation of the IFN-y promoter that occurs during TH2 polarization. DNA was isolated from naive CD4+ T cells purified from the spleens and lymph nodes of ERCreDnmt3a2"x2 °x mice, and cells from the same mice that had been polarized under TH2 conditions for either 6 or 12 days in the presence or absence of tamoxifen. To control for non-specific tamoxifen effects, wild-type naive helper T cells were also polarized for 6 days in the presence of tamoxifen. Following TH2 polarization, tamoxifen treated wild° 'X/ 2 ° x cells expressed type cells, and both tamoxifen treated and untreated ER-CreDnmt3a2 IL-4, but not IFN-y upon stimulation (Figure 12), indicating that the TH2 polarization was successful. The IFN-y promoter was hypomethylated and the coding region '° hypermethylated for the naive CD4+ T cells taken from both the ER-CreDnmt3a2°ox /2ox mice and the wild-type mice (Figure 13). In cells that had been polarized for 6 days under TH2 conditions, de novo methylation had taken place at the IFN-y promoter in cells °ox /2ox '° cells, regardless of taken from the wild-type mice, as well as in ER-CreDnmt3a2' tamoxifen treatment (Figure 13). On the other hand, in cells that had been TH2 polarized for 12 days, there was significantly more methylation in the promoter of ER- °' x/2 ° x cells that had not been exposed to tamoxifen, CreDnmt3a2I than in ER- ° cells that had been exposed to tamoxifen (p < 0.001) (Figure 13). This CreDnmt3a2° ' 2 'x suggests that Dnmt3a plays a role in the de novo methylation of the IFN-y promoter during TH2polarization. The IFN-y promoter of Dnmt3a2 Deficient Helper T cells Undergoes De Novo Methylation During Both TH and TH2Polarization 147 WT + Tx ER-LckDnmt3a2Iox/2Iox ER-LckDnmt3a2loxl2lox + Tx IFN-g IL-4 • No Restimulation Figure 12. Tamoxifen treatment polarized cells. B P/I Restimulation has little effect on cytokine expression in T H2 IL-4 expression by T H2polarized helper T cells from ER-CreDnmt3a2IOll/2Ioll mice and wild-type mice that were either cultured in the presence or the absence of tamoxifen (Tx). T H2cells were generated by activating FACS purified na"ive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. Polarized T H2cells were either stimulated with PMA and ionomycin or left unstimulated for 1 hour and cytokine expression was measured by cytokine recapture FACS. The open histogram represents stimulated cells while the shaded histogram represents unstimulated cells. 148 Figure 13 c 0 :+::; co ... >. ..c Day 0 Q) ~ ... c Q) u ~ Q) 0.... 100 90 80 70 60 50 40 30 20 10 0 - ;::- ,- - - - fff- - f- II II -205 II -190 -170 II II -53 f- II -45 -34 16 96 CpG c 0 ".+:J co ... ~ ... >. Day 6 ..c Q) c Q) u ~ Q) 0.... 100 90 80 70 60 50 40 30 20 10 0 - - -205 -190 -170 -53 - - - -45 -34 16 96 -45 -34 16 96 CpG c 0 :+::; co ... ~ ... >. ..c Day 12 Q) c Q) u ~ Q) 0.... 100 90 80 70 60 50 40 30 20 10 0 - - -205 D WT + Tx [J -190 -170 -53 CpG ER-CreDnmt3a2loxl2lox • ER-CreDnmt3a2loxl2lox +Tx 149 Figure 13. Less de n ovo methylation occurs in 12 day TH2 polarized ER° 1 2'° x cells that had been cultured in tamoxifen than in cells that had not CreDnmt3a2x/ been cultured in tamoxifen. The percent methylation at individual CpGs of the IFN-y proximal promoter for naive helper T cells, and TH2 cells that had been polarized for 6 or 12 days and generated from either ER-CreDnmt3a2 1x/2 °1 x mice or wild-type mice. Naive CD4+ T cells were purified from the spleens and lymph nodes of the indicated mice by FACS. Day 6 TH2 cells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound antiCD3 and anti-CD28 antibodies for 6 days i n the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. For day 12 TH2 cells, the same activation and polarization steps were performed on day 6 TH2 cells. The methylation status of the cells was determined by bisulfite sequencing. Eight to ten clones were analyzed for each sample. Data from two independent experiments is shown. P values were calculated by the chi-squared test. 150 We next investigated the effect of disruption of Dnmt3a2 on the methylation of the IFN-y promoter during helper T cell polarization. The mice used for these experiments lacked the Dnmt3a2 intronic promoter and the exon that is transcribed in Dnmt3a2, but not Dnmt3al (Figure 10A). These mice were deficient in Dnmt3a2, but had functional Dnmt3al. These mice underwent normal development, had a normal immune system, and showed no overt phenotype (data not shown). As before, naive helper T cells were purified from the spleens and lymph nodes of Dnmt3a2'- mice and wild-type mice with a similar genetic background, and polarized under THI and TH2 conditions. After 6 days in culture, cells were harvested and assayed for cytokine expression and IFN-y promoter methylation. TH2 polarized cells from Dnmt3a2 deficient mice and from wild-type mice expressed similar levels of IL-4 and had no IFN-y expression upon stimulation (Figure 14). On the other hand, while almost all of the TH1 polarized wild-type cells expressed IFN-y upon stimulation, a significant number of the Dnmt3a2 deficient THI polarized cells that failed to upregulate IFN-y expression upon stimulation (Figure 14). Neither the THI polarized wild-type cells nor the TH1 polarized mutant cells expressed IL-4 upon stimulation. The methylation status of the IFN-y promoter was determined for the above cell subsets by bisulfite sequencing. The IFN-y promoter was hypomethylated and the transcribed region hypermethylated in both the wild-type and the mutant naive helper T cells (Figure 12). Following TH2 polarization, both the wild-type and the Dnmt3a2 deficient cells had significantly higher methylation at the IFN-y promoter compared to naive cells (p < 0.001) (Figure 15). Surprisingly, while the IFN-y proximal promoter remained hypomethylated in wild-type TH 1 cells, it was significantly more methylated in T 1j polarized I)nmt3a2 deficient cells (p < 0.001) (Figure 15). In fact, the level of methylation in the TH1 polarized Dnmt3a2 -' - promoter was similar to the level of methylation in the promoter of TH2 polarized cells. Furthermore, while demethylation of the transcribed region occurred during TH1 polarization in wild-type cells, no clemethylation occurred in the TH1polarized mutant cells. As methylation of the -53 position CpG has been shown to inhibit promoter function, these methylation data are consistent with the inhibition of IFN-y expression in Dnmt3a2 deficient THI cells, and suggest that Dnmt3a2 inhibits IFN-y promoter methylation during TH1 polarization. 151 Figure 14 WT • No Restimulation B P/I Restimulation • No Restimulation B P/I Restimulation IL-4 WT Dnmt3a2-/- IFN- y 152 Figure 14. IFN-y expression is suppressed in dnmt3a2 deficient TH cells. IFN-y and IL-4 expression by THI and TH2 polarized helper T cells from dnmt3a2 -' - mice and wild-type mice with a similar genetic background. TI cells were generated by activating FACS purified naive CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-12 and neu tralizing anti-IL-4 antibody. TfJ2 cells were generated by activating FACS purified naive Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. Polarized TH and TH2 cells were either stimulated with PMA and ionomycin or left unstimulated for 1 hour and cytokine expression was measured by cytokine recapture FACS. The open histogram represents stimulated cells while the shaded histogram represents unstimulated cells. 153 Wild Type 100 90 80 c 70 ~ co 60 - >. .c. +-' 50 0 Q) ~ 40 - -;1?. 