Highly efficient transduction of human plasmacytoid dendritic cells without phenotypic and functional maturation

Background: Gene modified dendritic cells (DC) are able to modulate DC functions and induce therapeutic immunity or tolerance in an antigen-specific manner. Among the different DC subsets, plasmacytoid DC (pDC) are well known for their ability to recognize and respond to a variety of viruses by secreting high levels of type I interferon. Methods: We analyzed here, the transduction efficiency of a pDC cell line, GEN2.2, and of pDC derived from CD34+ progenitors, using lentiviral vectors (LV) pseudotyped with different envelope glycoproteins such as the vesicular stomatitis virus envelope (VSVG), the gibbon ape leukaemia virus envelope (GaLV) or the feline endogenous virus envelope (RD114). At the same time, we evaluated transgene expression (E-GFP reporter gene) under the control of different promoters. Results: We found that efficient gene transfer into pDC can be achieved with VSVG-pseudotyped lentiviral vectors (LV) under the control of phoshoglycerate kinase (PGK) and elongation factor-1 (EF1α) promoters (28% to 90% of E-GFP+ cells, respectively) in the absence of phenotypic and functional maturation. Surprisingly, promoters (desmin or synthetic C5–12) described as musclespecific and which drive gene expression in single strand AAV vectors in gene therapy protocols were very highly active in pDC using VSVG-LV. Conclusion: Taken together, our results indicate that LV vectors can serve to design pDC-based vaccines in humans, and they are also useful in vitro to evaluate the immunogenicity of the vector preparations, and the specificity and safety of given promoters used in gene therapy protocols. Background Dendritic cells (DC) are antigen-presenting cells (APC) with a role in controlling the balance between immunity and immunological tolerance [1,2]. In humans, at least two subsets of DC are known in the blood, myeloid DC (also known as interstitial or dermal DC), and plasmacytoid DC (pDC) and Langerhans cells (LC) in the tissues [3]. Plasmacytoid DC also called "natural interferon proPublished: 27 January 2009 Journal of Translational Medicine 2009, 7:10 doi:10.1186/1479-5876-7-10 Received: 5 September 2008 Accepted: 27 January 2009 This article is available from: http://www.translational-medicine.com/content/7/1/10 © 2009 Veron et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background
Dendritic cells (DC) are antigen-presenting cells (APC) with a role in controlling the balance between immunity and immunological tolerance [1,2]. In humans, at least two subsets of DC are known in the blood, myeloid DC (also known as interstitial or dermal DC), and plasmacytoid DC (pDC) and Langerhans cells (LC) in the tissues [3]. Plasmacytoid DC also called "natural interferon pro-ducing cells" (NIPC), represent 0.2-0.8% of peripheral blood cells and have also been found in the spleen, bone marrow, tonsils, lymph nodes, foetal liver and thymus [2,[4][5][6]. Plasmacytoid DC are well known for their ability to recognize and respond to a variety of viruses [6]. They recognize viral genomic nucleic acids of dsDNA viruses [7][8][9][10] and ssRNA viruses [11][12][13] via Toll-like receptor 9 (TLR9) and TLR7, respectively in the acidified endosomes without becoming infected themselves. Plasmacytoid DC are characterized by their high secretion levels of type I interferon in response to viruses [14,15], which not only have direct inhibitory effects on viral replication, but also can promote the function of natural killer cells, B cells, T cells and myeloid DC [16]. Human pDC do not express lineage specific markers, but are characterized by the expression of HLA-DR, CD4, CD123, BDCA2 and BDCA4 [3]. These scarce cells can be generated from CD34 + progenitor cells [17]. Recently, a pDC cell line called GEN2.2 established from leukemic pDC was described as sharing most of the phenotypic and functional features of normal pDC [18] and so represents a good model for study of the physiology of their normal counterpart [19].
Over the classical antigen loading methods usually considered, such as peptide or protein loading, gene modified DC offer potential advantages: 1) they ensure long-lasting expression of the antigen and production of an entire array of epitopes presented by the autologous HLA molecules, 2) antigens are delivered to both endogenous MHC class I and class II antigen presentation pathways [2,20]. Lentiviral vectors (LV) pseudotyped with the vesicular stomatitis virus envelope glycoprotein (VSVG) are efficient gene delivery vectors for dividing and non-dividing cells and were shown to be applicable to many cell types including human conventional DC and LC [21][22][23][24][25][26]. Transduced DC and LC retained their immature phenotype, were able to respond to maturation signals, and maintain immunostimulatory potential in both autologous and allogeneic settings [22,26,27]. To our knowledge, the transduction capacity of LV into pDC has not yet been evaluated. LV can be pseudotyped with a variety of envelope glycoproteins [28,29] such as the gibbon ape leukaemia virus envelope (GaLV) or the feline endogenous virus envelope (RD114) which have been reported to be efficient in the transduction of hematopoietic cells [30][31][32]. The elongation factor-1α (EF1α) and phoshoglycerate kinase (PGK) promoters were shown to have an activity in a human CD34 + cell and in cultured cord blood cells and transgene-expressing myeloid DC were obtained from them [23,26,33,34].
One of the alternate vectors used to transduce monocytes or DC was the recombinant adeno-associated virus (rAAV) with a genome conventionally packaged as singlestranded molecules (ss) [35][36][37], characterized by its ability to transduce both dividing and non-dividing cells.
Recombinant AAV is unique among viral vectors that are being developed for gene therapy applications in that the wild-type virus counterpart has never been shown to cause human disease. So far, transduction efficiencies of DC subsets have been shown to be low and variable [36,38].
In this study, we compared the transduction efficiency into a human pDC cell line and in CD34-pDC, with i) LV pseudotyped with different envelopes encoding E-GFP. In this context, we also tested different promoters: two promoters with high activity in hematopoietic cells (PGK and EF1a) and two promoters described as muscle-specific [39][40][41] (C5-12 and desmin) in order to evaluate the promoter leak in pDC, ii) rAAV of different serotypes. We found that efficient gene transfer into pDC can be achieved mainly with VSVG-pseudotyped LV under the control of PGK and EF1 promoters. Surprisingly, promoters described as muscle-specific were also highly active in pDC. Gene transfer into pDC could be of high importance for the design of new DC-based vaccines, or for induction of peripheral tolerance for dedicated therapeutic applications.

