the cd300 molecules: an emerging family of regulators of the immune system

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The CD300 molecules: an emerging family of regulators of the Immune System Francisco Borrego BioCruces Health Research Institute Ikerbasque Research Professor Basque Foundation for Science

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In order to provide an adequate response that allows the elimination of insults while preserving self, the immune system is tightly regulated by a balance between activating and inhibitory signals. Multiple mechanisms exist to accomplish this task, including the expression of activating and inhibitory receptors by immune cells. The CD300 family of receptors are type I transmembrane proteins that forms an arrayed receptor system that is able to recognize the viability and activation status of cells, and consequently have a significant influence on the final outcome of the immune response. The very recent discovery that CD300 molecules are able to recognize lipids, such as phosphatidylserine, and phosphatidylethanolamine that are exposed on the outer leaflet of the plasma membrane of dead and activated cells has opened a new field of research. Through their binding to lipids and other ligands, this family of receptors is poised to have a significant role in complex biological processes and in the host response to severe pathological conditions. Expression of CD300 molecules is altered in a number of diseases and anti-CD300 antibodies have been demonstrated to have significant therapeutic effect in several animal models. The mechanisms underlying the immunoregulatory effects of the CD300 family are complex and deciphering their signaling properties will allow effective targeting of these molecules as novel therapies in a wide variety of inflammatory and immune-mediated diseases.

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Page 1: The CD300 molecules: an emerging family of regulators of the Immune System

The CD300 molecules: an emerging family of

regulators of the Immune System

Francisco BorregoBioCruces Health Research Institute

Ikerbasque Research ProfessorBasque Foundation for Science

Page 2: The CD300 molecules: an emerging family of regulators of the Immune System

Cell surface receptors (NK cells)

CD300a

Vivier et al. 2012. Science

Page 3: The CD300 molecules: an emerging family of regulators of the Immune System

chr17

CD300

family

72500000 72550000 72600000 72650000 72700000

CD300A CD300LB CD300C CD300E CD300LFCD300LD

41920000 41940000

CD300LG

Human

101975000101900000

CD300lg

chr11

CD300

family

114900000 114950000 115000000 115050000 115100000

CD300a LMIR-5

CLM-7

CD300lb

mIREM-3

CLM-6

CD300c

CLM-2

CD300e

CD300lfMAIR-II

LMIR-2

CLM-4

LMIR-7

CLM-3

Mouse

CLM-5

LMIR-4

MAIR-IV

Borrego, F. 2013. Blood

The CD300 gene complex

Page 4: The CD300 molecules: an emerging family of regulators of the Immune System

Classical ITIM

Non-classical ITIM

K KEE

CD300a CD300b CD300c CD300d CD300e CD300f

PI3K binding site

Grb-2 binding site

DAP12

FcRγ

DAP10

Mucin-likedomain

UnknownAdaptor

SHP-1 SHP-2 SHIP

CD300g

PI3K Grb2

Borrego, F. 2013. Blood

Human CD300 family of receptors

Page 5: The CD300 molecules: an emerging family of regulators of the Immune System

• CD300a is broadly expressed across cells of myeloid and lymphoid lineages. Includes: NK, T cells, neutrophils, mast cells, and eosinophils, among others.

• The receptor consists of an IgV-like extracellular domain and a cytoplasmic tail that contains three classical and one non-classical ITIMs (S/I/V/LxYxxI/V/L).

• Thus far, CD300a has been shown to function exclusively as an inhibitory receptor:

– Decreases NK cytotoxic activity from HLA and non-HLA activating receptors (Cantoni et al. 1999. Eur J Immunol).

– Suppresses effects of eotaxin, IL-5, and GM-CSF in eosinophils (Munitz et al. 2006. Blood).

– Inhibits IgE-mediated degranulation of mast cells (Bachelet et al. 2005. J Immunol.)

– We have shown that CD300a inhibits TCR, BCR and FcγRIIa mediated signals, and modulates the phagocytosis of dead cells.

• Alvarez et al. 2008. Mol. Immunol.• Narayanan et al. 2010. PLoS One.• Silva et al., 2011. Blood.• Simhadri et al. 2011. BMC Immunol.• Debell et al., 2012. BMC Immunol.• Simhadri et al. 2012. Blood.