0 30 - D Naive • TH1 • TH2 D Naive 20 10 0 -205 -190 -170 -53 -45 -34 +16 +96 CpG Dnmt3a2-1100 90 80 c: 70 - - 0 ~ co 60 - >. .c. +-' 50 Q) ~ 40 - -;1?. 0 30 - •• TH 1 - 20 -10 - TH2 0-205 -190 -170 -53 -45 -34 + 16 +96 CpG 1 Figure 15. Dnmt3a2- - cells undergo de novo methylation during Till polarization. The percent methylation at individual CpGs of the IFN-y proximal promoter for na"i"ve helper T cells, T HI cells and T H2 cells generated from either Dnmt3a2-1- mice or wild-type mice with a similar genetic background. Na"ive CD4+ T cells were purified from the spleens and lymph nodes of t he indicated mice by F ACS. TH I ce lis were generated by activating FACS purified naYve CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-12 and neutralizing anti-IL-4 antibody" T H2 cells were generated by activating FACS purified na"i"ve Balb/c CD4+ T cells with plate-bound anti-CD3 and anti-CD28 antibodies for 6 days in the presence of recombinant IL-4 and neutralizing anti-IL-12 antibody. The methylation status of the cells was determined by bisulfite sequencing. Between 18 and 28 clones were analyzed for each sample. Sequenced clones are from two different peR amplifications with two independently isolated DNA sa mples. P values were determined using chi-squared analysis. 154 Discussion While the roles of the de novo methyltransferases Dnmt3a and Dnmt3b have been examined in embryonic stem cells (Li et al., 1992; Okano et al., 1999; Sakai et al., 2004), their rolls in the methylation changes that occur in somatic cells of mature organisms remains largely unknown. By studying the dynamic methylation changes that occur at the IFN-y promoter during in vitro polarization we are able to examine how de novo methyltransferases are involved in this process. This was done by inducing the polarization of naive helper T cells that were deficient for either Dnmt3a or Dnmt3b, and observing how the deficiency effects methylation changes at the IFN-y locus. The use of specific conditional mutant mice was necessitated by the severe phenotype of conventional methyltransferase knockouts. Both Dnmt3a and Dnmt3b play important roles during embryonic development; a complete knock out of Dnmt3b is embryonic lethal, while mice that lack Dnmt3a usually die within 4 weeks of birth (Li et al., 1992). In order to examine the role of Dnmt3b in IFN-y de novo methylation, we used lckCreDnmt3b2 ° x mice, which were Dnmt3b deficient only in T cells. The slightly reduced total T cell number, especially among CD8+ T cells in the lckCreDnmt3b2°1x mice, suggest that Dnmt3b may also play a roll in T cell development. It is possible that the high percentage of CD44high CD8 + T cells in the lckCreDnmt3b2°ox mice is a result of homeostatic proliferation of peripheral CD8+ T cells. This would be induced by the reduced number of peripheral CD8+ T cells, and would result in a population of CD44h i gh homeostatic memory CD8+ T cells. Regardless, the nearly complete peripheral lymphoid compartment and overall good health of the lckCreDnmt3b2 °x mice suggest that Dnmt3b is largely dispensable in peripheral T cells. Immunodeficiency, Centromeric region instability, and Facial anomalies syndrome (ICF) is a human disease that is associated with mutations in the Dnmt3b gene (Hansen et al., 1999). The major symptoms of ICF include immune dificiency, facial abnormalities, global DNA hypomethylation, and chromosomal abnormalities localized mostly to centromeric heterochromatin (Ehrlich, 2003). This correlates well with the observation that Dnmt3b is necessary for the establishment of the hypermethylation of centromeric satellite repeats during murine embryonic development (Okano et al., 1999). The immunodeficiency symptom associated with ICF can take several forms. Most, but 155 not all, ICF patients have agammaglobulinemia resulting from reduced levels of two or three classes of immunoglobulins (Ehrlich, 2003). In addition, some ICF patients have reduced T cell and/or B cell levels, and defects in lymphocyte activation (De Ravel et al., 2001). Most people diagnosed with ICF die during infancy or early childhood as a result of uncontrolled infection (Brown et al., 1995). ICF is a rare recessive disease, and fewer than 50 ICF cases have been reported since the disease was identified during the 1970s (Ehrlich, 2003). The most common Dnmt3b mutations found in ICF patients are misense mutations of the conserved DNMT motifs that encode the methyltransferase catalytic domain (Gowher and Jeltsch, 2002). As complete Dnmt3b deficiency in mice is embryonic lethal, it is likely that there is some residual activity from the Dnmt3b alleles of ICF patients. This is supported by the fact that no ICF patients have been identified carrying two Dnmt3b null alleles (Ehrlich, 2003). Furthermore, recombinant Dnmt3b protein carrying missense mutations found in several ICF patients have diminished, but residual, methyltransferase activity (Gowher and Jeltsch, 2002). It is possible that the variability in symptom severity in ICF patients is a result of differences in levels of residual Dnmt3b activity. As the lckCreDnmt3b2 "° x mice examined in this study were overtly normal and had a relatively intact immune system, it is unlikely that ICF syndrome is a result of Dnmt3b deficiency in peripheral T cells. This is not surprising considering that the majority of ICF patients display humoral immunodeficiency, while only a few show defects in the T cell compartment (Ehrlich, 2003). It is possible that mice deficient with a 13 cell Dnmt3b deficiency would have an immune phenotype similar to that of ICF patients. Furthermore, patients with ICF syndrome have reduced Dnmt3b activity throughout development and in all cells, while the lckCreDnmt3b2 °1x mice are only I)nmt3b-deficient in thymocytes and peripheral T cells. Thus, Dnmt3b hypomorph mice would likely be more suitable ICF model organisms than the lckCreDnmt3b2 ° x mice. In vitro polarization of helper T cells from lckCreDnmt3b2 °1x mice resulted in the expected cytokine secretion patterns and normal methylation changes at the IFN-y locus (Table 1). This indicates that Dnmt3b is not required for de novo methylation of the IFNy promoter during TH2 polarization. However, it remains possible that Dnmt3b plays a role in this methylation event, with other enzymes compensating for its deficiency. 156 Table 1. Summary of IFN-y promoter and transcribed region methylation status in helper T cell populations of wild type and methyltransferase deficient cells. Naive Helper T cells TH TH2 Cells Cells Genotype promoter trans. reg. promoter trans. reg. promoter trans. reg. Wild type Hypo Hyper Hypo Hypo Hyper Hyper Dnmt3b -' - Hypo Hyper Hypo Hypo Hyper Hyper Dnmt3a -' - ND ND ND ND Hypo Hyper Dnmt3a2-' - Hypo Hyper Hyper Hyper Hyper Hyper Naive helper T cells, THI cells and TH2 cells were generated as described in the experimental procedures. Wild type cells were obtained from Balb/c mice. Dnmt3b -/ - cells were obtained from lckCreDnmt3b2 °ox mice. Dnmt3a/-' - cells were obtained from ERCreDnmt3a2°joX /2 ° x mice and treated with tamoxifen for 12 days. Dnmt3a2 -/- cells were obtained from Dnmt3a2 -' - mice. Abbreviations: Promoter: IFN-y proximal promoter, trans. reg.: IFN-y promoter proximal transcribed region, Hypo: hypomethylated, Hyper: hypermethylated, ND: no data 157 To examine the roll of Dnmt3a in the de novo methylation of the IFN-y locus, we °x used ER-CreDnmt3a2I /2 °1 x mice. These mice express Cre in response to tamoxifen. Unfortunately, administering tamoxifen to live mice failed to efficiently delete Dnmt3a in peripheral lymphoid organs. Because