Culture of pDC line
Gen2.2 is a pDC cell line derived from a leukaemia patient. Tumor cells were characterized as pDC like [18]. Briefly, they grow on a murine fibroblast feeder cell line MS5 in RPMI, 10% FCS complemented with 1% Lglutamine, non essential amino acids, gentamycin and 0.2% sodium pyruvate.

AAV vector construction and production
Pseudotyped AAV vectors were generated by packaging AAV2-based recombinant genomes in AAV1, AAV2 or AAV5 capsids. All the vectors used in the study were produced using the three-plasmid transfection protocol as described elsewhere [43]. Briefly, HEK293 cells were tritransfected with the adenovirus helper plasmid pXX6 [44], a pAAV packaging plasmid expressing the rep and cap genes (pACG2.1 for AAV2, pLT-RC02 for AAV1 and pLT-RC03 for AAV5) and the relevant pAAV2 vector plasmid. ssAAV vectors were produced with conventional pGG2 AAV2 vector plasmid expressing E-GFP under the transcriptional control of the cytomegalovirus immediate early (CMV IE) promoter associated with a SV40 polyA signal. Recombinant vectors were purified by double-CsCl 2 ultracentrifugation followed by dialysis against sterile phosphate-buffered saline (PBS). Physical particles were quantified by real time PCR and vector titers are expressed as viral genomes per ml (vg/ml).

Cell line
The OP9 stroma cell line coding for human delta 1 (OP9-Del1) was kindly provided by A. Galy (Genethon, Evry, France) and maintained as previously described [17].

