Page 110 - 80_01
P. 110

José	
  María	
  Rojo,	
  Pilar	
  Portolés	
  

	
  
anti-­-CD3	
  plus	
  anti-­-CD28	
  antibodies	
  under	
  neutral	
  conditions	
  IFN-­-?-­-production	
  was	
  
highly	
  sensitive	
  to	
  inhibition	
  of	
  PI3K,	
  at	
  doses	
  ten-­-fold	
  lower	
  than	
  those	
  needed	
  to	
  
inhibit	
   proliferation,	
   IL-­-2,	
   or	
   IL-­-10.	
   The	
   p110d	
   inhibitor	
   IC87114	
   or	
   the	
   dual	
  
p110a/d	
   inhibitor	
   ETP-­-46321,	
   were	
   particularly	
   effective,	
   whereas	
   inhibition	
   by	
  
A66,	
   a	
   p110a	
   inhibitor	
   was	
   not	
   as	
   marked	
   (82).	
   A	
   differentially	
   high	
   inhibition	
   of	
  
IC87114	
   on	
   IFN-­-?	
   production	
   versus	
   proliferation	
   was	
   also	
   observed	
   by	
  
Okkenhaugh’s	
   group	
   (87).	
   Furthermore,	
   these	
   authors	
   observed	
   that	
   isolated	
  
memory/effector	
   cells	
   were	
   more	
   sensitive	
   to	
   the	
   p110d	
   inhibitor	
   IC87114	
   that	
  
naive	
  cells.	
  These	
  results	
  paved	
  the	
  way	
  to	
  show	
  inhibition	
  by	
  IC87114	
  of	
  anti-­-CD3	
  
antibody-­-mediated	
  T	
  cell	
  activation	
  or	
  recall	
  responses	
  to	
  vaccines	
  in	
  human	
  cells	
  
(87).	
   In	
   our	
   experience,	
   though,	
   inhibition	
   of	
   cytokine	
   production	
   by	
   CD4+	
   blast	
  
cells	
  activation	
  with	
  anti-­-CD3	
  or	
  anti-­-CD3	
  plus	
  anti-­-ICOS	
  antibodies	
  was	
  similar	
  to	
  
that	
  observed	
  in	
  activation	
  of	
  naive	
  CD4+	
  T	
  cells	
  (82).	
  

        In	
   contrast,	
   So	
   et	
   al.	
   observed	
   no	
   significant	
   effect	
   of	
   p110a	
   inhibition	
   by	
  
A66	
   or	
   MLN1117	
   on	
   antigen-­-	
   or	
   mitogen-­-	
   induced	
   CD4+	
   T	
   cell	
   proliferation,	
   or	
  
secretion	
   of	
   IL-­-2	
   and	
   IFN-­-?,	
   although	
   there	
   was	
   some	
   inhibition	
   of	
   Akt	
  
phosphorylation,	
   and	
   p110a	
   inhibitors	
   enhanced	
   the	
   clear	
   but	
   not	
   complete	
  
inhibition	
   induced	
   by	
   IC87114	
   (81).	
   A	
   contribution	
   of	
   p110a	
   to	
   TCR	
   and	
  
costimulation	
  signaling	
  is	
  also	
  suggested	
  in	
  the	
  response	
  of	
  the	
  CD4+	
  T	
  cell	
  line	
  D10	
  
to	
   anti-­-CD3	
   and	
   anti-­-ICOS	
   (14).	
   In	
   this	
   system,	
   we	
   observed	
   partial	
   inhibition	
   of	
  
early	
   Akt	
   phosphorylation	
   by	
   the	
   p110a	
   inhibitor	
   PIK-­-75	
   or	
   by	
   p110a	
   silencing	
  
(14).	
   Intriguingly,	
   whereas	
   silencing	
   p110d	
   or	
   inhibition	
   with	
   IC87114	
   clearly	
  
inhibited	
   both	
   Akt	
   and	
   Erk	
   activation,	
   p110a	
   silencing	
   markedly	
   enhanced	
   Erk	
  
phosphorylation,	
  suggesting	
  that	
  p110a	
  might	
  exert	
  a	
  negative	
  control	
  over	
  some	
  
p110d	
  signals	
  (14).	
  	
  

        Follicular	
   helper	
   T	
   cells	
   (Tfh)	
   are	
   particularly	
   and	
   functionally	
   very	
  
important	
   to	
   the	
   development	
   germinal	
   centers	
   and	
   of	
   efficient	
   antibody	
  
responses,	
   promoting	
   antibody	
   affinity	
   maturation	
   and	
   differentiation	
   of	
   memory	
  
cells.	
  They	
  characteristically	
  express	
  the	
  surface	
  molecules	
  CXCR5,	
  PD-­-1	
  and	
  ICOS,	
  
as	
   well	
   as	
   the	
   transcription	
   suppressor	
   Bcl6	
   (88).	
   Although	
   Tfh	
   cells	
   able	
   of	
  
producing	
  different	
  antibody-­-promoting	
  cytokines	
  (IL-­-4,	
  IL-­-10,	
  IL-­-17,	
  or	
  IFN-­-?)	
  can	
  
be	
  found	
  in	
  vivo,	
  IL-­-21	
  is	
  the	
  most	
  characteristic	
  cytokine	
  of	
  Tfh	
  cells.	
  Signaling	
  by	
  
the	
   PI3K-­-binding	
   costimulators	
   CD28	
   and	
   ICOS	
   are	
   needed	
   for	
   efficient	
  
development	
   of	
   Tfh	
   and	
   germinal	
   centers.	
   Work	
   with	
   mice	
   expressing	
   ICOS	
  
mutants	
  unable	
  to	
  bind	
  PI3K,	
  or	
  in	
  mice	
  expressing	
  the	
  inactive	
  p110dD910A	
  kinase,	
  
or	
   inhibition	
   with	
   the	
   p110d	
   inhibitor	
   IC87114,	
   taken	
   together	
   indicate	
   that	
   PI3K	
  
p110d	
   is	
   needed	
   for	
   Tfh	
   differentiation	
   and	
   antibody	
   production	
   in	
   a	
   ICOS	
  
dependent	
   way;	
   early	
   TCR	
   signaling	
   or	
   IL-­-21	
   production	
   in	
   differentiated	
   Tfh	
   is	
  
also	
  potentiated	
  by	
  ICOS	
  signaling	
  and	
  inhibited	
  by	
  IC87114	
  (74,89).	
  So	
  et	
  al.	
  have	
  

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