of this, we induced the Cre recombination event in vitro by including tamoxifen in the culture during activation and polarization. Under these conditions, the deletion of Dnmt3a was slow, with Dnmt3a still detectable by PCR after 6 days. The fact that the band generated by the day 6 DNA was less intense than the bands from samples that had not received tamoxifen suggests that some recombination took place during the first six days. Furthermore, it is possible that some active Dnmt3a protein persists for a time following the disruption of the Dnmt3a locus due to the stability of the protein and its RNA message. It is interesting to note that in the methylation analysis of the day 6 DNA from the tamoxifen treated cells, there is no reduction in the methylation percentage of the CpG located at the -53 position compared to the untreated samples, but there is less methylation at the other CpGs within the proximal promoter. As the -53 CpG has been shown to become methylated faster than the other CpGs, it is possible that the -53 CpG became methylated before the Dnmt3a was disrupted, while the other CpGs did not. Regardless, the methylation data from the day 6 cells are inconclusive. We also examined the methylation state of the tamoxifen treated ER- CreDnmt3a2° x2 '°x cells after 12 days under TH2 polarizing conditions. There was more methylation at the IFN-y promoter in these cells than in naive cells, but there was also significantly less methylation at the promoter in cells cultured with tamoxifen than without. While the low level of IFN-y promoter methylation in these cells may be residual methylation from before the Dnmt3a was disrupted, it is also possible that another methyltransferase is also involved in the methylation of the promoter during TH2 polarization. Despite this, the data suggests that Dnmt3a plays a roll in the de novo methylation event that takes place during TH2 polarization. Although Dnmt3a mice are viable at birth, they usually die within 4 weeks (Li et al., 1992). The exact cause of death in these mice is unclear, but it is interesting to note that in addition to being severely runted Dnmt3a -' - mice also have an abnormal intestinal phenotype, including intestinal bleeding and an abnormal morphology (En Li, personal 158 communication). This phenotype a more severe form of the phenotype seen in inflammatory bowel disease, and specifically Crohn's disease (Bouma and Strober, 2003; Cobrin and Abreu, 2005). This is interesting because one cause of inflammatory bowl disease is thought to be an overly robust immune response to the indigenous microbes in the gut (Cobrin and Abreu, 2005). Furthermore, patients with Crohn's disease express high levels of TH1 cytokines, and especially IFN-y, in the inflamed regions of the intestine (Bouma and Strober, 2003). Thus, it is possible that the intestinal phenotype present in the young Dnmt3a -' - mice may be a result of the disregulation of IFN-y and an overly robust THI response to intestinal microbes. The most surprising result obtained during this study was that Dnmt3a2 -' - cells undergo de novo methylation at the IFN-y locus during both TH1 and TH2 polarization (Table 1). Furthermore, Dnmt3a2 deficient T cells fail to undergo any demethylation of the coding region during THI1 differentiation. This suggests that Dnmt3a2 inhibits methylation of the IFN-y promoter during THI polarization, and is required for the demethylation of the transcribed region during this same process. This is particularly startling because it has been shown that Dnmt3a2 has methylation activity both in vitro and in vivo (Chen et al., 2002), so the result of Dnmt3a2 deficiency would be expected to be less methylation, rather than more. There are a number of mechanisms that could explain this result. First, it is possible that there are alternative splice variants of Dnmt3a2 that lack the enzymatic region of the gene. While no alternative splicing of Dnmt3a2 has yet been found, the dnmt3 family member Dnmt3b has at least 4 splice variants that lack enzymatic activity (Chen et al., 2002; Hansen et al., 1999; Xie et al., 1999). Furthermore, Dnmt3a2 expression has not been closely examined in somatic cells, so if Dnmt3a2 splice variants exist in these tissues it is unlikely they would have been discovered. A Dnmt3a2 splice variant lacking enzymatic activity could inhibit methylation of the IFN-y promoter by preventing Dnmt3a from binding to factors that are either required for targeting to the IFN-y locus, or required for robust enzymatic activity. One example of such a factor is Dnmt3L, which is able to directly bind both Dnmt3a and Dnmt3a2 (Sakai et al., 2004), and is required in vivo for the full enzymatic activity of these methyltransferases (Hata et al., 2002). Even if there is no inactive splice variant present, this type of mechanism 159 could still take place if Dnmt3a, but not Dnmt3a2 is able to be targeted to the IFN-y locus. If they compete for common factors necessary for their methyltransferase activity, this would also restrict Dnmt3a's ability to methylate the IFN-y promoter. There are also potential indirect mechanisms that could account for Dnmt3a2's inhibition of IFN-y promoter methylation. For example, if a factor that is responsible for the targeting of Dnmt3a to the IFN-y promoter following T cell activation is repressed during TH polarization by the methylation of it's own promoter by Dnmt3a2, the resulting phenotype would be consistent with what was observed. Unfortunately, it is impossible to determine the actual mechanism by which Dnmt3a2 prevents IFN-y promoter methylation during TH1 polarization without further studies. In this study we demonstrated that Dnmt3b is not required for the de novo methylation of the IFN-y promoter during TH2 polarization, that Dnmt3a is probably involved in this process, and that Dnmt3a2 repressed promoter methylation during TH1 polarization. While further studies are required to confirm these findings and to elucidate the mechanism of regulation of these methyltransferases, knowing the identity of the methyltransferases involved in this de novo methylation process is an important and necessary first step. 160 Materials and Methods Mouse lines and cell culture LckCreDnmt3b2 °"x mice, ER-CreDnmt3a2° ' /2°1 x mice and Dnmt3a2 -' mice were all the generously provided of Dr. En Li of Massachusetts General Hospital. All mice were on a mixed 129/C57B16 genetic background. Male and female mice between the ages of 10 and 24 weeks were used for all experiments. For controls, Dnmt3b2°ox mice, ER-Cre mice and 129/C57B16mixed genetic background mice were used, and were also provided by Dr. En Li. Primary nafve CD4 + T cell populations (CD4 +, CD45RBh i gh , CD62Lh gh , CD44 ° w) were purified by flow cytometry from lymph nodes and spleens of the indicated mice. All antibodies used in flow cytometry were obtained from BD Pharmingen, San Diego, CA. Purity of all cell populations was greater than 97%. Sorted naive CD4+ T cells were stimulated at a density of 1 x 106/ml with 5 tg/ml plate-bound anti-CD3 and 5 tg/ml plate-bound anti-CD28 in the presence of polarizing cytokines. TH1 polarized cultures contained 5 ng/ml recombinant IL-12 and 10 [tg/ml neutralizing anti-IL-4 antibody (BD Pharmingen), while TH2 polarized cultures contained 25 ng/ml recombinant IL-4 and 10 [tg/ml neutralizing anti-IFN-y antibody (BD Pharmingen). After 24 hours, 40 U/ml IL-2 was added to all cultures. Cultures were washed and fresh cytokines were added every 3 days and restimulated under the