Transduction of GEN2.2
GEN2.2 were transduced by lentiviral vectors at multiplicity of infection (MOI) of 18 TU/ml or adeno-associated vector at 9 × 10 3 to 25 × 10 3 viral genome (Vg)/cell. Transductions were carried out just after thawing at a fixed concentration of 2-5 × 10 6 of cells per 200-500 μl of medium. After 3 hours at 37°C, cells were placed in complete medium and analysed by flow cytometry between day 5 and day 60.

Transduction of CD34-pDC
Semi-adherent and non-adherent cells in culture were harvested at day 6 and transduced by LV-VSVG-PGK at an MOI of 18 TU/ml and at a fixed concentration of 1 × 10 6 cells/ml, in RPMI 1640. After 3 hours at 37°C, cells were replaced in the same complete medium then cultured for 5-6 additional days.

Transduction of monocytes
After thawing, monocytes were transduced by LV-VSVG-PGK at an MOI of 18 TU/ml and at a fixed concentration of 1 × 10 6 cells/ml respectively, in RPMI 1640. After 3 hours at 37°C, cells were cultured in complete medium as described above to generate Mo-DC.

ELISA
Human interferon-α levels were determined using specific ELISA kit (R&D Systems, Minneapolis, MN). Lower limit of detection was 10 pg/ml.

Mixed leukocyte reaction (MLR)
Enriched naïve CD45RA+ T-cells were recovered after elutriation of monocytes. This method yielded purified (83.6% +/-7.3) CD45RA+cells as assessed by flow cytometry. CD45RA+T cells were labelled with carboxyfluorescein diacetate succinimidyl ester (CFSE) at a final concentration of 0.5 μM, for 20 min at 37°C before being extensively washed. E-GFP negative and positive GEN2.2 were sorted on a MoFlow cytometer (Dako, Glostrup, Denmark). For the mixed leukocyte reaction, CpG matured allogeneic pDC were extensively washed and cultured in 96-well U-bottom plates at different cell numbers with 1 × 10 5 CFSE labelled CD45RA+ + T-cells. On day 4, cells were harvested, washed, labelled for T specificity with anti-CD3 antibody and analysed by flow cytometry. The percentage of dividing T-cells was linearly correlated with the decrease in CFSE fluorescence.

Activation of a MART-1 CD8 + T cell clone by transduced DC subpopulations
Matured HLA-A2 + DC subpopulations were obtained after transduction of cells by LV coding for a MART-1 peptide using a PGK promoter. Non-transduced matured HLA-A2 + GEN2.2, CD34-pDC and Mo-DC and transduced GEN2.2 cells, CD34-pDC and Mo-DC were co-cultured in 96-well U-bottom plates at different ratios with 1 × 10 5 cells/well of a specific MART-1 CD8 + T-cell clone HLA-A2 restricted (LT12) and labelled with CFSE as described earlier for the MLR. On day 5, cells were harvested, washed, labelled with an anti-CD8 antibody and analysed by flow cytometry. The percentage of dividing T-cells was linearly correlated with the loss in CFSE fluorescence.

Flow cytometric analysis
The pDC phenotype was assessed using three color immunostaining with biotinylated, phycoerythrin (PE)-, Cy-Chrome

Statistical analyses
Results were presented as the mean +/-standard deviation. Student's t-test for paired data was use to determine significant differences between the two groups. A p-value<0.05 was considered statistically significant.

