(Journal of Leukocyte Biology. 2003;73:178-182.)
© 2003
by Society for Leukocyte Biology
Short cytoplasmic SDYMNM segment of CD28 is sufficient to convert CTLA-4 to a positive signaling receptor
Li Yin*,
,
Helga Schneider*,
,
and
Christopher E. Rudd*,
,
* Department of Cancer Immunology and AIDS, Dana-Farber Cancer Institute, and Departments of
Medicine and
Pathology, Harvard Medical School, Boston, Massachusetts; and
Department of Haematology, Imperial College of Science, Technology and Medicine, London, United Kingdom
Correspondence: Christopher E. Rudd, Imperial College of Science, Technology and Medicine, Department of Haematolgy, Division of Investigative Science, Faculty of Medicine, Hammersmith Hospital Campus, Du Cane Road, London, W12 ONN, UK. E-mail: c.rudd{at}ic.ac.uk

ABSTRACT
CD28 and cytotoxic T-lymphocyte antigen (CTLA)-4 are key coreceptors
on the surface of T cells that have opposing effects on T cell
activation. Although CD28 enhances proliferation, CTLA-4 markedly
inhibits the activation process. These opposing roles are particularly
surprising given the structural similarity of the cytoplasmic
residues of the two receptors. These include the related CD28
SDYMNM and CTLA-4
GVYVKM motifs. In this study, we have directly addressed
whether these related motifs may play different roles in the
activation process by swapping the CTLA-4
GVYVKM motif with the
CD28
SDYMNM motif. Remarkably, stable transfectants of the T
cell hybridoma DC27.10 showed that substitution of CTLA-4
GVYVKM was sufficient to convert CTLA-4 from a negative signaling coreceptor
to a positive CD28-like coreceptor. CD28
SDYMNM is therefore
sufficient to convey positive signals within CTLA-4. These results
demonstrate that CD28
SDYMNM and CTLA-4
GVYVKM motifs contain
sufficient information to distinguish positive versus negative
coreceptor signaling in T cells.
Key Words: coreceptor phosphatidylinositol 3-kinase

INTRODUCTION
At least two signals from antigen-presenting cells are required
for optimal activation of T cells as mediated by coreceptors
CD28 and inducible costimulatory receptor (ICOS) [
1
,
2
]. CD28
is expressed on naive and activated T cells, and cytotoxic T-lymphocyte
antigen (CTLA)-4 is expressed solely as a consequence of activation
[
3
]. CD28 and CTLA-4 have opposing effects, with CD28 providing
positive signals and CTLA-4 acting as a potent, negative regulator
of the response [
3
]. CD28 augments proliferation and can also
rescue cells from apoptosis [
4
]. Despite the importance of
these cosignals, the signaling mechanisms responsible for these
opposing effects are unclear. CD28 has a phosphotyrosine-based
motif pYMNM, which can bind the Src homology (SH)2 domains of
phoshatidylinositol 3-kinase (PI3-K), growth factor receptor-bound
protein-2 (Grb-2)/Grb-2 related adaptor downstream of Shc (GADS),
T cell-specific protein tyrosine kinase (PTK; IL-2 inducible
kinase, ITK), and phosphatase PP2A [
5
6
7
8
9
10
]. PtdIns 3-kinase
is a heterodimer, consisting of an adaptor subunit (p85) with
two SH2 domains, coupled to a p110 catalytic subunit, and is
important to signaling by PTK receptors. By contrast, CTLA-4
has a YVKM motif that can bind to PI3-K, phosphatases SHP-2,
and PP2A, as well as adaptor complexes AP-1 and AP-2 [
10
11
12
].
Mutations that disrupt the YMNM motif, or selectively disrupt
PI3-K binding, attenuate signaling [
7
,
13
14
15
], while the
same mutants behave normally in Jurkat cells [
16
,
17
]. This
discrepancy may now be explained by the finding that Jurkat
cells are defective in phosphoinositide phosphatase (PTEN),
an enzyme that removes the phosphate moiety on the third position
of the inositol ring [
18
]. High constitutive PtdIns 3,4-P
2 and PtdIns 3,4,5-P
3 expression can potentially circumvent the
need for additional PI3-K. Further, the reliability of the hybridoma
system has been confirmed in in vivo models documenting the
importance of the YMNM motif in CD28 function [
19
20
21
]. In
vivo reconstitution studies of YMNM mutants in mice have confirmed
the central importance of the motif in CD28-mediated graft-versus-host
responses [
19
,
20
] and in the induction of BcL-XL [
21
]. The
major downstream target of PI3-K, AKT, or protein kinase B has
recently been implicated in CD28 regulation of interleukin (IL)-2
but not of T helper cell type 2 cytokines [
22
]. In addition
to the regulation of IL-2 expression, CD28 associated PI3-K
has been implicated in other functions such as Bcl-XL expression
ß-1 integrin adhesion and CD28 receptor endocytosis
[
23
]. The opposing roles of CD28 and CTLA-4 are particularly
surprising considering the structural similarity of the cytoplasmically
related CD28
YMNM and CTLA-4
YVKM motifs. Besides slight differences
within the YxxM motif, the coreceptors have different, adjacent
N-terminal residues as well (i.e., GVYVKM vs. SDYMNM). In this
study, we have addressed whether these related motifs may be
sufficient to account for the opposing functions of the two
receptors by substituting the CTLA-4
GVYVKM motif with the analogous
SDYMNM motif of CD28. Remarkably, this substitution converted
CTLA-4 from a negative to a positive cosignaling receptor. The
results demonstrate that a restricted cytoplasmic region within
the two receptors accounts for positive versus negative coreceptor
signaling in T cells.