CD300a

The CD300a receptor

Page 6: The CD300 molecules: an emerging family of regulators of the Immune System

Forward Scatter

Sid

e S

catt

er

Low FSC

High FSC and SSC

Medium FSC

Low FSC

High FSC and SSC

Ig-AF488

% o

f M

axim

um

Medium FSC

CD300a-Ig binds to cells of low forward scatter

Peripheral Blood Mononuclear Cells (PBMCs)

Simhadri et al., 2012. Blood

Page 7: The CD300 molecules: an emerging family of regulators of the Immune System

Annexin V

7-A

AD Live

Late Apoptotic

Early Apoptotic

Late Apoptotic

Early Apoptotic

Ig-AF488

% o

f M

axim

um

Live

CD300a-Ig predominantly binds to dead cells

Simhadri et al., 2012. Blood

Page 8: The CD300 molecules: an emerging family of regulators of the Immune System

CD300a-Ig binds to dead cells of different origin

Chicken cells

Insect cells

Simhadri et al., 2012. Blood

Page 9: The CD300 molecules: an emerging family of regulators of the Immune System

Specific binding of CD300a-Ig to liposomes BIACORE

Simhadri et al., 2012. Blood

Page 10: The CD300 molecules: an emerging family of regulators of the Immune System

Blocking of CD300a-Ig binding to dead cells

MFG-E8: A soluble protein. Ligand of PS. Duramycin: A peptide that binds to PE.

Simhadri et al., 2012. Blood

Page 11: The CD300 molecules: an emerging family of regulators of the Immune System

Modeling of CD300a structure with Phosphatidylserine and Phosphatidylethanolamine

Simhadri et al., 2012. Blood

Page 12: The CD300 molecules: an emerging family of regulators of the Immune System

Binding of CD300a-Ig mutants to dead cells

Simhadri et al., 2012. Blood

Page 13: The CD300 molecules: an emerging family of regulators of the Immune System

CD300a functional recognition of PEReporter cell line

Simhadri et al., 2012. Blood

Page 14: The CD300 molecules: an emerging family of regulators of the Immune System

Classical ITIM

Non-classical ITIM

K KEE

CD300a CD300b CD300c CD300d CD300e CD300f

PI3K binding site

Grb-2 binding site

DAP12

FcRγ

DAP10

Mucin-likedomain

UnknownAdaptor

SHP-1 SHP-2 SHIP

CD300g

PI3K Grb2

Human CD300 family of receptors

Borrego, F. 2013. Blood

Page 15: The CD300 molecules: an emerging family of regulators of the Immune System

Hu CD300AHu CD300C

Hu CD300AHu CD300C

Hu CD300AHu CD300C

Alignment of Human CD300a with CD300c

Page 16: The CD300 molecules: an emerging family of regulators of the Immune System

293T Transient Transfection YTS Stable Cells (Bulk)

Specificity of the antibodies against CD300c

Simhadri et al., 2013. J Innate Immun

Page 17: The CD300 molecules: an emerging family of regulators of the Immune System

Characterization of CD300c expression in cells from peripheral blood

Simhadri et al., 2013. J Innate Immun

Page 18: The CD300 molecules: an emerging family of regulators of the Immune System

CD300c expression on monocyte-derived cells

Simhadri et al., 2013. J Innate Immun

Page 19: The CD300 molecules: an emerging family of regulators of the Immune System

Per

cent

age

of M

axim

um

CD300a/c CD300c CD300LE CD300LF

Characterization of CD300s’ expression on human monocyte-derived dendritic cells and macrophages

Immature Dendritic cells

Mature Dendritic cells

Macrophages

Expression

Page 20: The CD300 molecules: an emerging family of regulators of the Immune System

Regulation of CD300c expression on monocytes

TLR4 ligand (LPS) TLR5 ligand (flagellin)

Simhadri et al., 2013. J Innate Immun

Page 21: The CD300 molecules: an emerging family of regulators of the Immune System

Binding of CD300c-Ig binding to 7AAD+ve Jurkat

Simhadri et al., (manuscript in preparation)