Transduction of pDC by LV and AAV vectors
We first compared the gene transfer efficiency into the human pDC cell line, GEN2.2, and in day 6 CD34-pDC, using LV pseudotyped with different envelopes from VSVG, GaLV or RD114 viruses. E-GFP expression can be easily and accurately monitored by FACS analysis. Preliminary experiments performed with LV encoding E-GFP under the control of the ubiquitous PGK promoter with different MOI , at a fixed cell density, showed that maximum transduction levels were reached at a MOI of 18 for VSVG-LV and RD114-LV and at a MOI of 9 for GaLV-LV (data not shown), without cellular toxicity. pDC were monitored for CD123, HLA-DR and E-GFP expression at day 5 to 6 posttransduction. A single exposure of GEN2.2 to VSVG-LV or RD114-LV led to 30% +/-11.6% and 18.6% +/-8% of cells which were E-GFP positive, respectively ( figure 1A). When GaLV-LV was used, how-Transduction efficiencies of CD34-pDC Figure 2 Transduction efficiencies of CD34-pDC. CD34-pDC were non-transduced (NT) or transduced with E-GFP encoding vectors at day 6 after the induction of differentiation, then cultured for 6 additional days. pDC were gated in forward/side scatter, then analyzed for the expression of E-GFP by flow cytometry. (A) CD34 + progenitors were transduced by LV with a PGK promoter pseudotyped with either VSVG and RD114 envelopes at a MOI of 18 or with the GaLV envelope at a MOI of 9. (B) CD34 + progenitors were transduced with VSVG pseudotyped-LV with a PGK, EF1, desmin or C5-12 promoter, at a MOI of 18. (C) CD34 + progenitors were transduced by rAAV of serotype 1, 2 or 5 with a CMV promoter, with the number of viral genomes/cell indicated. Results are expressed as mean percentage of cell +/-SD over the number of independent experiments indicated.
ever, it was difficult in our hands to obtain high enough titers to reach a MOI of 18 using similar transduction conditions without cellular toxicity. So, at a two-fold lower MOI, a single exposure of GEN2.2 to GaLV-LV led to only 13.3% +/-5.5% of E-GFP positive cells ( figure 1A). Similar results were obtained on human CD34-pDC transduced at day 6 (figure 2A) and monitored 6 days posttransduction. Long-term expression of the transgene for GEN2.2 was maintained in all cases until at least day 60, as checked by flow cytometry (data not shown).
In a second step, we then selected the VSVG-LV pseudotype at MOI of 18 to transduce the pDC cell line, and evaluated the expression of GFP under the control of different promoters such as the ubiquitous PGK promoter, the hematopoietic cell-specific EF1 promoter, the muscle-specific desmin and the synthetic C512 promoters. The percentage of E-GFP + cells obtained was very high with both EF1 (79% +/-15.3%) and C5-12 (94% +/-2.8%) promoters which are 2.6 to 3 more efficient than the PGK promoter for transducing GEN2.2 ( figure 1B). Surprisingly, a second muscle-specific promoter, desmin, was also highly efficient in pDC, since 47.7% +/-11.1% of cells were E-GFP + (figure 1B). Similar results were obtained on human CD34-pDC transduced at day 6 (figure 2B) and monitored 6 days posttransduction. Altogether, these results show that VSVG-pseudotyped LV encoding the E-GFP as transgene under the control of the EF1 or C5-12 promoters are very efficient for transduction of pDC. In a similar protocol, we used AAV vectors of different serotypes (rAAV2/1, rAAV2/2 and rAAV2/5) to transduce the pDC cell line and CD34-pDC and compared their efficacy. We previously showed that single-stranded rAAV2/1 and rAAV2/2 were very poorly efficient in transducing human pDC generated in vitro from CD34 + progenitor cells [38]. We evaluated here, whether cells fully differentiated into pDC could be transduced by rAAV of serotypes 1 and 2, but also of serotype 5. Preliminary experiments performed with different amounts of viral particles (5 × 10 3 to 5 × 10 4 vg/cell), at a fixed cell density, showed that maximum transduction levels were reached with 2.5 × 10 4 vg/cell for rAAV2/1 and rAAV2/2 and with 9 × 10 3 vg/cell for rAAV2/5, with no cellular toxicity (data not shown). GEN2.2 and CD34-pDC were monitored for CD123, HLA-DR and E-GFP expression, but only at day 5 to 6 posttransduction, since pDC are dividing cells and AAV vectors are mainly episomal. A single exposure of pDC to rAAV2/1, rAAV2/2 or rAAV2/5 led to very low levels of transduced cells ranging from around 3% to less than 1% of E-GFP + cells ( figure 1C and 2C). These results indicate that pDC are not susceptible to transduction by singlestrand AAV vectors of serotype 1, 2 or 5.

