Abbreviations: ANOVA, analysis of variance; CMV, cytomegalovirus; EBV, Epstein-Barr virus; GAD, glutamic acid decarboxylase; HS, human serum; IA-2, insulinoma-associated protein 2; IGRP, islet glucose-6-phosphatase catalytic subunit related protein; MP, matrix protein; PI, proinsulin; PPI, preproinsulin; SFC, spot-forming cells; T1D, type 1 diabetes.
ABSTRACTThe identification of parameters maximizing detection sensitivity in ELISpot assays is important to transfer this technology into the clinical setting for identifying rare Ag-specific CD8 + T cells. We have therefore considered human IFN-Ȗ CD8 + T cell responses against viral epitopes to analyze different variables which could be critical during the epitope-specific stimulation period. Two parameters were found to greatly enhance detection sensitivity (i.e., to specifically increase epitope-driven signal while keeping background noise to a minimum):use of human serum-free vs. serum-supplemented culture medium (2.4-fold median increase) and addition of low dose IL-7 (1.5-fold increase). Incorporating both of these parameters into the ELISpot procedure proved capable of greatly amplifying (35.1-fold increase) the low grade CD8 + T cell responses directed against ȕ-cell epitopes of type 1 diabetes patients, as compared to a previously optimized procedure using human serum-supplemented medium and low dose IL-2. Implementation of this ELISpot procedure should expedite development of "immune staging" protocols for autoimmune as well as tumor and infectious diseases.