MATERIALS AND METHODS
Cells, reagents, and antibodies
The murine T cell hybridoma DC27.10 (a kind gift of Dr. Rose
Zamoyska, MRC, London) was cultured in RPMI-1640 medium supplemented
with 5% fetal bovine serum (FBS; Sigma Chemical Co., St. Louis,
MO) and 50 µM 2-mercaptoethanol, L-glutamine, and penicillin/streptomycin.
DC 27.10 cells were stably transfected with pSR

vector, wild-type
human CD28, wild-type human CTLA-4, and human CTLA-4 chimera
(SDYMNM). Chinese hamster ovary (CHO) cells stably transfected
with FcR or FcR-CD80 were grown in Dulbeccos modified
Eagles medium with 5% FBS. G418 was purchased from Life
Technologies (Grand Island, NY). Anti-human CD28 monoclonal
antibody (mAb; 4B10) was from Coulter (Hialeah, FL), and anti-human
CTLA-4 mAb was from PharMingen (San Diego, CA). Anti-murine
CD3 (1452C11) was purchased from American Type Culture
Collection (Manassas, VA). Anti-p85 Ab was kindly provided by
Dr. Morris White (Joslin Diabetes Center, Boston, MA).
Generation of CTLA-4 chimeric transfectants
Human CTLA-4 chimera was achieved by Altered Sites II in vitro mutagenesis system of Promega (Madison, WI). The CTLA-4 cytoplasmic motif GVYVKM was replaced by the human CD28 cytoplasmic motif SDYMNM. The CTLA-4 chimera was generated by using oligonucleotides carrying the CD28 motif SDYMNM. The product was verified by dideoxynucleotide sequencing.
The CTLA-4 chimera was resubcloned into the pSR
expression vector [24
]. Stable transfections were generated using DC27.10 cells transfected with CTLA-4 chimera plasmid together with pSVneo containing a neomycin-resistance gene. Electroporation was conducted at 260 V and 960 µF. Cells were selected with 1.5 mg/ml G418 for 2 weeks, and cells from different populations were assayed for human CD28 or human CTLA-4 expression by fluorescence-activated cell sorter (FACS).
Flow cytometry
Cytometric analysis was performed as described [6
]. Briefly, 5 x 105 cells were stained with anti-CD28 or anti-CTLA-4 mAb for 1 h on ice, washed twice, and then incubated with secondary fluorescein isothiocyanate (FITC)-labeled antibodies under the same conditions. Cytometric analysis was conducted using FACScan (Becton Dickinson, Mountain View, CA).
IL-2 assay
CHO cells expressing FcR or FcR-CH0-CD80 were plated at 5 x 103/well in 96-well plates and cultured overnight. Cells were washed twice and incubated with DC27.10 cells stably transfected with vector, wild-type human CD28, wild-type CTLA-4, and human CTLA-4 chimera at 1 x 105/well together with anti-CD3 mAb (2C11) at indicated concentrations. The final volume was 200 µl/well. Each condition was assayed as a triplicate. Cells were then cultured for 24 h before the supernatants were collected for IL-2 measurement.
CTLL-2 cells grown in the presence of recombinant human IL-2 were washed and plated at 2500 cells/well in a 96-well plate. A series of twofold-diluted supernatants was added to CTLL-2 cells. Cells were cultured for 24 h followed by an 18-h pulsing with 1 µCi [3H]thymidine before harvesting and counting. The amount of IL-2 in these supernatants was determined by comparing with the standard curve established with IL-2.
Immunoprecipitation and immunoblotting
For immunoprecipitation, 80 x 106 cells were lysed in ice-cold lysis buffer containing 1% Triton X-100 in 20 mM Tris-HCl, pH 8.3, 150 mM NaCl. The lysis buffer contained protease and phosphatase inhibitors. Postnuclear lysates were incubated for 1 h with the indicated antibody. Protein A-sepharose beads (30 µl; Pharmacia, Upspsala, Sweden) were added and incubated for 1 h at 4°C. The eluted proteins were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and were transferred to nitrocellulose for immunoblotting. The membranes were blocked with 5% milk in Tris-buffered saline (10 mM Tris-HCl, pH 7.6, 150 mM NaCl) and incubated with the indicated antibody. Bound antibody was revealed with the appropriate secondary antibody, and protein was visualized by enhanced chemiluminescence (Amersham, Little Chalfont, UK).