Page 22: The CD300 molecules: an emerging family of regulators of the Immune System

CD300A vs CD300C

Simhadri et al., (manuscript in preparation)

Page 23: The CD300 molecules: an emerging family of regulators of the Immune System

CD300A vs CD300C

Simhadri et al., (manuscript in preparation)

Page 24: The CD300 molecules: an emerging family of regulators of the Immune System

CD300A vs CD300C

Simhadri et al., (manuscript in preparation)

Page 25: The CD300 molecules: an emerging family of regulators of the Immune System

CD300f binds to PS

Choi, Simhadri et al., 2011. J Immunol

Page 26: The CD300 molecules: an emerging family of regulators of the Immune System

LMIR3=CD300F

Page 27: The CD300 molecules: an emerging family of regulators of the Immune System

Functional relevance of CD300s interaction with lipids

Page 28: The CD300 molecules: an emerging family of regulators of the Immune System

Phagocytosis of apoptotic cells by macrophages

Simhadri et al., 2012. Blood

Page 29: The CD300 molecules: an emerging family of regulators of the Immune System

Decreased phagocytosis of apoptotic cells by L929 cells expressing CD300a

Simhadri et al., 2012. Blood

Page 30: The CD300 molecules: an emerging family of regulators of the Immune System

CD300a down-regulates BCR-mediated activation signals

Ca++ Mobilization NFAT translocation to the nucleus

Silva et al., 2011. Blood

Page 31: The CD300 molecules: an emerging family of regulators of the Immune System

CD300a down-regulates BCR-mediated activation signals

Silva et al., 2011. Blood

Page 32: The CD300 molecules: an emerging family of regulators of the Immune System

Nakahashi-Oda et al. 2012. J Exp Med

CD300a inhibits LPS-induced cytokine secretion from mast cells

Page 33: The CD300 molecules: an emerging family of regulators of the Immune System

Cross-linking of CD300c delivers activating signals in monocytes

TX45

MOPC-21

Unstimulated

Simhadri et al., 2013. J Innate Immun

Page 34: The CD300 molecules: an emerging family of regulators of the Immune System

Co-stimulatory effect of CD300c on LPS treated monocytes

Simhadri et al., 2013. J Innate Immun

Page 35: The CD300 molecules: an emerging family of regulators of the Immune System

CD300f mediates phagocytosis of apoptotic cells

Choi, Simhadri et al., 2011. J Immunol

Page 36: The CD300 molecules: an emerging family of regulators of the Immune System

Classical ITIM

Non-classical ITIM

K KEE

CD300a CD300b CD300c CD300d CD300e CD300f

PI3K binding site

Grb-2 binding site

DAP12

FcRγ

DAP10

Mucin-likedomain

UnknownAdaptor

SHP-1 SHP-2 SHIP

CD300g

PI3K Grb2

Human CD300 receptors. Mechanisms of Signaling.

Borrego, F. 2013. Blood

Page 37: The CD300 molecules: an emerging family of regulators of the Immune System

The ITIMs of CD300a are essential for the inhibition of BCR stimulated activation

Ca++ Mobilization

NFAT translocation to the nucleus

YYY

Y

FFF

F

WT 4F

Debell et al., 2012. BMC Immunol

Black Line: anti-BCRGrey Line: anti-BCR + anti-CD300a

Page 38: The CD300 molecules: an emerging family of regulators of the Immune System

Mechanism of the inhibitory signal

ITAM: Immunoreceptor tyrosine based activating motif.

ITIM: Immunoreceptor tyrosine based inhibitory motif.Long, E.O. 2008. Annu Rev Immunol

Page 39: The CD300 molecules: an emerging family of regulators of the Immune System

SHP1

YYYY

SHP1

P

PP

P

YYYY

SHP2

YYYY

SHP2

P

PP

P

SHIP

YYYY

SHIP

P

PP

P

Proposed model for CD300a mediated inhibitory signal

Inhibitory signal

Page 40: The CD300 molecules: an emerging family of regulators of the Immune System

Tyrosine phosphorylation of CD300a ITIMs

Debell et al., 2012. BMC Immunol

721.221 Cw3: ligand expressing cells.

721.221 Cw6: control cells.

Page 41: The CD300 molecules: an emerging family of regulators of the Immune System