above conditions every 6 days. When tamoxifen was added to the culture, it was at a concentration of 100 nM. The following PCR primers were used to detect Dnmt3a2"°x: Forward: CTGTGGCATCTCAGGGTGATGAGCA and Reverse: AAGCCTCAGGCCCTCTAGGCAAGAT. Cytokine Recapture Staining Cytokine recapture staining was done using either the Mouse IFN-y Secretion Assay kit or the Mouse IL-4 Secretion Assay kit (both from Miltenyi Biotec, Auburn, CA) according to the manufacturer's instructions. Briefly, T cell populations were either restimulated with 5 ng/ml PMA and 100 ng/ml ionomycin in 10% FCS RPMI media or 161 cultured in 10% FCS RPMI media without PMA or ionomycin for 2 or 3 hours. Cells were washed and stained in 100 R15% FCS RPMI containing 10 tl of the catch antibody in a 50 ml conical tube on ice. After 5 minutes, 30 ml of warm 5% FCS RPMI was added to the tubes, and cells were incubated with constant rotation at 37 degrees for 45 minutes. Cells were washed with cold 1.5 mM EDTA 0.5% BSA PBS buffer and stained in a 100 gl volume with 10 Itldetection antibody and 1 ll APC conjugated anti-IL-4 antibody. Cell were cultured on ice for 15 minutes, washed, and analyzed by FACS. Bisulfate Conversion and Methylation Analysis Methylation analysis was done by bisulfite conversion of genomic DNA using the CpGenome Universal DNA Modification Kit (Chemicon International, Temecula, CA) according to the manufacturer's amplified using the instructions. The IFN-y promoter was then PCR following primers: TAGAGAATTTTATAAGAATGGTATAGGTGGGTAT and Forward: Reverse: CCATAAAAAAAAACTACAAAACCAAAATACAATA. The initial annealing temperature for the PCR reaction was 56 degrees. The annealing temperature was reduced at a rate of 0.5 degrees per cycle until an annealing temperature of 47 degrees was reached. The PCR reaction was run at this annealing temperature for 25 more cycles, followed by a 5-minute elongation step. The PCR product was cloned using the TOPO TA Cloning kit (Invitrogen, Carlsbad, CA), according to the manufacturer's instructions, and clones were sequenced using the included primers. Acknowledgements I thank Dr. En Li for the mouse strains; Dr. Taiping Chen for advice about the Dnmt3a2-' - mice; and Wendy Marston for help with mouse work. 162 References Bachman, K. E., Rountree, M. R., and Baylin, S. B. (2001). Dnmt3a and Dnmt3b are transcriptional repressors that exhibit unique localization properties to heterochromatin. J Biol Chem 276, 32282-32287. Baylin, S. B., Esteller, M., Rountree, M. R., Bachman, K. E., Schuebel, K., and Herman, J. G. (2001). Aberrant patterns of DNA methylation, chromatin formation and gene expression in cancer. Hum Mol Genet 10, 687-692. Bestor, T., Laudano, A., Mattaliano, R., and Ingram, V. (1988). Cloning and sequencing of a cDNA encoding DNA methyltransferase of mouse cells. The carboxyl-terminal domain of the mammalian enzymes is related to bacterial restriction methyltransferases. J Mol Biol 203,971-983. Bestor, T. H. (1992). Activation of mammalian DNA methyltransferase by cleavage of a Zn binding regulatory domain. Embo J 11, 2611-2617. Bouma, G., and Strober, W. (2003). The immunological and genetic basis of inflammatory bowel disease. Nat Rev Immunol 3, 521-533. Brown, D. C., Grace, E., Sumner, A. T., Edmunds, A. T., and Ellis, P. M. (1995). ICF syndrome (immunodeficiency, centromeric instability and facial anomalies): investigation of heterochromatin abnormalities and review of clinical outcome. Hum Genet 96, 411-416. Chen, T., Ueda, Y., Xie, S., and Li, E. (2002). A novel Dnmt3a isoform produced from an alternative promoter localizes to euchromatin and its expression correlates with active de novo methylation. J Biol Chem 277, 38746-38754. Cobrin, G. M., and Abreu, M. T. (2005). Defects in mucosal immunity leading to Crohn's disease. Immunol Rev 206, 277-295. De Ravel, T. J., Deckers, E., Alliet, P. L., Petit, P., and Fryns, J. P. (2001). The ICF syndrome: new case and update. Genet Couns 12, 379-385. Ehrlich, M. (2003). The ICF syndrome, a DNA methyltransferase 3B deficiency and immunodeficiency disease. Clin Immunol 109, 17-28. Gowher, H., and Jeltsch, A. (2002). Molecular enzymology of the catalytic domains of the Dnmt3a and Dnmt3b DNA methyltransferases. J Biol Chem 277, 20409-20414. Hansen, R. S., Wijmenga, C., Luo, P., Stanek, A. M., Canfield, T. K., Weemaes, C. M., and Gartler, S. M. (1999). The DNMT3B DNA methyltransferase gene is mutated in the ICF immunodeficiency syndrome. Proc Natl Acad Sci U S A 96, 14412-14417. 163 Hata, K., Okano, M., Lei, H., and Li, E. (2002). Dnmt3L cooperates with the Dnmt3 family of de novo DNA methyltransferases to establish maternal imprints in mice. Development 129, 1983-1993. Jankovic, D., Liu, Z., and Gause, W. C. (2001). Thl- and Th2-cell commitment during infectious disease: asymmetry in divergent pathways. Trends Immunol 22, 450-457. Lee, P. P., Fitzpatrick, D. R., Beard, C., Jessup, H. K., Lehar, S., Makar, K. W., PerezMelgosa, M., Sweetser, M. T., Schlissel, M. S., Nguyen, S., et al. (2001). A critical role for Dnmtl and DNA methylation in T cell development, function, and survival. Immunity 15, 763-774. Leonhardt, H., Page, A. W., Weier, H. U., and Bestor, T. H. (1992). A targeting sequence directs DNA methyltransferase to sites of DNA replication in mammalian nuclei. Cell 71, 865-873. Li, E., Bestor, T. H., and Jaenisch, R. (1992). Targeted mutation of the DNA methyltransferase gene results in embryonic lethality. Cell 69, 915-926. Mosmann, T. R., Cherwinski, H., Bond, M. W., Giedlin, M. A., and Coffman, R. L. (1986). Two types of murine helper T cell clone. I. Definition according to profiles of lymphokine activities and secreted proteins. J Immunol 136, 2348-2357. Murphy, K. M., and Reiner, S. L. (2002). The lineage decisions of helper T cells. Nat Rev Immunol 2, 933-944. Okano, M., Bell, D. W., Haber, D. A., and Li, E. (1999). DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 99, 247-257. Okano, M., Xie, S., and Li, E. (1998). Cloning and characterization of a family of novel mammalian DNA (cytosine-5) methyltransferases. Nat Genet 19, 219-220. Sakai, Y., Suetake, I., Shinozaki, F., Yamashina, S., and Tajima, S. (2004). Co- expression of de novo DNA methyltransferases Dnmt3a2 and Dnmt3L in gonocytes of mouse embryos. Gene Expr Patterns 5, 231-237. Weisenberger, ). J., Velicescu, M., Preciado-Lopez, M. A., Gonzales, F. A., Tsai, Y. C., Liang, G., and Jones, P. A. (2002). Identification and characterization of alternatively spliced variants of DNA methyltransferase 3a in mammalian cells. Gene 298, 91-99. Winders, B. R., Schwartz, R. H., and Bruniquel, D. (2004). A distinct region of the murine IFN-gamma promoter is hypomethylated from early T cell development through mature naive and Thl cell differentiation, but is hypermethylated in Th2 cells. J Immunol 173, 7377-7384. 164 Xie, S., Wang, Z., Okano, M., Nogami, M., Li, Y., He, W. W., Okumura, K., and Li, E. (1999). Cloning, expression and chromosome locations of the human DNMT3 gene family. Gene 2.36, 87-95. Young, H. A., Ghosh, P., Ye, J., Lederer, J., Lichtman, A., Gerard, J. R., Penix, L., Wilson, C. B., Melvin, A. J., McGurn, M. E., and et al. (1994). Differentiation of the T helper phenotypes by analysis of the methylation state of the IFN-gamma gene. J Immunol 153, 3603-3610. 