Immunophenotypical analysis of transduced pDC
The GEN2.2 cell line was previously characterized by its phenotype as a pDC cell line. These cells have been shown to express the human leukocyte antigen-DR (HLA-DR), the IL3-receptor (CD123) and the CD4 [18]. Moreover, as a hallmark of pDC, these cells are BDCA2 and BDCA4 (type II C lectin)-positive and CD11c-and CD1a-negative. Trypan blue exclusion and cell counting of LV and rAAV transduced GEN2.2 at the end of the culture period indicated that transduction had no deleterious effect on cell viability compared to control cells (data not shown). We explored in detail the immunophenotype of these transduced and control GEN2.2 by flow cytometry. We showed that whatever lentiviral or rAAV vectors used to trans- duced the GEN2.2 cells, no significant modification of the CD123 and HLA-DR expression (figure 3) of the CD4, BDCA2 and BDCA4 (data not shown) or of the costimulatory molecules and maturation marker CD80, CD86, CD40 and CD83 as illustrated figure 4, with two vectors, was observed, compared to control cells. Comparative phenotypic analysis of unactivated and CpG-activated transduced GEN2.2 revealed a normal upregulation of the co-stimulatory molecule CD86, demonstrating that the maturation capacity of transduced subpopulations was unaltered ( Figure 5). Similarly, the phenotype of human transduced CD34-pDC was not modified compare to non-transduced cells (data not shown). Our results indi-cate that the LV transduction does not alter the phenotype of pDC or their capacity to mature.

Functional properties of transduced pDC
We evaluated the ability of different transduced GEN2. allostimulatory capacity compared to non-transduced GEN2.2, whatever vector used (figure 6 and data not shown). In response to these viruses, pDC are known to secrete high levels of type I IFN [14,15]. Of note, IFN-α was not detected in cell supernatant of any transduced GEN2.2 cultures when checked between 24 hours and 10 days following contact with the different viral particles. Nevertheless, GEN2.2 and CD34-pDC were always able to secrete IFN-α upon stimulation by the CpG motif via the toll-like receptor signalling pathway, as illustrated figure 7 for pDC transduced with a LV pseudotyped with VSVG coding for E-GFP under the control of the PGK promoter. Moreover, we evaluated the capacity of the HLA-A0201 expressing pDC to activate a CD8 + T cell clone after transduction with a LV coding for the MART-1 peptide under the control of the PGK promoter. The transduced GEN2.2 obtained were efficient in activating a specific CD8 + T-cell clone ( Figure 8A). Results were confirmed on CD34-pDC transduced with the same LV expressing a MART-1 peptide ( Figure 8B). Interestingly these transduced CD34-pDC were as efficient as Mo-DC for activation of a specific CD8 + T cell clone ( Figure 8B).
Altogether, these results indicate that the functional properties of pDC were not altered by LV or rAAV transduction. Furthermore, LV-transduced pDC were able to activate a CD8+ T-cell clone.