The phosphatases SHP-1 and SHP-2 associate with tyrosine phosphorylated CD300a ITIMs

Debell et al., 2012. BMC Immunol

721.221 Cw3: ligand expressing cells.

721.221 Cw6: control cells.

Page 42: The CD300 molecules: an emerging family of regulators of the Immune System

SHP-1, but not SHP-2 or SHIP, is required for CD300a mediated inhibition of BCR stimulated activation

Debell et al., 2012. BMC Immunol

NFAT translocation to the nucleus

Black Line: anti-BCRGrey Line: anti-BCR + anti-CD300a

***

Page 43: The CD300 molecules: an emerging family of regulators of the Immune System

SHP-1, but not SHP-2, is required for CD300a mediated inhibition of TCR stimulated activation

NT siR

NA

SHP-1 s

iRNA

SHP-2 s

iRNA

NT siR

NA

SHP-1 s

iRNA

SHP-2 s

iRNA

0.0

0.5

1.0

1.5

2.0 SHP-1 mRNASHP-2 mRNA

Rel

ativ

e A

mou

nt

Debell et al., 2012. BMC Immunol

Page 44: The CD300 molecules: an emerging family of regulators of the Immune System

SHP1

YYYY

SHP1

P

PP

P

YYYY

SHP2

YYYY

SHP2

P

PP

P

SHIP

YYYY

SHIP

P

PP

P

Model for CD300a mediated inhibitory signal

???

???

Inhibitory signal ?

YYYY

???

PPP

P

Page 45: The CD300 molecules: an emerging family of regulators of the Immune System

Clinical relevance of the CD300 molecules (Mouse)

• CD300a– Reversal of airway inflammation and remodeling in asthma by a bispecific antibody fragment linking

CCR3 to CD300a (Munitz et al., J Allergy Clin. Immunol., 2006).– Abrogation of allergic reactions by a bispecific antibody fragment linking IgE to CD300a (Bachelet et al.,

J Allergy Clin. Immunol., 2006).– Suppression of Normal and Malignant Kit Signaling by a Bispecific Antibody Linking Kit with CD300a

(Bachelet et al., J. Immunol., 2008).– Apoptotic cells suppress mast cell inflammatory responses via the CD300a immunoreceptor (Nakahashi-

Oda et al., J. Exp. Med., 2012).• CD300b

– CD300b deficiency ameliorates mouse kidney ischemia/reperfusion injury (Yamanishi et al., J. Exp. Med., 2010).

– A soluble form of LMIR5/CD300b amplifies lipopolysaccharide-induced lethal inflammation in sepsis (Yamanishi et al., J. Immunol. 2012).

• CD300lf– Negative regulation of autoimmune demyelination by the inhibitory receptor CD300lf (Xi et al., J. Exp.

Med., 2009).– Overexpression of the immunoreceptor CD300f has a neuroprotective role in a model of acute brain injury

(Peluffo et al., Brain Pathol, 2011).– The receptor LMIR3 negatively regulates mast cell activation and allergic responses by binding

extracellular ceramide (Izawa et al., Immunity, 2012).

Page 46: The CD300 molecules: an emerging family of regulators of the Immune System

Clinical relevance of the CD300 molecules (Human)

• CD300a/c– Novel immunoglobulin superfamily gene cluster, mapping to a region of human chromosome

17q25, linked to psoriasis susceptibility (Speckman et al., Hum. Genet., 2003).

– Genetic evidence implicates the immune system and cholesterol metabolism in the aetiology of Alzheimer's disease (Jones et al., PLoS One, 2010).

– Human Th1 cells that express CD300a are polyfunctional and after stimulation up-regulate the T-box transcription factor eomesodermin (Narayanan et al., PLoS One, 2010).

– Differential Expression of CD300a/c on Human TH1 and TH17 cells (Simhadri et al., BMC Immunol, 2011).

– Blood-based Biomarkers Can Differentiate Ulcerative Colitis from Crohn’s Disease and Noninflammatory Diarrhea (Burakoff et al., Inflamm. Bowel Dis., 2011).

