Recently, new methods have been introduced describing assessment of antigen-specific CD4 1 T-cell immunity according to the induction of CD154 (CD40L) on CD4 1 T cells during short-term activation. In our study, we have evaluated the influence of different stimulation conditions on the flow cytometric analysis of CD154 expression after antigenic in vitro activation. We used different cell preparation methods, antigen sources, and time periods of in vitro stimulation and analyzed their impact on intra and extracellular detection of antigen-induced CD154 expression on CD4 1 T cells. We could demonstrate that analysis of CD4 1 T-cell immunity according to CD154 expression displayed low intra-assay variability and was robust with respect to its induction in the course of a variety of stimulation conditions. For a basic quantitative evaluation of antigen-specific CD4 1 T cells, surface CD154 analysis could be employed, enabling the fast analysis of live antigen-specific CD4 1 T cells. Intracellular analysis of CD154 in combination with cytokines such as IL-2 and IFNc allowed quantitative and qualitative assessment of antigen-specific CD4 1 T cells. The cytometric analysis of antigen-specific CD4 1 T-cell immunity according to CD154 expression is characterized by robustness, high sensitivity, and low intra-assay variability. ' 2008 International Society for Advancement of Cytometry
Key termsantigen-specific cytometry; CD154; human CD4 1 T cells; Th cells THE various technologies for the cytometric identification, analysis, and direct isolation of T cells reacting to defined antigens provide valuable tools to gain insight into the mechanisms of immunological diseases (1-7). Most suitable for the detection of antigen-specific T cells are MHC-multimer-peptide reagents. Particularly for CD8 1 T cells highly sensitive MHC-multimer reagents are available, but only T cells with defined peptide specificity and HLA-restriction can be analyzed. With respect to CD4 1 T cells, fewer immundominant epitopes are characterized and so far not many reliable MHC-II multimers have been established, thus disabling their routine use in flow cytometric analysis of CD4 1 T cells. Consequently, for the assessment of antigen-specific CD4 1 T cells often the intracellular analysis of cytokine expression after short-term ex vivo antigen-stimulation is employed. To enumerate frequencies of antigen-specific CD4 1 T cells, mainly effector cytokines such as IFNc are analyzed. The disadvantage of this approach is that only classical effector-memory or effector Th1 cells produce this cytokine upon restimulation. Other CD4 1 T-cell populations, such as Th2, Th17, regulatory T cells, and parts of central-memory CD4 1 T cells rarely produce IFNc. In order not to lose antigen-specific CD4 1 T-cell populations, producing cytokines different from the usually analyzed IFNc, intracellular cytokine staining necessitates the usage of multiparameter cytokine cytometry as introduced recently (8,9).An over-all assessment of antigen-specific CD4 1 T cells, ...