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of January 13, 2013. This information is current as Avidity, and Precursor Numbers Differences in Antigen Presentation, T Cell Primary Influenza Infection due to T Cell Immunodominance during + CD8 Increasing Viral Dose Causes a Reversal in and Weisan Chen Fabio Luciani, Megan T. Sanders, Sara Oveissi, Ken C. Pang http://www.jimmunol.org/content/190/1/36 doi: 10.4049/jimmunol.1200089 December 2012; 2013; 190:36-47; Prepublished online 10 J Immunol Material Supplementary 9.DC1.html http://www.jimmunol.org/content/suppl/2012/12/10/jimmunol.120008 References http://www.jimmunol.org/content/190/1/36.full#ref-list-1 , 35 of which you can access for free at: cites 65 articles This article Subscriptions http://jimmunol.org/subscriptions is online at: The Journal of Immunology Information about subscribing to Permissions http://www.aai.org/ji/copyright.html Submit copyright permission requests at: Email Alerts http://jimmunol.org/cgi/alerts/etoc Receive free email-alerts when new articles cite this article. Sign up at: Print ISSN: 0022-1767 Online ISSN: 1550-6606. Immunologists, Inc. All rights reserved. Copyright © 2012 by The American Association of 9650 Rockville Pike, Bethesda, MD 20814-3994. The American Association of Immunologists, Inc., is published twice each month by The Journal of Immunology at University of New South Wales Library on January 13, 2013 http://jimmunol.org/ Downloaded from
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Page 1: Increasing Viral Dose Causes a Reversal in CD8 + T Cell ...€¦ · The Journal of Immunology Increasing Viral Dose Causes a Reversal in CD8+ T Cell Immunodominance during Primary

of January 13, 2013.This information is current as Avidity, and Precursor Numbers

Differences in Antigen Presentation, T CellPrimary Influenza Infection due to

T Cell Immunodominance during+CD8Increasing Viral Dose Causes a Reversal in

and Weisan ChenFabio Luciani, Megan T. Sanders, Sara Oveissi, Ken C. Pang

http://www.jimmunol.org/content/190/1/36doi: 10.4049/jimmunol.1200089December 2012;

2013; 190:36-47; Prepublished online 10J Immunol 

MaterialSupplementary

9.DC1.htmlhttp://www.jimmunol.org/content/suppl/2012/12/10/jimmunol.120008

Referenceshttp://www.jimmunol.org/content/190/1/36.full#ref-list-1

, 35 of which you can access for free at: cites 65 articlesThis article

Subscriptionshttp://jimmunol.org/subscriptions

is online at: The Journal of ImmunologyInformation about subscribing to

Permissionshttp://www.aai.org/ji/copyright.htmlSubmit copyright permission requests at:

Email Alertshttp://jimmunol.org/cgi/alerts/etocReceive free email-alerts when new articles cite this article. Sign up at:

Print ISSN: 0022-1767 Online ISSN: 1550-6606. Immunologists, Inc. All rights reserved.Copyright © 2012 by The American Association of9650 Rockville Pike, Bethesda, MD 20814-3994.The American Association of Immunologists, Inc.,

is published twice each month byThe Journal of Immunology

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The Journal of Immunology

Increasing Viral Dose Causes a Reversal in CD8+ T CellImmunodominance during Primary Influenza Infection due toDifferences in Antigen Presentation, T Cell Avidity, andPrecursor Numbers

Fabio Luciani,* Megan T. Sanders,† Sara Oveissi,† Ken C. Pang,†,1,2 and

Weisan Chen†,2,3

T cell responses are characterized by the phenomenon of immunodominance (ID), whereby peptide-specific T cells are elicited in

a reproducible hierarchy of dominant and subdominant responses. However, the mechanisms that give rise to ID are not well un-

derstood. We investigated the effect of viral dose on primary CD8+ T cell (TCD8+) ID by injecting mice i.p. with various doses of

influenza A virus and assessing the primary TCD8+ response to five dominant and subdominant peptides. Increasing viral dose

enhanced the overall strength of the TCD8+ response, and it altered the ID hierarchy: specifically, NP366–374 TCD8+ were dominant

at low viral doses but were supplanted by PA224–233 TCD8+ at high doses. To understand the basis for this reversal, we mathe-

matically modeled these TCD8+ responses and used Bayesian statistics to obtain estimates for Ag presentation, TCD8+ precursor

numbers, and avidity. Interestingly, at low viral doses, Ag presentation most critically shaped ID hierarchy, enabling TCD8+

specific to the more abundantly presented NP366–374 to dominate. By comparison, at high viral doses, TCD8+ avidity and precursor

numbers appeared to be the major influences on ID hierarchy, resulting in PA224–233 TCD8+ usurping NP366–374 cells as the result of

higher avidity and precursor numbers. These results demonstrate that the nature of primary TCD8+ responses to influenza A virus

is highly influenced by Ag dose, which, in turn, determines the relative importance of Ag presentation, TCD8+ avidity, and

precursor numbers in shaping the ID hierarchy. These findings provide valuable insights for future TCD8+-based vaccination

strategies. The Journal of Immunology, 2013, 190: 36–47.

CD8+ T cells (TCD8+) are a critical component of theadaptive immune response against viral infections. Thesecells recognize complexes of peptides and MHC class I

(pMHC-I) molecules on the surface of APCs. In theory, followingviral infection, TCD8+ can recognize a vast range of presented viralpeptides. However, for any given virus, TCD8+ responses are, in

reality, directed toward only a limited number of pMHC-I. Thisphenomenon, referred to as “immunodominance” (ID), is further

characterized by a hierarchy of immunodominant determinants

that reproducibly elicit the largest TCD8+ response and of sub-

dominant determinants that induce relatively smaller responses (1).Elucidating the mechanisms that contribute to ID is critical to the

future development of effective TCD8+-based vaccines. Numerous

factors that contribute to ID have been identified. On the one hand,

multiple factors directly related to the Ag appear to be important,

including the efficiency of Ag processing and presentation (2–4),

the stability of pMHC-I (5, 6), the nature of the pMHC-I structure

(7–9), and the total number of pMHC-I presented by APCs (10,

11). On the other hand, various properties specific to the host TCD8+

also play a role, including their relative diversity, precursor num-

bers, functional avidity, recruitment rate, ability to expand, and

propensity to compete with one another (2, 5, 12–15). However, the

relative importance of each of these factors is still uncertain.Another issue that remains unclear is how variations in viral

dose affect the TCD8+ ID hierarchy. Probst et al. (16) addressed

this question by examining how the ID hierarchy changed in

response to increasing doses of lymphocytic choriomeningitis

virus (LCMV). Specifically, these investigators found that the

ID hierarchy is directly contingent upon viral dose, with one

TCD8+ response (to NP396) dominant at low viral doses but

another (to GP33) dominant at high viral doses. Whether such

findings extend to other viral systems is unknown, but recent

mathematical modeling suggested that alterations in Ag dose

should routinely affect ID hierarchies and that immunodominant

epitopes will increasingly outcompete subdominant ones as Ag

dose increases (17).

*Infection and Inflammation Research Centre, School of Medical Sciences, Universityof New South Wales, Sydney, New South Wales 2052, Australia; and †Ludwig Institutefor Cancer Research, Melbourne Centre for Clinical Sciences, Austin Hospital,Heidelberg, Victoria 3084, Australia

1Current address: Walter and Eliza Hall Institute, Parkville, VIC, Australia.

2K.C.P. and W.C. contributed equally to this work.

3Current address: School of Molecular Science, La Trobe University, Bundoora,Victoria, Australia.

Received for publication January 11, 2012. Accepted for publication October 23,2012.

This work was supported in part by National Health and Medical Research Council(NHMRC) Program Grant 567122 and the Operational Infrastructure Support Pro-gram of the Victorian State Government. F.L. is an NHMRC training fellow (ID510428). W.C. is an NHMRC Senior Research Fellow (603104). K.C.P. is supportedby an R.G. Menzies/NHMRC Overseas Training Fellowship (ID 520574).