– New markers for minimal residual disease detection in acute lymphoblastic leukemia (Coustan-Smith et al., Blood, 2011).

– CD300a is expressed on human B cells, modulates BCR mediated signaling and its expression is down-regulated in HIV infection (Silva et al., Blood, 2011).

Page 47: The CD300 molecules: an emerging family of regulators of the Immune System

HD HIV-AVIR HIV-VIR0

10

20

30

40

50

****

ns

% o

f C

D3

00

a+

B c

ells

HD HIV-AVIR HIV-VIR0

20

40

60 *****

ns

% o

f C

D3

00

a+

ce

llsin

th

e C

D2

1-

su

bs

et

HD HIV-AVIR HIV-VIR0

10

20

30

40

50

***

ns

% o

f C

D3

00

a+

ce

llsin

th

e C

D2

1+

su

bs

et

Decreased frequency of CD300a+ B cells in HIV infected patients

Silva et al., 2011. Blood

Page 48: The CD300 molecules: an emerging family of regulators of the Immune System

0 103

104

105

<FITC-A>: CD21

0

103

104

105

<P

E-A

>: C

D30

0a

4.9 25

664

0 103 104 105

<FITC-A>: CD21

0

103

104

105

<P

E-A

>: C

D30

0a

1.9 6.6

6922

0 103

104

105

<FITC-A>: CD21

0

103

104

105

<P

E-A

>: C

D30

0a

6.3 3.6

4248

CD21

CD

300a

HD HIV-AVIR HIV-VIR

Deregulation of CD300a Expression on B Cells of HIV Infected Patients

Silva et al., 2011. Blood

Page 49: The CD300 molecules: an emerging family of regulators of the Immune System

Decreased CD300a Expression on Circulating Mature B Cells From HIV Infected Patients

HD HIV-AVIR HIV-VIR0

2000

4000

6000

8000

ns**

*

Plasma blasts

CD

300a

MF

I

HD HIV-AVIR HIV-VIR0

500

1000

1500

*****

ns

Resting Memory

HD HIV-AVIR HIV-VIR0

200

400

600

800

******

ns

Activated Memory

HD HIV-AVIR HIV-VIR0

100

200

300

400

500 *****

ns

Atypical Memory (exhausted)

CD

300a

MF

I

HD HIV-AVIR HIV-VIR0

100

200

300

400

*ns

ns

Naive

Silva et al., 2011. Blood

Page 50: The CD300 molecules: an emerging family of regulators of the Immune System

The blockade of the CD300a-PS interaction prolongs survival of mice after Cecal Ligation and Puncture (CLP)

Nakahashi-Oda et al. 2012. J Exp Med

Page 51: The CD300 molecules: an emerging family of regulators of the Immune System

Impaired binding of CD300a-Ig Q94, a SNP linked to psoriasis susceptibility

Simhadri et al., 2012. Blood

Page 52: The CD300 molecules: an emerging family of regulators of the Immune System

Potential roles of CD300 molecules

Immature DC Mature DC

Gasiorowski et al. 2013. Immunol Letters

Page 53: The CD300 molecules: an emerging family of regulators of the Immune System

The immuno-modulatory role of CD300a

Naïve/resting Immune System

Activated Immune System

Stimulating factors:Antigen recognitionDanger signalsInflammatory milieuOncogenic Transformation

Eradication of InsultCytotoxicityPro-inflammatorycytokines

Shut Down

Removal of Activated Cells:Apoptosis and subsequent phagocytosis (Macrophages).Cytolysis (NK cells).

Activated cells express ligands for receptors expressed on NK cells

and macrophages.

CD300a

Inhib

itory

Functi

on Modulatory function bycreating anti-inflammatoryenvironment

Page 54: The CD300 molecules: an emerging family of regulators of the Immune System

Acknowledgements

NIAID-RCBS• Rodolfo Silva• Seung Choi• Linjie Tian • John E. Coligan

Borrego Lab Venkateswara Simhadri Karen Debell John Mariano Qing Zhou Aleksandra Gil-Krzewska Milena Dimitrova

NIAID-LIR Susan Moir Lela Kardava

University of Sevilla Manuel Leal Sara Ferrando-Martínez

University of Córdoba José Peña