165 Chapter 4: Further Discussion and Future Direction 166 In this thesis, we examined the methylation changes that occur at the IFN-y proximal promoter. We observed both a strong correlation between IFN-y transcription and the methylation state of the promoter and the contiguous transcribed region, and that these regions underwent dynamic methylation changes during helper T cell polarization. Interestingly, we noted that the CpGs within the IFN-y promoter do not undergo these methylation changes at the same rate, with the CpG located at the -53 position becoming hypermethylated fastest during TH2 polarization. This observation led us to examine the importance of this rapid methylation event. In doing so, we demonstrated that methylation of the -53 CpG is sufficient to inhibit both site binding by members of the AP1/CREB/ATF family of transcription factors, and promoter function. By combining these observations with previous results we formulated a model that explains the relationship between -53 CpG methylation and API/CREB/ATF factor binding at the IFN-y proximal promoter during helper T cell polarization. This was discussed in Chapter 2. We also examined the involvement of the known de novo methyltransferases in the methylation changes that occur during helper T cell differentiation. In these studies we demonstrated that Dnmt3a deficiency, but not Dnmt3b deficiency, inhibits de novo methylation of the IFN-y promoter during TH2 polarization. Furthermore, we made the surprising observation that deficiency of the transcriptional variant Dnmt3a2 results in aberrant methylation of the IFN-y promoter during TH1Ipolarization and inhibition of IFN-y expression in TH 1 cells. These results were presented in the appendix. While the findings presented in this thesis further our understanding of the regulation of IFN-y transcription by promoter methylation, they also raise many questions and suggest avenues of further investigation. This chapter will focus on some of these unresolved issues. IFN-y Locus Methylation There is a strong correlation between the methylation state of the IFN-y promoter and a cell's ability to transcribe IFN-y. Cells that do not transcribe IFN-y and are unable to differentiate into IFN-y transcribing cells are hypermethylated at both the proximal promoter and at the contiguous transcribed region. Cells that do not transcribe IFN-y but 167 are capable of differentiating into IFN-y transcribing cells are hypomethylated at the proximal promoter and hypermethylated in the contiguous transcribed region. Finally, cells that are undergoing active IFN-y transcription are hypomethylated at both the IFN-y promoter and the contiguous transcribed region. Thus, naive helper T cells undergo a demethylation of the promoter proximal transcribed region upon becoming IFN-y expressing TH cells, while they undergo de novo methylation of the IFN-y proximal promoter as they differentiate into TH2cells and lose their capacity for IFN-y expression. It is interesting that methylation of the CpGs of the proximal promoter is regulated differently than the CpGs of the contiguous transcribed region, despite the fact that they are located within such close proximity. This raises the question of how far upstream does the methylation status of the IFN-y promoter resemble that of the proximal region looked at in this study, and how far downstream does the methylation status resemble that of the promoter proximal transcribed region. Using methylation sensitive restriction enzymes and semi-quantitative southern-blotting, a recent study has indicated that the CpG located at the -297 position of the IFN-y promoter is hypomethylated in naive T cells, remains hypomethylated in TH1 cells, but becomes hypermethylated in TH2 cells (Winders et al., 2004). This correlates well with the proximal promoter CpGs. On the other hand, using the same technique, the CpG located at the -380 position of the IFN-y promoter was hypermethylated hypermethylated during both TI in naive helper T cells, and remained and TH2 polarization (Winders et al., 2004). This would suggest that there is a change in CpG methylation regulation between the -297 CpG and the -380 CpG. It would be interesting to determine if other areas that are known to contribute to IFN-y transcription are hypomethylated in naive helper T cells, or if the proximal promoter is unique in this respect. Looking in the other direction, it is unclear how far into the transcribed region the methylation pattern matches that of the promoter proximal region examined in this thesis. A region of intron is hypermethylated in naive helper T cells, and undergoes a gradual clemethylationduring TH polarization with the upstream CpGs becoming demethylated faster than the downstream (Hutchins et al., 2005). Whether this indicates a continuation of the methylation changes observed at the promoter proximal transcribed region or a separate region that has a similar methylation pattern is unknown. 168 Regulation of Methylation Changes at the IFN-y locus This thesis describes dynamic changes that occur in the IFN-y proximal promoter region during helper T cell polarization. We demonstrated that de novo methylation occurs at the proximal promoter when cells are activated under TH2 polarizing conditions but that there is no methylation change when cells are activated without polarizing cytokines, in the presence of neutralizing anti-IFN-y and anti-IL-4 antibodies. This suggests that the signal for methylation of the IFN-y promoter is downstream of IL-4 receptor engagement. As many of the downstream signals of the IL-4 receptor are known, it should be possible to determine which signals are important for the induction of IFN-y methylation. This could be done by ectopically expressing members of this signaling pathway, such as Stat6, GATA-3, and c-Maf, in IL-4 deficient naive helper T cells activated under neutral conditions, and then monitoring changes in the methylation status of the IFN-y promoter. As all of the above factors induce expression of IL-4 (Ho et al., 1996; Lee et al., 2000; Ouyang et al., 1998), this experiment has to be done in either IL-4 or IL-4 receptor deficient cells in order to prevent indirect effects. Induction of IFN-y promoter methylation by the ectopically expressed factor would indicate that the methylation event is downstream of its signal. A similar and complementary experiment could be done using cells deficient in factors downstream of the IL-4 receptor, either by conventional gene disruption or through the use of siRNA technologies. In this experiment the cell containing these disruptions would be polarized under TH2 conditions and the methylation status of the IFN-y promoter would again be determined. In this case, a lack of methylation would indicate that the disrupted gene is necessary for the de novo methylation event. Methyltransferase Involvement in the Methylation Changes During Helper T cell Polarization Our studies using methyltransferase deficient cells have indicated that Dnmt3a, but not Dnmt3b is involved in the de novo methylation of the IFN-y promoter during TH2 polarization. We also demonstrated that Dnmt3a2 deficiency results in the de novo methylation of the IFN-y promoter during TH1 polarization, indicating that Dnmt3a2 169 normally inhibits IFN-y promoter methylation in these cells. How these factors interact and are regulated remains unknown. It is surprising that Dnmt3a2 inhibits the de novo methylation of the IFN-y promoter during TH2 polarization because Dnmt3a2 has methyltransferase activity (Chen et al., 2002). As both Dnmt3al and Dnmt3b are regulated by alternative splicing (Chen et al., 2002; Hansen et al., 1999; Okano et al., 1998; Weisenberger et al., 2002; Xie et al., 1999), it is possible that there are alternative