Address correspondence and reprint requests to Dr. Ken Pang or Dr. Weisan Chen,Walter and Eliza Hall Institute, Parkville, VIC 3052, Australia (K.P.) or School ofMolecular Science, La Trobe University, Bundoora, VIC 3086, Australia (W.C.).E-mail addresses: [email protected] (K.P.) and [email protected] (W.C.)

The online version of this article contains supplemental material.

Abbreviations used in this article: ABC, approximate Bayesian computation; BFA,brefeldin A; CI, credibility interval; IAV, influenza A virus; IBM, individual-basedmodel; ICS, intracellular cytokine staining; ID, immunodominance; LCMV, lympho-cytic choriomeningitis virus; NP366, NP366–374; NS2114, NS2114–121; PA224, PA224–233;PB1703, PB1703–711; PB1F262, PB1F262–70; pMHC-I, peptide–MHC class I complex;TCD8+, CD8

+ T cell.

Copyright� 2012 by TheAmericanAssociation of Immunologists, Inc. 0022-1767/12/$16.00

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In the current study, we addressed the issue of how Ag dose af-fects the ID hierarchy to influenza A virus (IAV) by using acombination of experimental and modeling approaches. To begin,we selected an i.p. route of administration for IAV rather than usingthe conventional intranasal route, which supports productive in-fection of virus (18) and, therefore, results in a highly saturatedviral dose even at very low inoculation doses (M.T. Sanders andW. Chen, unpublished observations). In contrast, i.p. administra-tion of IAV leads to a nonproductive infection due to lack ofa specialized lung-specific tryptase that is necessary for hostcleavage of the viral hemagglutinin protein and subsequent virionrelease. Consequently, the dose of viral inoculation with i.p. ad-ministration is more likely to reflect the true Ag dose available forpresentation, a point that we were keen to exploit to address howchanges in viral dose affect the ID hierarchy of TCD8+. We sub-sequently challenged mice with increasing amounts of IAV overa five-log range and observed that, as IAV dose increases, there isa generalized expansion in the total numbers of subdominant andimmunodominant TCD8+, as well as a notable switch in the IDhierarchy, whereby NP366–374 (NP366) is replaced as the immu-nodominant epitope by PA224–233 (PA224). To better understandthese results, we used a stochastic model to simulate TCD8+

responses to IAV infection under a range of scenarios. By doingso, we found that relative epitope presentation is the critical in-fluence on the TCD8+ ID hierarchy at low viral doses, enabling theTCD8+ specific for the more abundantly presented NP366 epitopeto dominate the response. However, at high viral doses, relativeTCD8+ avidity (defined as the probability that a TCD8+ proliferatesupon encountering its cognate Ag) and precursor numbers becomeimportant, and the PA224 TCD8+ usurp NP366 TCD8+ as a result.

Materials and MethodsMice, viruses, and infection

B6 female mice were purchased fromWalter and Eliza Hall Institute animalservices (Kew, Australia), and animals were generally used at 8–12 wk ofage. Experiments were conducted under the auspices of the Austin HealthAnimal Ethics Committee and conformed to the National Health andMedical Research Council Australian code of practice for the care and useof animals for scientific purposes. IAV (A/Puerto Rico/8/34 [H1N1], PR8)was grown in 10-d embryonic chicken eggs. The titer of infectious viruswas determined by plaque formation on confluent monolayers of Madin–Darby canine kidney cells, as previously described (19). Mice were in-fected by injecting IAV i.p. at doses ranging from 103 to 108 PFU.

Abs and peptides

For flow cytometry, FITC-labeled anti–IFN-g and Cy-Chrome–labeledanti-CD8a were purchased from Becton Dickinson (North Ryde, Aus-tralia). Peptides were procured and characterized by the Biologic ResourceBranch, National Institute of Allergy and Infectious Diseases (Rockville,MD) and were kind gifts from Drs. Jonathan Yewdell and Jack Bennink(National Institute of Allergy and Infectious Diseases, National Institutesof Health). They included NP366 (ASNENMETM), PA224 (SSLEN-FRAYV), PB1F262–70 (PB1F262; LSLRNPILV), NS2114–121 (NS2114;RTFSFQLI), and PB1703–711 (PB1703; SSYRRPVGI).

Intracellular cytokine staining

For intracellular cytokine staining (ICS), splenic and peritoneal cells frominfected animals were suspended in 200 ml RPMI 1640 with 10% FCS at1.5– 2 3 106 cells/well in round-bottom 96-well plates. Peptides wereadded to cells at a final concentration of 1 mM, and cells were incubatedwith peptides for 2 h at 37˚C and then for 4 h with brefeldin A (BFA;Sigma-Aldrich, St. Louis, MO) at 10 mg/ml. Cells were stained with Cy-Chrome–labeled anti-CD8a mAb at 4˚C for 30 min, washed, and fixedwith 1% paraformaldehyde in PBS at room temperature for 20 min, andthen further stained with fluorescein–anti-IFN-g in PBS containing 0.4%saponin (Sigma-Aldrich). Stained cells were acquired on a FACSCalibur(Becton Dickinson) and analyzed using FlowJo software (TreeStar, Ash-land, OR). As a negative control, cells were not exposed to peptide toestablish the background level of the ICS assay. This background value

was subtracted from each of the peptide-stimulated wells to obtain a pep-tide-specific level of response.

Estimates and modeling of Ag-presentation levels

Our method to assess the kinetics of Ag presentation using BFA was de-scribed previously (12, 20, 21). The resulting data from these assays wereused to obtain quantitative estimates of the relative presentation levels andspeed of epitope presentation (3, 12). To do so, we assumed that theproportion of T cells stimulated in each well in the Ag-presentation assaywas a direct reflection of peptide density presented on the surface of theAPC. Ag-presentation data from BFA-kinetics assays were used to derivethe time at which 50% of the T cell activation was achieved (Km), as wellas the maximum Ag presentation levels (Amax). To obtain Amax for eachepitope, we assumed that the maximal presentation on an APC is pro-portional to the amount of epitope-specific T cells stimulated at the highestlevel of presentation in the BFA-kinetics assay (3, 12) (W. Chen, unpub-lished observations). The resultant estimates are summarized in Table I andwere used to feed the two parameters of a Hill function describing Ag-presentation levels over time.

Mathematical modeling of TCD8+ ID

Two mathematical models were explored.

Model 1: Handel and Antia model. We adapted the model of Handel andAntia (22) to simulate the five major TCD8+ responses following primaryIAV infection. This model considers viral dose (V), pMHC-I on APCs (Pi),and two populations of TCD8+ naive epitope-specific TCD8+ (Ti) and acti-vated (or effector) TCD8+, (Ti*), where i is the index representing the fiveepitopes. The model is given as a system of ordinary differential equationsthat deterministically describe the T cell dynamics as follows:

_V ¼ rV 2V+ikiTpi

_Pi ¼ fiV 2 diPi_Ti ¼ 2aiPiTi

_Tp

i ¼ giTpi þ aiPiTi:

In this model, virus grows exponentially with rate r and is eliminated viaactivated TCD8+ at rate ki. Ag presentation for a given epitope is modeledas proportional to the amount of virus with a epitope-specific scaling factorfi, and is eliminated at a fixed rate di. pMHC-I activate Ag-specific TCD8+ atrate ai. These activated TCD8+ proliferate at rate gi via clonal expansion.Because the model describes only the expansion phase, it does not includethe death of Ag-specific TCD8+. We used the same parameter values thatwere used by these investigators except that we set r to 0 because we weremodeling a nonreplicative i.p. infection, varied fi over a 3-log range (102–105) to simulate the experimental increase in viral dose; and adjusted fi toreflect observed differences in Amax between epitopes (Table I) (note thatKm estimates cannot be used in this model because the model assumesa linear interaction between T cells and Ag-presentation level). The entirelist of parameter values is provided in Table II.