Discussion
The attractiveness of dendritic cells as a target for genetic manipulation is a consequence of their ability to initiate and orchestrate primary immune responses, including tolerogenic responses [1,45,46]. At least two circulating subsets of DC have been described: myeloid DC and pDC with evidence of functional differences in their ability to regulate the T-cell responses, to produce antiviral type I IFN and to cross-present exogenous antigens to CD8 + T cells [47]. We previously showed that VSVG-pseudotyped HIV-1 vectors are good candidates for efficient transduction of monocyte-and CD34 + -derived LC, without inducing phenotypic and functional maturation [26]. More recently, we also showed that self-complementary duplex strands but not single strands rAAV2/1 and 2 were also very efficient in transducing major DC subsets generated in vitro, including CD34 + -derived pDC [38].
In this study, we extended LV transduction to pDC, using different pseudotyped HIV-1 vectors encoding E-GFP under the control of different promoters and showed that VSVG-pseudotyped LV encoding E-GFP under the control of EF1 or C512 promoters are the most efficient combinations, leading to transduction of 60% to 90% of the pDC cell line, GEN2.2 [18] and CD34-pDC. Of note, we showed that transduction did not alter alloreactive presentation properties of pDC. Furthermore, pDC transduced with LV expressing a MART-1 peptide was as efficient as Mo-DC for activation of a specific CD8 + T cell clone. Altogether, these results show that antigen-loading of pDC through ex-vivo LV transduction may represent a relevant immunotherapy approach for particular clinical applications. Indeed, compared with antigen loading protocols using whole tumor cell lysates or recombinant tumor-associated antigen peptides, LV transduction offers the advantage of direct antigen processing from cytosolic proteins and of long lasting antigen expression.
Previous publications [30][31][32] reported efficient transduction levels of hematopoietic cells with LV pseudotyped with GaLV or RD114 envelopes. Here, the highest pDC transduction levels were obtained with the VSVG envelope, which was also previously shown to efficiently transduce human hematopoietic progenitor and leukaemia cells [26,48,49] as well as fully differentiated human monocyte-derived DC [50,51], with a long lasting expression. The EF1α promoter was shown to have a stronger activity than the PGK promoter in a human CD34 + cell line [33] and in cultured cord blood cells [33,34] and allowed to obtain transgene-expressing myeloid DC [23].
Here, we showed that after a single exposure to VSVGpseudotyped LV, the percentage of E-GFP expressing pDC was 2.6 fold higher when the expression was driven by the EF1 compared to the PGK promoter. The average copy number of the vector in transduced pDC under both conditions was similar (3-4 copies per cell), as determined by real-time quantitative PCR (data not shown). This indicates that the integration levels are similar with both constructions but that, as previously described, the promoter activity is different. We also evaluated two other promoters described to be muscle restricted [39][40][41], the desmin IFN-α production by pDC Figure 7 IFN-α production by pDC. GEN2.2 and day 6 CD34-pDC were non transduced (NT) or transduced by LV-VSVG at an MOI of 18 (LV-VSVG), then 6 days later, the IFNα production was measured in cell culture supernatants before or after maturation in CpG, for 24 hours. The data are shown as the means of 3 independent experiments. and synthetic C512 promoters which have been shown in gene therapy studies to specifically target muscles and to drive gene expression in a context of ss rAAV vectors [41]. As in our previous report [38], we showed here that even with an ubiquitous promoter like CMV, only a very low transduction efficiency could be reached with ss rAAV in the different DC subsets. So, in order to investigate the potential leak of these promoters in human DC subsets, we constructed and produced LV vectors carrying the two different cassettes. Surprisingly, we showed that the percentages of E-GFP expressing pDC with desmin and C512 promoters were very high and equivalent to those obtained with PGK and EF1 promoters, respectively. The average copy number in pDC for desmin and C512 promoters were 4 and 1 copies per cell, respectively, showing that the C512 promoters was at least as efficient as an ubiquitous promoter (data not shown). In contrast to the desmin promoter, the C512 promoter was also active in monocyte-derived DC and LC (around 10% of E-GFP + cells) and in a human colorectal carcinoma (HCT116) (data not shown). Nevertheless, transgene expression with these cassettes in ss AAV vectors was not detectable (data not shown). Taken together, these data suggest that the use of desmin or C5-12 promoters in ss rAAV, for clinical gene therapy protocols, will not induce transgene expression in DC subsets. Nevertheless, the use of these promoters in sc rAAV, which are highly efficient for trans-ducing major DC subsets [38] might elicit high immune responses against the transgene.

Conclusion
DC transduction with LV preparations can serve as vaccine vehicles in human through efficient transduction levels and are also useful in vitro to evaluate the immunogenicity of the vector preparations and the specificity and safety of promoters used in gene therapy protocols. Française contre les Myopathies (AFM), CNRS and an ATIGE grant to JD from Genopole Evry, France and by INCa -Canceropole 2004-05. We wish to thank Anne Galy for providing the OP9-Del1 cell line, Isabelle Lambert for providing viral vectors and Florence Faure for giving us the HLA-A0201 restricted MART-1 specific CD8+ T-cell clone. We thank Laurent Poujades for real-time quantitative PCR. We thank Susan Cure for the critical reading of the manuscript.