splice forms of Dnmt3a2 as well. Thus, it could be that the inhibition of methylation during TH polarization is not mediated by full Dnmt3a2 protein, but by a Dnmt3a2 splice variant that lacks enzymatic activity. For this reason, it is important to assay for alternatively spliced forms of Dnmt3a2 in the polarizing T cell populations. Furthermore, the methylation inhibiting activity of full Dnmt3a2 could be tested by ectopically expressing Dnmt3a2 in T cells from Dnmt3a2 deficient mice that are undergoing T polarization. If this restores methylation inhibition is in these cells, it would be a strong indication that the full Dnmt3a2 protein is capable of the methylation inhibition. This assay could also be done with any newly found splice variants in order to test their importance in IFN-y promoter methylation inhibition. It is possible that methyltransferases are regulated at the level of transcription during helper T cell polarization. One hypothetical mechanism for this would be that upregulation of Dnmt3al expression occurs following TCR engagement independent of polarizing conditions, while Dnmt3a2 levels are high during TH polarization, but low during TH2 polarization. Thus, Dnmt3al could methylate the IFN-y promoter in TH2 cells, but would be inhibited by Dnmt3a2 in TH1 cells. This hypothesis could be tested by assaying for methyltransferase RNA in naive helper T cells, TH cells and TH2 cells by RT-PCR. In order to confirm these results and to test for post-transcriptional mRNA regulation, it would be important to also test these cell populations for methyltransferase protein by western blot. Considering that CpG methylation is a general mechanism for gene regulation (Jeltsch, 2002), and that there are many genes that are either activated or silenced during TH1 and TH2 polarization (Murphy and Reiner, 2002), it is unlikely that altering methyltransferase levels is the primary means of controlling methylation of the IFN-y 170 promoter. IFN-y promoter methylation is far more likely to be regulated by factors that are involved in targeting methyltransferases to the locus. The presence of the different methyltransferases at the IFN-y promoter during helper T cell polarization could be assayed through chromatin immunoprecipitation (ChIP) assays. Similarly, co- immunoprecipitation assays could be used to investigate the composition of methyltransferase-containing complexes in naive and polarizing cells. This assay may reveal that factors known to bind to the IFN-y promoter are present in the methyltransferase containing complexes, which would suggest that such factors play a role in the targeting of the methyltransferase to the IFN-y promoter. While the specific pattern of methylation change that occurs at the IFN-y locus during helper T cell polarization has not yet been reported at other genes, it is likely that IFN-y is not unique in its use of methylation as a suppression mechanism during helper T cell polarization. It is possible that other genes that are transcribed in THI cells but suppressed in TH2 cells, such as T-bet or Hlx, could share regulation mechanisms with IFN-y. Thus, it would be interesting to examine the role that promoter CpG methylation may play in these genes. If they do share methylation phenotypes during helper T cell differentiation, a comparison of promoter elements and known common transcription factors could suggest promoter elements and factors important for methyltransferase recruitment. Finally, it would be interesting to determine whether the promoter methylation changes that are observed at the IFN-y locus are unique to IFN-y or whether it is a common regulatory mechanism in helper T cell polarization. IFN-y Promoter Methylation and Histone Modification Methyl-CpG binding proteins are able to recruit histone modification enzymes, especially histone deacetylases and methyltransferases, to hypermethylated loci (Fujita et al., 2003; Fuks et al., 2003; Jones et al., 1998; Nan et al., 1998). This suggests that DNA methylation may suppress transcription of a locus by initiating changes in the higher order chromatin structure of the region, and in doing so "close" the locus and make it less accessible to transcription factors. This hypothesis is complicated by the observation that histone modification, especially the methylation of histone H3 at lysine 9, may drive I)NA methylation (Lehnertz et al., 2003). Thus, it is unclear whether DNA methylation 171 leads to histone modification, or vice versa. Furthermore, the importance of this relationship between DNA methylation and histone modification in vivo has not been demonstrated. The observation that Dnmt3a may be the methyltransferase responsible for the de novo methylation changes that occur at the IFN-y promoter provides an opportunity to further investigate these issues. Following naive helper T cell activation, the histones at the IFN-y promoter rapidly become acetylated, independent of polarizing conditions (Avni et al., 2002). Under TH1 conditions, the histones remain hyperacetylated, but under TH2 conditions the histones become deacetylated (Avni et al., 2002). This histone deacetylation under TH2 conditions correlates with the de novo methylation that takes place at the IFN-y promoter. Thus, it is possible that the methylation of the IFN-y promoter is leading to the recruitment of histone deacetylases, and in doing so, driving the deacetylation of the region. This hypothesis could be tested by investigating the histone acetylation changes that occur in Dnmt3a deficient T cells. T cells could be purified from mice with a T cell specific Dnmt3a deficiency (for example lckCreDnmt3a2l° x mice), and activated under TH2 conditions. If, in addition to having a block in the methylation of the IFN-y promoter, there was also a block in the deacetylation of the locus, it would suggest that methylation of the IFN-y promoter is an important precursor for deacetylation. As Dnmt3a2 -' - mice undergo hypermethylation of the IFN-y promoter under TH1 conditions, looking at the acetylation changes in THI cells from these mice would reveal whether promoter methylation is sufficient to drive histone deacetylation. These studies could enhance our understanding of the relationship between DNA methylation and histone modification. The IFN-y Promoter Methylation and Transcription While we were able to demonstrate some of the downstream effects of IFN-y proximal promoter de novo methylation that occurs during TH2 polarization, the effects, if any, of the demethylation that takes place at the contiguous transcribed region remain unclear. As IFN-y expression is initiated prior to demethylation in most TH1 cells, it is clear that demethylation is not required for expression. At the IL-4 locus, where a slow demethylation occurs during TH2 polarization, demethylation is not required for IL-4 172 expression, but there is a correlation between demethylation and cells that express a high level of IL-4 (Lee et al., 2002). It would be interesting to see if a similar correlation is also present between IFN-y transcribed region demethylation and a high level of IFN-y expression in TH.1cells. It has also been demonstrated that fully differentiated helper T cells are able to express IFN-y independently of T-bet (Martins et al., 2005; Mullen et al., 2002). This raises the question as to whether this T-bet independence is acquired along with transcribed region demethylation, or whether they are separate events. While we demonstrated that methylation at the -53 CpG is sufficient to inhibit IFN-y promoter