Model 2: Individual-based model. We refined an individual-based model(IBM) proposed by Scherer et al. (17), which is a stochastic version of theseminal model proposed by de Boer and Perelson (23), for which a generaldeterministic population-based approach was used to describe the re-sponses of Ag-specific TCD8+ following interaction with APCs. This IBMsimulates the individual encounter of naive TCD8+ with APCs over time,and each encounter—as well as its downstream sequelae, such as TCD8+

activation, proliferation, and killing—is described as a separate probabi-listic event. In this way, the model simulates thousands of individual sto-chastic events that occur simultaneously at each time point to eventuallyproduce an in silico version of the TCD8+ response at 7 d. The novelty of

Table I. Estimates of Ag processing and presentation usingBFA-kinetics data

Ag-SpecificT Cell Response

Maximum Epitope Presentation(as a Percentage of the Maximum

Presentation for NP366)a Km (h)a

NP366 100 1PA224 50 8PB1F262 80 3NS2114 90 3PB1703 60 4

aBased on BFA Ag-presentation experiments (3, 12) for NP366, PA224, PB1F262,NS2114, and W. Chen, unpublished observations (PB1703). See text for details.

The Journal of Immunology 37

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our implementation of the original IBM (17) is that we modeled Ag pre-sentation as a dynamic process to take into account our previous experi-mental data on the kinetics of influenza epitope presentation (3, 12).

Our IBM separately models three aspects of IAV infection and thesubsequent immune response: infected cells, APCs, and TCD8+. The modelbegins with a starting number of virally infected cells. Because we aresimulating what happens when different amounts of virus are inoculatedvia a nonproductive i.p. route, the model begins with a starting number ofvirally infected cells that was varied according to initiating viral dose anddid not increase thereafter. APCs were then generated from the populationof infected cells at a constant rate (s) and were also assumed to die ata constant rate. Each APC was allowed to be able to bind up to 150 TCD8+

at any given time, as suggested by imaging experiments showing thatbetween 10 and 300 T cells can engage with a single APC simultaneously(24). The number of pMHC-I for any given epitope was described by a Hillfunction based on estimates of Km and Amax, as detailed above. Previousevidence suggests that naive TCD8+ occur at a frequency of 10–2000,depending upon the particular TCD8+ specificity (25–29). Therefore, weselected a precursor frequency of 500 cells as our default starting value,because this value was roughly in the middle of the observed experimentalrange. Similarly, we estimated that each of these naive TCD8+ scans 50APCs/d, a range chosen based upon data from live T cell imaging (22, 30).For each scanning event, a TCD8+ has a given probability of subsequentlybinding to the APC as determined by the level of Ag presentation. Afterbinding, each TCD8+ interacted with the APC for an average of 1 h beforedissociating. In reality, experimental data on the dynamics of the inter-actions between APCs and TCD8+ suggest that TCD8+ first engage inmultiple, short encounters and then in longer interactions that last up to

30 min (31), but we condensed these multiple encounters into one long-lasting interaction for simplicity. During this interaction, each Ag-specificTCD8+ has a given probability of becoming activated, which we ascribed to asingle parameter that we termed “functional avidity.” In reality, this avidityis likely to reflect multiple factors, including the nature of APC:TCD8+

signaling (e.g., costimulatory signals via CD28), as well as intrinsicproperties of the TCD8+ itself (24, 32, 33). To differentiate dominant fromsubdominant responses, we assumed, as did Scherer et al. (17), thatdominant responses have a higher functional avidity. Following successfulactivation, a TCD8+ dissociated from its APC and went through multiplerounds of proliferation. In our model, the first round of proliferation wasslow, based on experimental evidence that T cells only start to proliferateafter an initial lag phase ∼1 d. Thereafter, proliferation occurred every 6 h,with the default number of total proliferation rounds set at 8, which waschosen based on experimental evidence that TCD8+ go through 5–10 roundsof programmed proliferation without the need for re-exposure to Ag (34).The model also incorporated the spontaneous death of TCD8+ at a constantrate d that was based on previously published estimates (35). After pro-liferation, TCD8+ became effector cells and cleared virally infected cellsat a rate k. In this way, the number of infected cells followed a declinecurve from t = 0 determined by the total number of effector TCD8+ and theclearance rate k.

Thus, our refined IBM uses multiple parameters to simulate the TCD8+

response following i.p. IAV infection. In theory, simulations using our IBMcould be performed by allowing the values of multiple parameters to runfree simultaneously. However, with so many parameters to vary, thenumber of possible outcomes that the model could describe is very large,and the simulations become computationally intractable. For this reason,we fixed the majority of the parameters to known values based upon ex-isting experimental or computational estimates found in the literature(Table III). Where such estimates were lacking, as was the case for thedynamics of viral-infected cells and the rate of APC generation s, orwhere the literature-based estimates varied considerably, as was the casefor the APC death rate or the number of cycles of programmed TCD8+

proliferation, we performed preliminary analyses to tune the model andobtain estimates that enable a realistic reproduction of the TCD8+ IDhierarchy (see Discussion).

Approximate Bayesian computation

We used approximate Bayesian computation (ABC) algorithms to estimateparameters of the IBM. These algorithms are particularly useful for ob-taining estimates in situations in which standard techniques, such as thosebased on likelihood functions, are no longer applicable or difficult to

Table II. Parameters and their values used in the analyses based uponthe Handel and Antia model (22)

Parameter Explanation Valuea

r Viral growth rate 0di Deactivation rate of pMHC-I 1fi Rate of Ag presentation on APC Varied (see Table I)ai Activation rate of TCD8+ 5 3 1024

gi Expansion rate of TCD8+ 0.45ki Virus killing rate 3 3 1023

aFrom Handel and Antia (22). All parameters are in units of 1/d.

Table III. Parameters and their values used in the analyses based upon an individual-based model

Cell Type Parameter Default ValueExperimental

ValueSimulatedValues Reference

Virally infected cells Maximum number of infected cellsallowed in the simulations (carrying capacity)

5 3 105 cells (17)

Initial viral load (infected cells)a 103–106

Intrinsic growth rate 0 0 0Per T cell clearance rate of infected cells 1.2 3 1024/d 1024–1023/d (58–61)

T cells Number of APCs scanned by a T cell 50/d 10–100/d 10–300/d (24, 30)Minimal number of epitopes required to bind to an APC site 5 copies 2–10 copies (62)

Probability of T cell proliferation upon dissociation ofthe APC:T cell conjugate (“T cell avidity”)a

0.2/d (NP366) 0.1–0.25/d 0.01–0.3/d (17)

0.2 (PA224)0.05 (PB1F262)0.05 (NS2114)0.05 (PB1114)

Duration of one round of T cell division 6 h 6 h 4–10 h (34)Number of cycles of programmed proliferation 8 3–10 1–10

Rate at which T cells start scanning for Ag after proliferation 0.2/d (17)T cell death rate 0.2/d 0.05–0.2/d 0.05–0.3/d (35)

T cell precursor numbersa 500 10–2000 10–2000 (25–29)APCs Rate of production of APCs 0.004/d (17)

Number of T cell binding sites/APC 150 10–300 10–300 (63)Maximum epitope presentation level (copies per epitope)a Table IV 102–104 Table IV (20, 63, 64)

Time at which the epitope presentationreaches 50% of the maximum

Table I 1–48 h Table I (2, 3, 12)

APC death rate 0.2/d 0.15–0.5/d 0.1–0.3/d (65)Rate of dissociation of a T cell from an APC 24/d 1–24/d 24/d (31, 66)

aParameters estimated via ABC (see also Tables IV–VI and text).