RESULTS
CD28 and CTLA-4 share an ability to bind PI3-K in T cells [
6
7 ]. They possess related SDYMNM and GVYVKM motifs, which can
bind the SH2 domains of the p85 subunit [
5
,
6
]. These motifs
share a methionine in the plus-3 position but differ in several
adjacent residues. A major question is whether these motifs
determine the opposing signals sent by the two receptors. To
address this, a chimeric form of CTLA-4 was generated in which
the CTLA-4
GVYVKM cytoplasmic motif was substituted with its
CD28 counterpart (i.e., CD28
SDYMNM;
Fig. 1A
). Stable transfectants
were then generated that express wild-type human CD28, wild-type
human CTLA-4, or the human CTLA-4
SDYMNM chimera
(Fig. 1B)
.
Clones were selected that express equivalent levels of CD28,
CTLA-4, or CTLA-4 chimeric receptor on the surface of cells
as determined by FACS (
Fig. 1B
, left and middle panels). As
an additional control, the level of expression of endogenous
mouse CD3 was found to be similar for each clone (
Fig. 1B
,
right panel). Wild-type CTLA-4 and CTLA-4 chimera were negative
for human CD28, and wild-type CD28 was negative for human CTLA-4
(i.e., identical pattern to negative control; data not shown).
CD28 and CTLA-4 bind to PI3-K [
5
6
7
,
11
]. To assess whether
the exchange of the GVYVKM/SDYMNM motifs altered PtdIns 3-kinase
binding, the CTLA-4 chimera (clone #5) was precipitated with
anti-CTLA-4 and assessed for the presence of the p85 subunit
by immunoblotting. As controls, CD28 and wild-type CTLA-4 were
also assessed for the presence of coprecipitated p85. Under
these conditions, the CTLA-4 chimera was found to precipitate
p85 (
Fig. 2
, lane 5) at a level comparable with wild-type CTLA-4
(lane 4). As an additional positive control, anti-CD28 was also
found to precipitate p85 (lane 2). Over several experiments,
no consistent difference was noted in the level of p85 coprecipitated
by CD28WT, CTLA-4WT, and the CTLA-4 chimera (data not shown).
These findings show that the CTLA-4
SDYMNM chimera retained the
ability to bind to PI3-K in T cells.
CD28 is well established in its ability to up-regulate IL-2
production, and CTLA-4 inhibits this response [
3
,
25
]. Mutation
of tyrosine or methionine residues in the pYMNM motif can attenuate
anti-CD28-induced IL-2 production [
6
,
7
,
13
]. These findings
have been confirmed in in vivo reconstitution studies [
19
,
20
]. However, none of the above studies addressed whether the
SDYMNM motif is itself sufficient to distinguish between the
positive and negative function mediated by CD28 and CTLA-4,
respectively. Therefore, we next assessed whether the CTLA-4
chimera could support positive or negative responses to anti-CD3
plus CHO-FcR-CD80. Initially, a titration of anti-CD3 was conducted
from 0 to 1.65 to 16.5 ng/ml (
Fig. 3A
). Although 16.5 ng/ml
anti-CD3 was able to induce IL-2 secretion, this was not observed
at 1.65 ng/ml. However, the combination of anti-CD3 plus CHO-CD80
induced a dose-response shift so that IL-2 production was now
observed at 1.65 ng/ml. By contrast, the combination of anti-CD3
plus anti-CTLA-4 failed to induce IL-2 production and instead,
inhibited anti-CD3-induced IL-2 at 16.5 ng, as described by
others [3]. Significantly, by contrast with wild-type CTLA-4,
the CTLA-4
SDYMNM chimera no longer inhibited anti-CD3-induced
IL-2 production and instead, potentiated the anti-CD3 response
fivefold
(Fig. 3A)
. The potentiation of IL-2 production by
the CTLA-4
SDYMNM chimera was actually comparable with that achieved
with coligation of wild-type CD28. This effect was observed
in at least five experiments. To control for clonal variability,
we also included results from two other independently derived
CTLA-4 transfectants (clones #8 and #10;
Fig. 3B
). As observed
with clones #5 and #9, the CTLA-4
SDYMNM chimera induced positive
costimulation in response to anti-CD3 plus CHO-FcR-CD80 cells.
Clones 5, 8, 9, and 10 were chosen based on their comparable
CTLA-4 expression levels and binding to PI3-K. Collectively,
these results therefore make the important point that substitution
of the CTLA-4
GVYVKM motif with the CD28
SDYMNM motif converts
CTLA-4 from a negative to a positive signaling receptor, comparable
with CD28. The YxxM motifs in both receptors therefore play
central roles in defining negative and positive signaling by
the two coreceptors.