function in transient transfection assays, and there is a strong correlation between IFN-y hypermethylation and a lack of IFN-y transcription, the in vivo effect of endogenous IFN-y promoter methylation remains unknown. Helper T cells from Dnmt3a2 -' - mice undergo de novo methylation at the IFN-y promoter when polarized under both T, 1 and TH2 conditions and IFN-y expression is inhibited in some of the TH1 polarized cells from these mice. It is likely that the Dnmt3a2-' - cells that fail to express IFN-y under TH conditions are hypermethylated at the IFN-y promoter. This could be tested by purifying TH polarized cells that express IFN-y and TH polarized cells that do not express IFN-y, and comparing the methylation status of the IFN-y promoter, particularly at the -53 position, between these two populations. A positive correlation between hypomethylation of the locus and IFN-y expression would suggest that IFN-y promoter methylation is able to inhibit endogenous promoter function. Following DNA replication, the CpG methylation pattern is maintained by Dnmtl, which preferentially methylates hemi-methylated DNA (Bestor, 1992) and is localized to the replication fork (Leonhardt et al., 1992). This provides a mechanism by which DNA methylation can act as a long-term suppressor of gene transcription. During helper T cell polarization there is a point at which the differentiation becomes permanent, and the cell loses its capacity to change polarization to the opposite phenotype (Grogan et al., 2001). There are many events that are likely to contribute to this process, including the downregulation of cytokine receptors, the suppression of important transcription factors, and higher order epigenetic changes at the cytokine loci. It is likely that DNA methylation plays role in this process as well. The involvement of IFN-y promoter methylation in the long-term maintenance of polarization state could be addressed using 173 helper T cells deficient in Dnmt3a because methylation of the IFN-y promoter during TH2 polarization in these cells is inhibited. The long-term suppression of IFN-Yin these cells could be tested by exposing TH2 polarized helper T cells from these mice to TH1 polarizing conditions. If IFN-y promoter methylation is necessary to inhibit IFN-y transcription, exposure to TH1 conditions may induce inappropriate cytokine expression. As the IL-12 receptor is downregulated in TH2 polarized cells (Murphy and Reiner, 2002), it may be necessary to cross mice lacking T cell expression of Dnmt3a with mice expressing a transgenic IL-12 receptor in order to see an effect. Regardless, it would be interesting to determine whether IFN-y promoter methylation plays an important role in the long-term suppression of the locus. IFN-y Locus Methylation and Immune Function Our work has suggested that the methyltransferase Dnmt3a plays an important role in the de novo methylation of the IFN-y promoter during TH2 polarization and Dnmt3a2 is required to prevent methylation of the IFN-y promoter during TH1 polarization. Dnmt3a deficient mice die very young (Okano et al., 1999) but, prior to death, have an intact immune system. While our analysis to date has been on cells with an inducible deletion of Dnmt3a, it is likely that generation of T cell specific Dnmt3a deficient mice by breeding the Dnmt3a2 °x gene onto a line that carries a ck-Cre transgene would be possible. As Dnmt3a2 deficient mice are completely viable and have no obvious immune phenotype, we would then have available both mice that fail to methylate the IFN-y promoter during TH2 polarization and mice that aberrantly methylate the IFN-y promoter during TH1 polarization. This would allow us to study the effect of IFN-y promoter methylation during helper T cell polarization on the immune response in viVO. Using Dnmt3a2 deficient mice and lckCreDnmt3a2I° x mice, the effect of IFN-y promoter methylation on helper T cell polarization in vivo could be examined. When mice are immunized with keyhole limpet hemocyanin (KLH) in the presence of CFA they preferentially mount a KLH specific THI response (Grun and Maurer, 1989). On the other hand, when mice are immunized with KLH in the presence of alum, the mice preferentially mount a KLH specific TH2 response (Grun and Maurer, 1989). Comparing 174 the polarization of the immune response of Dnmt3a2 deficient mice with ° x mice and wild-type mice would give an indication as to the effect of lckCreDnmt3a2" IFN-y methylation on helper T cell polarization and IFN-y expression in vivo. As DNA methylation may play a roll in the long-term maintenance of the polarization phenotype, it would be important to examine secondary memory T cell responses in addition to primary responses. Mice that are completely deficient in Dnmt3a and mice that are deficient in Dnmt3al alone, have similar phenotypes (En Li, personal communication). Both mouse lines appear normal at birth, but rapidly become runted compared to littermates, and usually die within a few weeks (Okano et al., 1999). Both strains manifest an obvious intestinal phenotype that includes structural problems and bleeding. While it has yet to be fully examined, it is likely that one of the causes of death in these mice is malnutrition due to these intestinal abnormalities. The involvement of the immune system in this intestinal phenotype has not yet been examined, but considering that an uncontrolled immune response to intestinal microbes is thought to be the main cause of inflammatory bowl disease (IBD) (Bouma and Strober, 2003), it is worth investigating. Furthermore, IBD, and especially Crohn's disease, are often associated with the expression of high levels of THi cytokines at the site of inflammation (Cobrin and Abreu, 2005). As Dnmt3a appears to play a role in IFN-y suppression, this provides a possible link between any observed IBD phenotype in these mice and the function of Dnmt3a. In addition to examining the T cell phenotype and cytokine expression profile in the gut of young Dnmt3a ' - mice, it is possible that an examination of mice with a T cell specific deficiency in Dnmt3a may reveal a direct role for helper T cell polarization in this phenotype. It may also be worthwhile to cross lckCreDnmt3a2I° x mice onto mice that model IBD, such as Mdrla -' mice, to see if a lack of TH2 IFN-y promoter methylation has an effect on disease progression. Mouse strains vary in their susceptibility to pathogenic infection by specific microbes depending upon their predisposition towards either a TH1 response or a TH2 response. For example, Balb/c mice are predisposed to mount a TH2 response, and as a result are resistant to helminth infection, but vulnerable to infection by Leishmania major (Heinzel et al., 1988; Himmelrich et al., 1998; Sadick et al., 1986). C57B16, mice, on the 175 other hand, are predisposed to mount a THI response, and as a result are vulnerable to helminth infection, but resistant to Leishmania infection (Heinzel et al., 1988; Himmelrich et al., 1998; Sadick et al., 1986). It would be interesting to determine whether an inability to methylate the IFN-y promoter, or aberrant methylation of the IFN- y promoter during TH1 polarization has any effect on microorganism susceptibility. In order to test the effect of IFN-y promoter methylation on the immune response to pathogenic infection, wild-type mice, Dnmt3a2 deficient mice and ckCreDnmt3a2i° x mice could be infected with a variety of microorganisms, including the intracellular parasite Leishmania major, extracellular helminths, and viruses like influenza. The type of response mounted by the various mouse lines, as well as their ability to clear the pathogen, could then be monitored. This would give an indication as to the importance of IFN-y promoter methylation on the primary immune response. In addition to following the primary immune response, it would be important to look at the effect of IFN-y promoter methylation on a secondary immune response. It is likely, but not certain, that the Dnmt3a deficient mice will be predisposed toward a TH2 response due to their methylation of the IFN-y promoter during TH polarization. These mice may be more susceptible to Leishmania or viral infections, but may be more resistant to helminth ° x mice could be predisposed toward a infections. It is also possible that lckCreDnmt3a2" THI response due to their inability to methylate the IFN-y promoter during TH2 polarization. These mice may be more resistant to Leishmania or viral infections, but may be more vulnerable to helminth infections. These experiments could help elucidate the importance of IFN-y methylation during helper T cell polarization in the immune response. 