38 VIRAL DOSE ALTERS IMMUNODOMINANCE IN PRIMARY IAV INFECTION

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compute, as is the case for complex stochastic models, such as our IBM(36, 37). Provided that the underlying model is close enough to the real sys-tem and the experimental observations are well captured by the summarystatistics used to estimate the model parameters, this approach providesreliable and satisfying results. For example, previous applications of ABCshowed that ABC estimates are accurate in scenarios in which likelihood-based inference methods are also possible (38), and various groups haveused ABC to estimate the evolutionary rates of human or bacterial pop-ulations (39, 40), the transmission dynamics of Mycobacteria tuberculosis(41), and the fitness cost associated with bacterial drug resistance (36). Inkeeping with Bayesian statistics, ABC parameter estimates are representedas a posterior distribution that provides information on the likelihood thatthe unknown parameter falls within a certain range of values. This range isrepresented as a 95% credibility interval (CI), and from this interval onecan obtain an idea of the reliability of the ABC estimates.

With all of the other IBM parameters fixed (Tables II, III), we used ABCto estimate Ag-expression levels, TCD8+ precursor numbers, and relativeTCD8+ avidities. The ABC algorithm used in this work was the rejectionalgorithm (40), where we corrected the estimates using a linear-regressionmethod as previously suggested (42), and the algorithm was implementedusing the statistical package R (43). ABC algorithms approximate the dataD by a set of summary statistics SD, which can be derived from obser-vations. The idea is then to sample parameter values from the prior dis-tribution and compare the result of the simulations with the observed datavia summary statistics. The comparison is performed by defining a dis-tance function that reports on the similarity between simulated and ob-served data sets. We used as summary statistics the five Ag-specific TCD8+

counts observed within the spleens of mice 7 d after i.p. infection withdifferent doses of IAV. For each parameter set, we simulated the primaryinfection six times, because this was the minimal number of mice usedfor our in vivo experiments, and then compared the observed and sim-ulated mean values. As a distance function, we considered the Euclideandistance

d ¼ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi+

i¼1::5

ððToiÞ2Ts

iÞÞ2varðT iÞ

s;

where the Toi are the absolute numbers of each of the five Ag-specificTCD8+ responses measured at day 7, T = (TNP,TPA,TPB1F2,TNS2,TPB1), T

si

are the corresponding simulated values, and var(Ti) is the variance foreach response measured from the six repeated simulations with the sameparameter values. The prior distribution for Ag-presentation levels andTCD8+ precursor numbers was chosen as a uniform distribution withvalues ranging between 0 and infinity (in reality, a very large number),whereas the prior distribution for TCD8+ avidity ranged between 0 and 1.

ResultsIncreasing viral dose during primary IAV infection causesa generalized expansion in TCD8+ responses and changes in theID hierarchy

To address the role of Ag dose in the overall primary TCD8+

response, we measured Ag-specific TCD8+ numbers 7 d after i.p.infection of B6 mice with IAV in doses ranging from 103 to 108

PFU. Responses were measured to five well-characterized pep-tides presented on H-2Db or Kb: the two dominant TCD8+ epi-topes, Db/PA224 and Db/NP366, and three subdominant epitopes,Db/PB1F262, K

b/NS2114, and Kb/PB1703. We chose to assess theseresponses at 7 d based upon pilot experiments, which showed thatpeak TCD8+ responses occurred either on or slightly after this dayfor a range of IAV doses, including 104, 106, and 108 PFU (datanot shown). As shown in Fig. 1A, the total number of splenicTCD8+ for both immunodominant and subdominant determinantsincreased as viral dose increased. Specifically, only a few hundredTCD8+ were elicited for each determinant at the lowest viral dose(103 PFU), and this increased approximately two and three ordersof magnitude at the highest dose (108 PFU) for the subdominantand dominant determinants, respectively. In support of thesetrends, there was a statistically significant dose-dependent increasein immune responses for each epitope (p , 0.05 for TCD8+

responses of each determinant measured at different viral doses,Wilcoxon signed-rank test), with the exception of some responses

between 106 and 107 and 107 and 108 PFU, for which we observedonly a modest increase with viral dose, indicating likely saturationof the response. These data suggest that, as IAV viral doseincreases, there is a generalized expansion of TCD8+ responses andno apparent effect of dominant responses supplanting subdomi-nant ones via competition, as previously postulated (17).To specifically assess the effect of increasing viral dose on the ID

hierarchy, we examined the relative contribution of each of the fiveAg-specific TCD8+ populations to the total immune response in theabove experiment (Fig. 1B). At the lowest viral dose (103 PFU),all five determinants elicited a similar level of response. Of note,at this dose the overall magnitude of TCD8+ responses was close tobackground levels, and there was large variation in the ID hier-archy between individual mice, which likely reflects the stochasticnature of the interaction between TCD8+ and APC at very low Aglevels. Beyond 103 PFU, an interesting picture emerged. Notably,the relative contribution of PA224 TCD8+ progressively increased asviral dose increased; NP366 TCD8+ showed the opposite response,peaking at an IAV dose of 104–105 PFU and decreasing thereafter.Meanwhile, the relative contribution of the three subdominantTCD8+ responses tended to remain constant. Overall, the effect ofthese changes was to produce a reversal in ID: at lower viral doses(105 PFU), the NP366-specific TCD8+ response was dominant overPA224 (p value , 0.05, Wilcoxon signed-rank test), whereas athigher doses (108 PFU), PA224 TCD8+ were dominant over NP366(p, 0.05, Wilcoxon signed-rank test). This switch in ID was evenmore striking among peritoneal TCD8+ (Supplemental Fig. 1), for

FIGURE 1. Primary splenic TCD8+ responses vary according to the dose

of inoculating virus. Ag-specific TCD8+ responses from spleen were

assessed following infection with increasing doses of IAV. Ag-specific

TCD8+ were identified at day 7 ex vivo by ICS after stimulation with the

indicated peptides. (A) Ag-specific T cell counts measured as the absolute

number of CD8+ IFN-g+ T cells in the spleen. (B) Proportion of each Ag-

specific response among the total TCD8+ response. Data correspond to the

average results from 8–15 individual mice/viral dose, and error bars rep-

resent SEM.

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which similarly statistically significant differences were observed.Together, these results indicate that the relative contribution ofdifferent Ag-specific TCD8+ to the overall response followingprimary IAV infection is dependent upon viral dose.

A simple mathematical model fails to explain the observedchanges in ID hierarchy

Previously, we found that NP366 and PA224 were presented byAPCs at different rates and efficiencies (3, 12). We hypothesizedthat this difference in Ag presentation might explain why an in-crease in IAV dose leads to a change in the primary ID hierarchy.To test this idea, we used the mathematical model proposedby Handel and Antia (22), which is predicated on the assumptionthat TCD8+ activation varies linearly with Ag presentation and waspreviously shown to successfully explain changes in TCD8+ IDhierarchy between primary and secondary IAV infection.To begin, we obtained estimates for the maximal relative pre-

sentation level and rate of presentation for each epitope (Table I)using our published Ag-presentation data for NP366, PA224,PB1F262, and NS2114 (3, 12), as well as more recent results forPB1703 (W. Chen, unpublished observations) (Materials andMethods). We found that NP366-specific TCD8+ were activated andrapidly reached half-maximal stimulation (Km) after only ∼1 h. Incontrast, PA224 presentation was much slower (Km = 8 h) and lesseffective, stimulating only a minority of PA224-specific TCD8+,whereas the rates and relative presentation levels of the subdom-inant epitopes NS2114, PB1F262, and PB1703 fell in between NP366and PA224.Taking into account these differences in relative presentation

levels, we used the maximum relative presentation level to estimatethe rate f at which Ag are presented on the surface of APC in theHandel and Antia model (Materials and Methods) (Table II). Wefound that the Handel and Antia model recapitulated our obser-vation that an increase in viral dose causes an overall expansion inthe absolute number of Ag-specific TCD8+ at day 7 (Fig. 2A).However, the model failed to reproduce the change in ID hierar-chy that we observed experimentally; instead, it produced a sce-nario whereby all five Ag-specific TCD8+ under study contributedequally at the highest Ag dose (Fig. 2B). These results suggestedthat a simple linear dependency between Ag-presentation levelsand TCD8+ responses is, by itself, insufficient to explain whathappens as viral dose increases.