DISCUSSION
In summary, our findings demonstrate for the first time that
the exchange of the CTLA-4
GVYVKM motif for the CD28
SDYMNM motif
is sufficient to convert CTLA-4 to a positive, costimulatory
antigen. Hence, a surprisingly limited number of amino acid
residues in CD28 and CTLA-4 are sufficient to determine positive
versus negative signaling. The effect was so dramatic that the
CD28
SDYMNM motif converted CTLA-4 to a receptor that signals
with the same potency as its wild-type CD28 counterpart
(Fig. 3) . Further, the loss of the CTLA-4
GVYVKM motif therefore eliminated
the ability of CTLA-4 to generate negative signals. The reliability
of our system has been previously documented in in vivo models
that confirmed the importance of the YMNM motif in CD28 function
[
19
20
21
]. An important remaining question concerns the nature
of the signaling component(s) that can account for the function
linked to this motif. PI3-K is likely to be required for positive
signaling by producing D-3 lipids for pleckstrin homology domain
recruitment to the cell surface, as previously reported [
7
,
13
14
15
,
19
20
21
]. However, in comparing different clones,
we were not able to establish a clear relationship between level
of PI3-K binding to different clones (i.e., with CD28 or the
CTLA-4 chimera) and function. The only clear rule was that the
presence of PI3-K with the cytoplasmic tail was correlated with
the ability of CD28 or the CTLA-4 chimera to generate positive
signals. One explanation is that there may be a threshold where
a certain level of PI3-K is needed, and additional levels are
redundant. The loss of negative signaling with the substitution
of the CD28 motif indicates that negative signaling also maps
to this region [7, 13]. Although the GVYVKM and SDYMNM motifs
possess conserved tyrosine and methionine residues (in the plus-3
position) needed for PtdIns 3-kinase binding, they differ in
the adjacent N-terminal GV and SD residues, as well as in the
VK and MN residues in the plus-1 and -2 positions. Significantly,
we previously showed that the CTLA-4
SDYMNM chimera can no longer
bind to the AP-1 and AP-2 tetrameric adaptor proteins [
26
].
AP-2 plays a central role in modulating the rate of CTLA-4 down-regulation
from the cell surface and as such, may alter the surface topography
of surface receptors needed for efficient signaling [
27
]. Indeed,
the CTLA-4 chimera showed rates of receptor down-modulation
similar to that observed for CD28 (data not shown). Residues
other than the tyrosine within the GVYVKM-to-SDYMNM motifs could
therefore contribute to these differences. Further studies will
be needed to determine which of these individual residues are
needed for the conversion from negative to positive signaling.
Received July 22, 2002;
revised September 10, 2002;
accepted September 24, 2002.

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