176 References Avni, O., Lee, D., Macian, F., Szabo, S. J., Glimcher, L. H., and Rao, A. (2002). T(H) cell differentiation is accompanied by dynamic changes in histone acetylation of cytokine genes. Nat Immunol 3, 643-651. Bestor, T. H. (1992). Activation of mammalian DNA methyltransferase by cleavage of a Zn binding regulatory domain. Embo J 11, 2611-2617. Bouma, G., and Strober, W. (2003). The immunological and genetic basis of inflammatory bowel disease. Nat Rev Immunol 3, 521-533. Chen, T., Ueda, Y., Xie, S., and Li, E. (2002). A novel Dnmt3a isoform produced from an alternative promoter localizes to euchromatin and its expression correlates with active de novo methylation. J Biol Chem 277, 38746-38754. Cobrin, G. M., and Abreu, M. T. (2005). Defects in mucosal immunity leading to Crohn's disease. Immunol Rev 206, 277-295. Fujita, N., Watanabe, S., Ichimura, T., Tsuruzoe, S., Shinkai, Y., Tachibana, M., Chiba, T., and Nakao, M. (2003). Methyl-CpG binding domain 1 (MBD1) interacts with the Suv39hl-HP1 heterochromatic complex for DNA methylation-based transcriptional repression. J Biol Chem 278, 24132-24138. Fuks, F., Hurd, P. J., Wolf, D., Nan, X., Bird, A. P., and Kouzarides, T. (2003). The methyl-CpG-binding protein MeCP2 links DNA methylation to histone methylation. J Biol Chem 278, 4035-4040. Grogan, J. L., Mohrs, M., Harmon, B., Lacy, D. A., Sedat, J. W., and Locksley, R. M. (2001). Early transcription and silencing of cytokine genes underlie polarization of T helper cell subsets. Immunity 14, 205-215. Grun, J. L., and Maurer, P. H. (1989). Different T helper cell subsets elicited in mice utilizing two different adjuvant vehicles: the role of endogenous interleukin 1 in proliferative responses. Cell Immunol 121, 134-145. Hansen, R. S., Wijmenga, C., Luo, P., Stanek, A. M., Canfield, T. K., Weemaes, C. M., and Gartler, S. M. (1999). The DNMT3B DNA methyltransferase gene is mutated in the ICF immunodeficiency syndrome. Proc Natl Acad Sci U S A 96, 14412-14417. Heinzel, F. P., Sadick, M. D., and Locksley, R. M. (1988). Leishmania major: analysis of lymphocyte and macrophage cellular phenotypes during infection of susceptible and resistant mice. Exp Parasitol 65, 258-268. Himmelrich, H., Parra-Lopez, C., Tacchini-Cottier, F., Louis, J. A., and Launois, P. (1998). The IL-4 rapidly produced in BALB/c mice after infection with Leishmania 177 major down-regulates IL-12 receptor beta 2-chain expression on CD4+ T cells resulting in a state of unresponsiveness to IL-12. J Immunol 161, 6156-6163. Ho, I. C., Hodge, M. R., Rooney, J. W., and Glimcher, L. H. (1996). The proto-oncogene c-maf is responsible for tissue-specific expression of interleukin-4. Cell 85, 973-983. Hutchins, A. S., Artis, D., Hendrich, B. D., Bird, A. P., Scott, P., and Reiner, S. L. (2005). Cutting edge: a critical role for gene silencing in preventing excessive type 1 immunity. J Immunol 175, 5606-5610. Jeltsch, A. (2002). Beyond Watson and Crick: DNA methylation and molecular enzymology of DNA methyltransferases. Chembiochem 3, 274-293. Jones, P. L., Veenstra, G. J., Wade, P. A., Vermaak, D., Kass, S. U., Landsberger, N., Strouboulis, J., and Wolffe, A. P. (1998). Methylated DNA and MeCP2 recruit histone deacetylase to repress transcription. Nat Genet 19, 187-191. Lee, D. U., Agarwal, S., and Rao, A. (2002). Th2 lineage commitment and efficient IL-4 production involves extended demethylation of the IL-4 gene. Immunity 16, 649-660. Lee, H. J., Takemoto, N., Kurata, H., Kamogawa, Y., Miyatake, S., O'Garra, A., and Arai, N. (2000). GATA-3 induces T helper cell type 2 (Th2) cytokine expression and chromatin remodeling in committed Thl cells. J Exp Med 192, 105-115. Lehnertz, B., Ueda, Y., Derijck, A. A., Braunschweig, U., Perez-Burgos, L., Kubicek, S., Chen, T., Li, E., Jenuwein, T., and Peters, A. H. (2003). Suv39h-mediated histone H3 lysine 9 methylation directs DNA methylation to major satellite repeats at pericentric heterochromatin. Curr Biol 13, 1192-1200. Leonhardt, H., Page, A. W., Weier, H. U., and Bestor, T. H. (1992). A targeting sequence directs DNA methyltransferase to sites of DNA replication in mammalian nuclei. Cell 71, 865-873. Martins, G. A., Hutchins, A. S., and Reiner, S. L. (2005). Transcriptional activators of helper T cell fate are required for establishment but not maintenance of signature cytokine expression. J Immunol 175, 5981-5985. Mullen, A. C., Hutchins, A. S., High, F. A., Lee, H. W., Sykes, K. J., Chodosh, L. A., and Reiner, S. L. (2002). Hlx is induced by and genetically interacts with T-bet to promote heritable T(H)1 gene induction. Nat Immunol 3, 652-658. Murphy, K. M., and Reiner, S. L. (2002). The lineage decisions of helper T cells. Nat Rev Immunol 2,933-944. Nan, X., Ng, H. H., Johnson, C. A., Laherty, C. D., Turner, B. M., Eisenman, R. N., and Bird, A. (1998). Transcriptional repression by the methyl-CpG-binding protein MeCP2 involves a histone deacetylase complex. Nature 393, 386-389. 178 Okano, M., Bell, D. W., Haber, D. A., and Li, E. (1999). DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 99, 247-257. Okano, M., Xie, S., and Li, E. (1998). Cloning and characterization of a family of novel mammalian DNA (cytosine-5) methyltransferases. Nat Genet 19, 219-220. Ouyang, W., Ranganath, S. H., Weindel, K., Bhattacharya, D., Murphy, T. L., Sha, W. C., and Murphy, K. M. (1998). Inhibition of Thl development mediated by GATA-3 through an IL-4-independent mechanism. Immunity 9, 745-755. Sadick, M. D., Locksley, R. M., Tubbs, C., and Raff, H. V. (1986). Murine cutaneous leishmaniasis: resistance correlates with the capacity to generate interferon-gamma in response to Leishmania antigens in vitro. J Immunol 136, 655-661. Weisenberger, D. J., Velicescu, M., Preciado-Lopez, M. A., Gonzales, F. A., Tsai, Y. C., Liang, G., and Jones, P. A. (2002). Identification and characterization of alternatively spliced variants of DNA methyltransferase 3a in mammalian cells. Gene 298, 91-99. Winders, B. R., Schwartz, R. H., and Bruniquel, D. (2004). A distinct region of the murine IFN-gamrma promoter is hypomethylated from early T cell development through mature naive and Th cell differentiation, but is hypermethylated in Th2 cells. J Immunol 173, 7377-7384. Xie, S., Wang, Z., Okano, M., Nogami, M., Li, Y., He, W. W., Okumura, K., and Li, E. (1999). Cloning, expression and chromosome locations of the human DNMT3 gene family. Gene 236, 87-95. 179