IBM recapitulates the Ag dose-dependent trends in IDhierarchy and highlights the importance of rapid and effectiveNP366 presentation in its immunodominant status at lower Agdoses

We next evaluated and adapted a previously published IBM (17)that takes into account differences in Ag presentation, as well asthe dynamic and stochastic interactions between TCD8+ and APCs(Materials and Methods). In our modified IBM, Ag presentationoccurs as a saturating function over time at a rate that is specificfor each individual epitope.To model the experimental increase in viral dose, we first ran

a series of simulations in which the total number of infected cells(and hence the number of APCs) was allowed to increase, but theAg-presentation level/APC remained constant. For these simu-lations, we arbitrarily assumed a value of n = 500 precursor cellsfor each Ag determinant, based on previous estimates of viral Ag-specific TCD8+ precursor numbers that ranged from 10 to 1200 (14,25). Similar to our earlier modeling, this reproduced the gener-alized expansion in the total number of responding TCD8+ responseas viral dose increased, but it failed to reproduce the observed IDchanges (Supplemental Fig. 2). Therefore, we ran another series of

simulations in which both the level of Ag presentation/APC andthe total number of infected cells were allowed to rise with in-creasing viral dose. The simulations showed a generalized ex-pansion in the absolute numbers of Ag-specific TCD8+ as Ag doseincreased (Supplemental Fig. 3). Importantly, they also demon-strated dose-dependent trends in ID hierarchy that mirrored thoseseen experimentally (compare Fig. 3A and 3B). Namely, at verylow Ag levels, all five determinants showed a similar response; asAg levels increased, NP366-specific TCD8+ rose to dominance andthen diminished, the proportion of PA224-specific TCD8+ graduallyincreased, and the contribution of the three subdominant TCD8+

decreased. Notably, the dominant status of NP366-specific TCD8+ atlow Ag levels was contingent upon the rapid and highly effectivepresentation of NP366 (Table I), because any downregulation ofthis presentation in the modeling failed to replicate the experi-mental response for NP366.

Higher precursor numbers and/or higher avidity can explainthe rise of PA224 TCD8+ to ID at increased Ag doses

Despite the success of the above modeling in describing the generaltrends observed for the IAV TCD8+ hierarchy as a function of viraldose, one aspect that the simulations failed to reproduce was the finalswitch in ID: instead, PA224- and NP366-specific TCD8+ remainedcodominant at the highest Ag levels (Fig. 3). Therefore, we under-

FIGURE 2. A simple model fails to reproduce the observed dose-de-

pendent changes in TCD8+ hierarchy. Simulations were performed using the

model proposed by Handel and Antia (22), with values for Ag-presentation

levels set at 102, 5 3 102, 103, 104, and 105. The relative Ag-presentation

levels used for the simulations are listed in Table I, and other model

parameters were reproduced from Handel and Antia (22), with the ex-

ception of viral replication (set to 0 given the nonreplicative nature of i.p.

infections). (A) Simulated Ag-specific TCD8+ numbers at day 7 after pri-

mary IAV infection are shown as a function of increasing Ag-presentation

levels. (B) Same data as in (A) but plotted to show the relative proportions

of the five Ag-specific TCD8+ responses.

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took an additional series of simulations to ascertain whether otherimmune parameters of the model might explain this shortcoming.First, we studied the role of TCD8+ precursor numbers in the

simulations. To begin, we modeled scenarios with either low (n =50) or high (n = 1000) numbers of TCD8+ precursors for eachdeterminant (instead of n = 500 cells, as described earlier). Fig. 4shows the relative proportion of each Ag-specific TCD8+ responseat day 7 when the precursor numbers were set either low (Fig. 4A)or high (Fig. 4B). In both scenarios, plotting the average trendacross hundreds of simulation runs provided very similar resultsto each other, although, interestingly, the distribution of individualsimulations was different. Specifically, when precursor TCD8+

numbers were lower, the simulated results showed great vari-ability; conversely, when precursor TCD8+ numbers were higher,the modeling followed a much tighter distribution. This makesintuitive sense because, regardless of the prevailing Ag-presentationlevels, any reduction in the number of precursor TCD8+ will lowerthe probability that a TCD8+ encounters an APC and, thus, increasethe stochasticity of the response.In any case, these simulations failed to improve upon our pre-

vious modeling with 500 precursor TCD8+/epitope (Fig. 3B);therefore, we examined how relative differences in epitope-specific precursor numbers might affect the simulated TCD8+ re-sponse. To do so, we again simulated two scenarios: one in whichthe ratio of PA224/NP366 precursors was 0.2 (100:500) and an-other in which the ratio was 2 (1000:500). Reducing the PA224

precursor numbers resulted in greater discordance between thesimulations and experimental results (Fig. 4C): specifically, thesimulated PA224 response decreased to the level of the threesubdominant epitopes, whereas the NP366 response remaineddominant throughout. In contrast, increasing the PA224 precursornumber almost exactly reproduced the ID hierarchy that we ob-served experimentally, including the switch in ID at higher Ag

doses (compare Figs. 4D and 3A), indicating that TCD8+ precursorfrequencies can indeed have a decisive influence upon TCD8+ IDhierarchies. This seems logical, because raising TCD8+ precursornumbers increases the likelihood of a TCD8+:APC encounter and,hence, the probability of TCD8+ activation and subsequent prolif-eration.Next, we examined how relative differences in TCD8+ avidity

might affect the TCD8+ response. To do so, we allowed the avidityof PA224-specific TCD8+ to be slightly higher than that of NP366-specific TCD8+ (earlier we had assumed that the two were equiv-alent; Table III), while maintaining the precursor frequencies forall epitopes at the original value of n = 500 cells. As shown inFig. 5, this minor alteration was sufficient to allow the modeled IDhierarchy to precisely recapitulate the one observed experimen-tally, including the ascendance of PA224-specific TCD8+ to sole IDat the highest Ag levels (compare Figs. 3B and 5). The importanceof TCD8+ avidity was further highlighted by simulations in whichwe allowed the avidity of PB1703, NS2114, and PB1F262 TCD8+ tobe equivalent to that of NP366 and PA224: in this case, these pre-viously subdominant responses rose to codominance, reachingsimilar saturation levels as for NP366 and PA224 at higher Ag levels(data not shown). Taken together, these results suggested that,once Ag levels were no longer limiting, relative differences inTCD8+ avidity critically shaped ID. Again, this makes sense, be-cause avidity directly determines the probability of TCD8+ acti-vation and, hence, the likelihood of proliferation.

Estimates of pMHC-I numbers, TCD8+ precursor numbers, andavidities

In modeling the various scenarios above, in each case we madedifferent assumptions about the parameter values for Ag presen-tation, TCD8+ precursor numbers, and avidities before the simu-lations were actually performed. Although useful for illustrating

FIGURE 3. Comparison of observed and IBM-simulated TCD8+ hierarchies. (A) Experimentally observed Ag-specific TCD8+ responses are shown. The

proportion of Ag-specific TCD8+ of the total splenic response observed at day 7 (y-axis) is plotted as a function of viral dose (x-axis). Solid lines represent

the interpolation of the mean values, and dashed lines represent the 95% CIs for the experimental data shown in Fig. 1B. (B) Simulated Ag-specific TCD8+

responses are shown. Simulations were performed assuming a fixed value of 500 precursors for each of the five TCD8+ responses and equal avidity values

(0.2) for NP366- and PA224-specific TCD8+ (Tables II, III). Each dot represents the mean values of six repeated simulation runs with identical parameter

settings, and continuous lines represent the fitted splines. The y-axis indicates the proportion of Ag-specific TCD8+ of the total response at day 7, and the x-

axis shows the combined per-APC Ag-presentation level for the five epitopes of interest.

