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3 protocols using anti cd28 and anti cd49d co stimulatory antibodies

1

PBMC Stimulation and Cytokine Analysis

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PBMC were isolated and stimulated as previously described [24 (link)] or in some experiments, venous blood was diluted 1:1 with warm Iscove’s Modified Dulbecco’s Medium (Lonza, Belgium) and stimulated directly. Where frozen PBMC were thawed and used, these were previously cryopreserved at -80°C in freezing medium (RPMI 1640 (Invitrogen) + 20% foetal calf serum (Sigma) + 10% dimethylsulphoxide (Sigma)). PBMC (fresh or thawed) or diluted whole blood was stimulated for between 18 hours and five days in different experiments with heparin-binding haemaggluttinin (HBHA) (10μg/ml; purified as previously described [25 (link)]), recombinant ESAT-6 protein (Lionex, Braunschweig, Germany; 10μg/ml), purified protein derivative (PPD; Statens Serum Institute, Copenhagen, Denmark; 4μg/ml or 10μg/ml as indicated) or Staphylococcus enterotoxin B (SEB; Sigma–Aldrich, St. Louis, MO; 0.5μg/ml). In some experiments, anti-CD28 and anti-CD49d co-stimulatory antibodies (BD Biosciences, Oxford, UK) were added at 2 μg/ml
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2

Flow Cytometric Analysis of Antigen-Specific CD4+ T Cells

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The frequency of antigen-specific CD4+ T cells secreting IFN-γ, TNF, and/or IL-2 was detected using flow cytometry31 (link). Briefly, splenocytes were ex vivo stimulated with either the gE OLP pool of total 62 peptides or 0.3% DMSO as a formulation control in the presence of anti-CD28 and anti-CD49d costimulatory antibodies (BD Biosciences), and then incubated for 2 h at 37 °C. Following the antigen stimulation, Brefeldin A (BD Biosciences) was added to splenocytes and further incubated overnight. After stimulation, splenocytes were stained with a mixture of 7-AAD, anti-CD3-FITC, anti-CD8-PE-Cy7, and anti-CD4-V500 (BD Biosciences). For ICS, surface-labeled splenocytes were permeabilized with Cytofix/Cytoperm buffer (BD Biosciences) and labeled with a mixture of anti-TNF-α-PE, anti-IL-2-V450, and anti-IFN-γ-APC (BD Biosciences). Stained samples were analyzed using an LSRII flow cytometer (BD Biosciences) and FlowJo software (FlowJo, LLC).
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3

Intracellular Cytokine Staining of Whole Blood

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We processed heparinized whole blood for the standardized 12-hour whole blood intracellular cytokine staining (WB-ICS) assay, as previously described(33 (link), 34 (link)) within a maximum of 45 minutes from phlebotomy. Briefly, blood was stimulated with antigens at 37°C for 12 hours. Brefeldin-A (10μg/mL, Sigma Aldrich, St. Louis, USA) was added for the final 5 hours of stimulation. Stimulants included BCG vaccine SSI (1.2 × 106 CFU/mL, Biovac, Cape Town, South Africa), DH5-α E.coli (dose titrated for maximal IFNγ expression by MAIT cells), 15-mer peptide pools spanning ESAT-6/CFP-10 (1μg/mL/peptide, Peptide Protein Research Ltd, London, UK). Phytohaemagglutinin (PHA) was used as a positive control at 5μg/mL, and RPMI only was the negative unstimulated control. ICS assay stimulations were performed in the presence of anti-CD28 and anti-CD49d co-stimulatory antibodies (each at 0.5μg/mL BD BioSciences). At the end of stimulation, blood was chelated with 20μM of EDTA (Sigma-Aldrich) and fixed with 1:10 FACS Lysing solution (BD) to lyse red blood cells.
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