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the potential role of each parameter in shaping ID, such an ap-proach did not, for example, indicate whether the ID of PA224

TCD8+ at high viral doses was most likely due to greater avidity,greater precursor numbers, or both. ABC is a statistical methodthat allows de novo inference of parameter estimates in situationsin which standard techniques are not applicable or difficult tocompute, as is the case for complex stochastic models, such as our

IBM (36, 37). Therefore, we applied ABC to our IBM-basedsimulations to formally estimate pMHC-I levels, TCD8+ avidity,and precursor numbers (Materials and Methods), as well as togain additional insights into the underlying basis for IAV ID.The resultant ABC-derived estimates (Tables IV–VI) were re-

vealing. First, the method provided clear estimates for the averagenumber of pMHC-I likely to be found on an individual APC as

FIGURE 4. Effect of TCD8+ precursor numbers on the simulated ID hierarchies. Simulated Ag-specific TCD8+ responses under different TCD8+ precursor

scenarios are shown. The format is the same as used for Fig. 3B, and all modeling parameters were set to the default values shown in Tables II and III,

unless otherwise indicated. (A) Simulations were performed assuming 50 precursors for each of the five TCD8+ responses. (B) Simulations were performed

with 1000 precursors for each of the five TCD8+ responses. (C) Simulations were performed assuming 500 and 100 precursors for NP366- and PA224-specific

TCD8+, respectively. (D) Simulations were performed assuming 500 and 1000 precursors for NP366- and PA224-specific TCD8+, respectively.

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viral dose increased. Specifically, the method estimated that thetotal number of pMHC-I/APC (for the five determinants understudy) increases from 75 at a dose of 103 PFU IAV (95% CI: 44–144) to 5303 at a dose of 108 PFU IAV (95% CI: 4289–5808)(Table IV). Second, the method predicted that the median avidityof PA224 TCD8+ is ∼40% higher than that of NP366 (Table V).Third, the method estimated that the median precursor number ofPA224 TCD8+ is higher than that of NP366 TCD8+ (Table VI), con-sistent with previous experimental estimates (14), although thedifference was only ∼25%, and the large CIs suggested that a widerange of possible precursor values is able to produce a good fitwith the experimental data. Taken together, the latter two resultsare, nevertheless, in agreement with our earlier ad hoc modelingand suggest that the increase in PA224 TCD8+ to ID at high viraldoses is likely due to a combination of greater avidity and higherprecursor numbers.

DiscussionThe amount of inoculating Ag is an essential variable in immu-nization design. Therefore, understanding how Ag dose affectssubsequent TCD8+ responses is important to the rational optimi-zation of TCD8+-based vaccines. We began this study by examin-ing how Ag dose affects the overall TCD8+ response to IAV. Notsurprisingly, other investigators examined this general questionbefore, although, interestingly, the results have not been whollyconsistent. For example, infecting BALB/c mice with 1,000,5,000, or 25,000 live Listeria monocytogenes failed to alter themagnitude of the immunodominant LLO91–99 TCD8+ responsein vivo (44), but other investigators found that infection with 107

attenuated L. monocytogenes bacteria elicited a 5-fold increase inresponding TCD8+ compared with 105 bacteria (45). Similar to thissecond study, Murata et al. (46) reported that TCD8+ responses toa Plasmodium yoelii epitope encoded by engineered IAV or vac-

cinia virus were enhanced by increasing the immunizing viraldose. Wherry et al. (47) also demonstrated that the TCD8+ responsesize to epitopes from IAV’s nucleoprotein, as well as OVA, isproportional to epitope expression, although they varied Ag ex-pression not by altering overall viral dose but by using differentvaccinia virus–expression constructs. All three of these latter re-ports are consistent with the results of our current study, whichdemonstrates a significant increase in the total number of IAV-specific TCD8+ as viral dose increases (Fig. 1A). However, itshould be noted that, beyond a certain Ag dose, significant TCD8+

expansion ceased (see especially Supplemental Fig. 1A), which isconsistent with earlier findings indicating that once a certainthreshold density of epitopes is reached, saturation of the TCD8+

response occurs (46–48).Having a broad immune response against multiple TCD8+ epi-

topes is believed to confer better antiviral protection (49) and,therefore, is a desirable goal for TCD8+-based vaccines. Schereret al. (17) predicted that the repertoire of TCD8+ is likely to con-strict as Ag levels increase: specifically, using an IBM they re-ported that subdominant responses will be sequentially outcompetedto the point that only one immunodominant response remains. Ifthis is true, then increasing Ag dose in vaccines might actuallysacrifice immune breadth (despite optimizing depth) and havedeleterious consequences for immunity. Interestingly, our experi-ments did not bear out these predictions. Instead, we found that,even at the highest Ag doses where saturation of the immu-nodominant TCD8+ responses became evident, the total numberof TCD8+ directed against subdominant epitopes continued to in-crease (Fig. 1A). Notably, when we ran simulations assuming verylow numbers of TCD8+ binding sites per individual APC (,10), weobtained predictions similar to those of Scherer et al. (data notshown), suggesting that competition phenomena can be relevant ifTCD8+ access to APCs is extremely limited. However, professional

FIGURE 5. Effect of TCD8+ avidity on the simulated ID hierarchies. Simulated Ag-specific TCD8+ responses under altered TCD8+ avidity settings are

shown. The format is the same as used for Fig. 3B, and all modeling parameters were set to the default values shown in Tables II and III, with the exception

of having NP366- and PA224-specific TCD8+ avidities equal to 0.15 and 0.2, respectively. Compare with Fig. 3B in which NP366- and PA224-specific TCD8+

avidities both equal 0.20 and with the experimentally observed patterns in Fig. 3A.

Table IV. Posterior estimates of epitope density per APC

Stimulus(Viral Titer, PFU) Total Ag Level/APC NP366/APC PA224/APC PB1F262/APC NS2114/APC PB1703/APC

103 75 (44–144) 21 (5–37) 10 (3–19) 16 (4–29) 19 (5–32) 12 (3–21)104 267 (151–425) 61 (49–72) 30 (25–36) 48 (39–58) 55 (44–65) 36 (30–43)105 702 (568–1085) 151 (146–156) 76 (73–78) 121 (117–125) 136 (131–142) 91 (88–94)106 1768 (1412–2689) 361 (328–405) 180 (164–202) 288 (263–324) 324 (296–364) 216 (197–243)107 3127 (1704–5126) 670 (536–990) 335 (268–495) 536 (429–792) 603 (483–891) 402 (322–594)108 5303 (4288–5808) 1371 (1004–1678) 686 (502–834) 1097 (803–1342) 1234 (903–1510) 823 (602–1007)

Data are median (95% Bayesian CI).

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APCs contact as many as 50–300 T cells at any one time (24, 30),suggesting that the number of T cell binding sites/APC is in realitymuch .10 and that T cell competition, therefore, is more likely tobe the exception, rather than the rule, in primary responses.Consistent with the findings of Probst et al. (16) in relation to

LCMV, we report that TCD8+ ID hierarchies following IAV in-fection are clearly dependent upon Ag dose. Interestingly, at lowviral doses, the immunodominant TCD8+ against both LCMV andIAV are directed toward the epitopes that show the most rapidpresentation kinetics (NP396 and NP366, respectively). This sug-gests that relative differences in Ag presentation powerfully shapethe primary ID hierarchy when Ag supplies and, hence, thenumber of pMHC-I, is limited. In our case, this was most readilydemonstrated by the observation that NP366 TCD8+ dominate overthose specific for PA224, whose presentation is much slower andless abundant (Table I). Indeed, when we performed simulations inwhich either the Km or Amax for NP366 presentation was reduced,the dominance of NP366 TCD8+ at low Ag levels was lost (data notshown). Moreover, when comparing the subdominant TCD8+

responses at low viral doses, we observed a similar trend: namely,the epitope with the highest and most rapid presentation (NS2114)elicited the more robust response (Fig. 3). In contrast, when Aglevels are plentiful, it appears that these relative differences in Agpresentation lose functional significance, as exemplified by therise of PA224 to ID, despite its poor presentation. Intuitively, thismakes sense because one would expect that as both the number ofpMHC-I and the total number of APCs increase, the overall levelof pMHC-I for all five epitopes will be in relative excess and nolonger a limiting factor to TCD8+ activation. Thus, the influence ofAg presentation on ID appears to vary depending upon Ag dose.This variability might explain why relative differences in Agpresentation, in the context of the ID hierarchy following primaryIAV infection at least, were shown by some investigators to havea decisive role (50), whereas others assumed them to be of littleconsequence (36).At high viral doses, the alteration in the TCD8+ ID hierarchy to

LCMVand IAVappears due to different causes. For LCMV, higherviral doses lead to chronic infection and apparent exhaustion ofthe NP396 response with subsequent ID by GP33 TCD8+ (16). ForIAV, we found that the rise of PA224 TCD8+ at higher Ag dosescould be explained by both superior functional avidity and pre-cursor numbers. With regard to functional avidity, it was shownthat inefficiencies in precursor cell recruitment, as well as theirsubsequent expansion, can render TCD8+ responses subdominant(14). Our simulations varying the relative avidities of PB1703,NS2114, and PB1F262 TCD8+ were consistent with this notion,because the subdominance of these responses at high Ag levelswas strictly dependent upon their having a lower avidity than

NP366 and PA224 (Table III). Moreover, our results indicate that theconverse might also apply (i.e., that highly efficient recruitmentand/or expansion can lead to ID, as evidenced by our results withPA224). Taken together, the relative functional TCD8+ avidity playsa critical role in tuning the proportional response toward any givenpeptide determinant either up (for dominant TCD8+) or down (forsubdominant TCD8+), provided that Ag levels are not limiting. Asfor precursor numbers, their role in determining primary ID hi-erarchies has been unclear. Using double tetramer–staining tech-niques and TCR diversity assays to estimate Ag-specific TCD8+

numbers, multiple studies showed a positive correlation betweennaive precursor numbers and the resultant primary TCD8+ responsefollowing infection with IAV and LCMV (28, 49–51). However,others failed to observe such trends (14, 29). Our finding thathigher precursor numbers of PA224 TCD8+ are likely to contributeto the ID of PA224 at high Ag doses, albeit in probable combi-nation with a higher avidity, provides two insights. First, the roleof precursor numbers in shaping ID hierarchies may only be ap-parent when Ag doses are high. Again, this makes intuitive sensebecause, at high Ag doses where the number of APCs is in relativeexcess and the number of TCD8+ precursors is a limiting factor,increasing precursor frequency should raise the likelihood thata TCD8+ will interact with an APC bearing its cognate epitope. Incontrast, at low Ag doses, where the number of TCD8+ is in relativeexcess and it is the number of APCs that critically limits the TCD8+

response, increasing precursor frequency should have minimaleffect. Second, even when Ag levels are sufficient, higher pre-cursor numbers alone are unlikely to guarantee ID because aviditymust also be considered, as elegantly highlighted by other inves-tigators (14). Indeed, the large CIs that we obtained when esti-mating precursor numbers are consistent with previous findingsthat TCD8+ precursor numbers by themselves do not predict IDhierarchy (14, 29).One possible explanation for the changes in ID hierarchy that we

observed is that alterations in Ag dose differentially affect thekinetics of individual TCD8+ responses. For example, the apparentdecrease in the NP366 TCD8+ response at higher viral doses at day 7might simply reflect a shift in the peak of the NP366 TCD8+ re-sponse to a different time point. Indeed, the TCD8+ response toNP366 was observed to occur later than for PA224 following bothintranasal and i.p IAV infection (2, 14). Similarly, the IDhierarchy to LCMV also changes over the course of an acute in-fection (52). Thus, there remains a possibility that our day-7 exvivo assessment missed the peak of the NP366 TCD8+ response andthat these cells, in fact, remained as dominant as PA224 TCD8+ athigher viral doses. A related argument could be made for PA224

TCD8+ at lower viral doses. To examine this issue, we experi-mentally assessed the TCD8+ response at different time points

Table V. Posterior estimates of TCD8+ precursor numbers

NP366 PA224 PB1F262 NS2114 PB1703

426 (97–874) 516 (87–1142) 538 (10–1167) 506 (43–989) 481 (90–1000)

These estimates were based on experimental data for 106 PFU of IAV, because these estimates showed the minimum errorfrom a cross-validation test. Data represent median (95% Bayesian CI).

Table VI. Posterior estimates of T cell avidity

NP366 PA224 PB1F262 NS2114 PB1703

0.15 (0.10–0.20) 0.20 (0.16–0.22) 0.02 (0.01–0.08) 0.02 (0.01–0.06) 0.02 (0.01–0.08)

These estimates were based on experimental data for 106 PFU of IAV, because these estimates showed the minimum errorfrom a cross-validation test. Data represent median (95% Bayesian CI).

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(from days 4 to 9) across a range of viral doses (104–108 PFU).Importantly, we found that the peak response consistently occursbetween days 7 and 9 and that the overall ID hierarchy does notchange (data not shown). This was further supported by additionalIBM that showed that, even though the peak of the TCD8+ responsemoved from day 6 to 9 at low versus high Ag levels, respectively(Supplemental Fig. 4: compare peak responses in A–D), the overallID hierarchy remained stable across time for any given Ag dose(Supplemental Fig. 4: compare the relative TCD8+ response withineach panel). Taken together, these results suggested that our exvivo observations at day 7 truly reflected a dose-dependent changein hierarchy and not simply differential kinetics.Given that ID reflects a complex interplay between complex

factors, it is hardly surprising that mathematical modeling has beenused as a means to better understand ID (17, 22, 23, 53). Indeed, itwas suggested that, in the future, ID research will increasinglyrely upon such modeling (3). In this study, we found that complexstochastic modeling enables the successful simulation of our ex-perimental findings, and it provides novel insights into the un-derlying basis for ID hierarchy establishment at different Agdoses. Complex models are more likely to resemble reality com-pared with simple simulations, but they tend to have a highernumber of parameters and, therefore, can be more difficult to tuneto the correct region of higher-dimensional parameter space. Ouruse of advanced Bayesian statistics enabled the estimation ofmultiple immune parameters (pMHC-I densities, TCD8+ avidities,and naive precursor frequencies) for five IAVepitopes, armed onlywith the experimental details of relative Ag presentation and day-7TCD8+ responses. With recent technological developments, someof these parameters can now be estimated experimentally, be itthrough tetramer enrichment to enumerate naive precursors (29,54), the use of pMHC-I–specific mAb and HPLC fractionation toelucidate epitope densities (20, 55, 56), and tetramer/BrdU-basedmethods to analyze recruitment rates (14). Nevertheless, suchapproaches remain technically challenging, prone to underestima-tion, and not always readily applicable given the limited avail-ability of key reagents.Therefore, mathematical modeling offers an alternative ap-

proach to parameter estimation, and the framework used in ourstudy should be readily adaptable to other contexts (e.g., the studyof non-IAV infections or CD4+ T cell dynamics). Notably, com-parison between our novel modeling-based estimates and thoseobtained experimentally reveals broad agreement. Specifically,our estimates of between ∼5000 and 6000 pMHC-I/APC for thefive major IAVepitopes at the highest viral dose is very similar tothe HPLC-derived estimate of ∼7000 pMHC-I previously re-ported for the five major IAV epitopes in the BALB/c mousesystem (20). Similarly, our estimated median precursor frequen-cies were consistent with the published tetramer-based estimatesof La Gruta et al. (14), which also indicated that there are morenaive PA224 TCD8+ than NP366 TCD8+, although our estimates werehigher and had broad Bayesian CIs. Finally, our estimates of func-tional avidity, although not directly comparable with any existingexperimental data, are in keeping with evidence that PA224 TCD8+

display a broader diversity of TCRs (14, 26, 32, 33) and, thus, mayhave a greater probability of proliferating upon Ag encounter.Taken together, our work suggests that mathematical modeling

is an important adjunct to the experimental dissection of ID. Ofcourse, it is important to emphasize that mathematical modeling ofID is still in its relative infancy and, just like many of the cutting-edge experimental techniques mentioned earlier, it has its own setof restrictions and caveats. Looking ahead, there is great scopeto build upon the approaches that we developed in this study, andthis is discussed below.

First, it will be interesting to see how well our modeling trans-lates to the context of a productive infection. For this study, wespecifically chose the nonproductive i.p. route of infection, becausewe reasoned that the dose of viral inoculation would be more likelyto reflect the true Ag dose available for presentation, and it wouldbe more directly relevant to standard influenza immunizationpractices that rely upon nonproductive i.m. injection. However,because much of the research literature on ID uses productive-infection models, testing and validating our IBM and ABCmethods in these other systems will be important.Second, there is undoubtedly scope to further improve the IBM.

Indeed, despite its apparent success in recapitulating the observedexperimental outcomes, the IBM in its current form has severalkey limitations. Chief among these is the need to preassign valuesto some of the various model parameters (Table III). In manycases, one can assign these values with some confidence, givenexisting estimates in the experimental literature. However, in othercases, such estimates either vary considerably (e.g., APC deathrates and number of programmed TCD8+ proliferation rounds) orsimply do not exist (e.g., APC recruitment rates). To overcomethis challenge, we ran preliminary tuning analyses to choose “bestguess” parameter values that enabled the simulations to resemblethe major features of the observed experimental responses(Materials and Methods). For example, our tuning analyses indi-cated that both the timing of the TCD8+ response peak and theoverall number of responding TCD8+ (but not the ID hierarchyitself) were sensitive to changes in either the number of rounds ofprogrammed TCD8+ proliferation or the APC recruitment rate (datanot shown); we eventually chose values whose simulations bestapproximated our experimental findings. In the future, as experi-mental innovations occur, estimating parameters such as thesewill hopefully become more accurate and less dependent uponguesswork. Another key limitation of the IBM is the need to breakdown what is an inherently complex process into a simplified setof defined parameters. Although our IBM took into considerationalmost 30 parameters, it failed to capture many aspects of theimmune response that one would ideally like to include in futuremodeling efforts. For instance, the model does not take into directconsideration the role of inflammation, which might be expectedto impact upon the TCD8+ response in multiple ways, especially asthe viral dose is altered. Specifically, inflammation, through theaction of cytokines, such as IFNs and TNF-a, is likely to enhanceMHC-I and costimulatory molecule expression on APCs, as wellas to increase TCD8+ survival (57), through the upregulation ofmolecules such as 4-1BB. In this way, one can envisage that, asviral dose increases, increased levels of inflammation will dy-namically impact upon various parameters that already existwithin our IBM, including pMHC-I levels, TCD8+ death rates, andTCD8+ avidities (by affecting the likelihood of costimulation and,therefore, the probability of activation). Therefore, efforts to in-corporate the dynamic impact of inflammation into future modelsappear warranted.Third, finding ways to improve the ABC-based methods should

enable more reliable estimates of various immune parameters. Asis evident from the breadth of the 95% CIs shown in Tables IVthrough VI, our current estimates vary considerably in their reli-ability. Specifically, epitope density estimates appear quite reliable,TCD8+ avidity estimates are moderately reliable, and TCD8+ pre-cursor numbers appear much less reliable. There are at least threepossible explanations for the latter. First, it could simply be thatthe summary statistics that we used, the TCD8+ responses at day 7,are not sufficient to properly capture the entire dynamics of theTCD8+ response. However, given the apparent success in usingthese same parameters to estimate epitope density, this seems

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unlikely. Second, as one uses ABC to estimate more and moreparameters, the accuracy of these estimates may be reduced (42),but again this did not seem to prevent us from obtaining reliableestimates for epitope density. The third and most likely possibilityis that the actual number of TCD8+ precursors does not greatlyinfluence the TCD8+ response (i.e., we obtained a large CI becausea wide range of values successfully simulates the observed TCD8+

counts). Nevertheless, looking ahead, it would be interesting to seewhether the reliability of our parameter estimates improves if weuse additional summary statistics. For example, if we had includeda longitudinal component to our initial experimental setup byassessing TCD8+ responses daily from days 5 to 10 postinfection(rather than just day 7), it might be possible that the parameterestimates improve. Similarly, because the performance of theABC approach also depends upon the fidelity of the model to real-life, future efforts to refine our underlying IBM might also enableimproved ABC-based estimates.In conclusion, we presented a computational modeling ap-

proach to better understand the complex dynamics that underliethe generation of primary TCD8+ immune responses. Although thisapproach has various restriction and caveats, it has nonethelessenabled us to draw useful insights into the basis for understandinghow the TCD8+ ID hierarchy is established after influenza infec-tion. Just as importantly, our model also provides a foundationupon which future refinements can be based and will hopefullyfacilitate the design of in silico methods that can assist in thedevelopment of safe and effective vaccines.

AcknowledgmentsWe thank Almut Scherer and Marcel Salathe for sharing the code of their

model from which the model proposed in this article was developed.

DisclosuresThe authors have no financial conflicts of interest.

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Supplementary Figure 1

Figure S1. Primary peritoneal TCD8+ responses vary according to the dose of inoculating

virus. Ag-specific TCD8+ responses from peritoneal washout cells were assessed following infection

with increasing doses of IAV. Ag-specific TCD8+ were identified at day 7 ex vivo by ICS after

stimulation with the indicated peptides. Panel A depicts the Ag-specific T cell counts measured as

the absolute number of CD8+ IFNγ+ T cells in the peritoneal washout. Panel B shows the proportion

of each Ag-specific response among the total TCD8+ response. Data correspond to the average results

from 8-15 individual mice per viral dose, and error bars represent SEM.

101

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Supplementary Figure 2

Figure S2. Simulations fail to reproduce the observed dose-dependent changes in TCD8+

hierarchy when increasing viral load is assumed to affect only the number of infected cells.

Simulated Ag-specific TCD8+ responses are shown. Simulations were performed with all modeling

parameters set to the default values shown in Table II with the exception that the combined per-

APC antigen presentation level for the five epitopes of interest was held constant at 380. First row

(A): Simulated Ag-specific TCD8+ numbers at day 7 after primary IAV infection (y-axis) are shown

as a function of the number of infected cells (x-axis) starting the infection. Each dot represents the

mean values of 6 repeated simulation runs with identical parameter settings, and continuous lines

represent the fitted splines. Second row (B): Same data as in A but here plotted to show the relative

proportions of the five Ag-specific TCD8+ responses.

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Page 16: Increasing Viral Dose Causes a Reversal in CD8 + T Cell ...€¦ · The Journal of Immunology Increasing Viral Dose Causes a Reversal in CD8+ T Cell Immunodominance during Primary

Supplementary Figure 3

Figure S3. Comparison of observed and IBM-simulated Ag-specific TCD8+ numbers. First row

(A): Experimentally observed Ag-specific TCD8+ responses are shown. The total number of Ag-

specific TCD8+ observed in the spleen at day 7 (y-axis) is plotted as a function of viral load (x-axis).

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parameter settings, and continuous lines represent the fitted splines. Y-axis indicates the total

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presentation level for the five epitopes of interest.

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Page 17: Increasing Viral Dose Causes a Reversal in CD8 + T Cell ...€¦ · The Journal of Immunology Increasing Viral Dose Causes a Reversal in CD8+ T Cell Immunodominance during Primary

Supplementary Figure 4

Figure S4. Simulated time course of the primary TCD8+ response. Displayed are plots of the

simulated time course for the five Ag-specific TCD8+ responses at increasing Ag presentation levels.

Panels A to D: simulations were performed assuming a combined per-APC antigen presentation

level for the five epitopes of interest of 400 (A), 800 (B), 3000 (C), and 5400 (D) pMHC-I

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