T-Cell Signaling Regulated by the Tec Family Kinase, Itk

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                T-Cell Signaling Regulated by the Tec Family
                Kinase, Itk

                Amy H. Andreotti1, Pamela L. Schwartzberg2, Raji E. Joseph1, and Leslie J. Berg3
                1
                 Department of Biochemistry, Biophysics and Molecular Biology, Iowa State University, Ames, Iowa 50011
                2
                 National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland 20814
                3
                 Department of Pathology, University of Massachusetts Medical School, Worcester, Massachusetts 01655
                Correspondence: amyand@iastate.edu

                The Tec family tyrosine kinases regulate lymphocyte development, activation, and differen-
                tiation. In T cells, the predominant Tec kinase is Itk, which functions downstream of the T-cell
                receptor to regulate phospholipase C-g. This review highlights recent advances in our
                understanding of Itk kinase structure and enzymatic regulation, focusing on Itk protein
                domain interactions and mechanisms of substrate recognition. We also discuss the role of
                Itk in the development of conventional versus innate T-cell lineages, including both ab
                and gd T-cell subsets. Finally, we describe the complex role of Itk signaling in effector
                T-cell differentiation and the regulation of cytokine gene expression. Together, these data
                implicate Itk as an important modulator of T-cell signaling and function.

                    he Tec family nonreceptor tyrosine kinases,                   that Itk is the predominant Tec kinase in T cells.
                T   Tec, Btk, Itk/Emt/Tsk, Rlk/Txk, and Bmx/
                Etk, are expressed primarily in hematopoietic
                                                                                  In this review, we will cover recent findings that
                                                                                  highlight the critical role of Itk in T-cell signal-
                cells and serve as important mediators of anti-                   ing and function.
                gen receptor signaling in lymphocytes (Berg
                et al. 2005; Felices et al. 2007; Readinger et al.
                2009). The demonstration that the human                           STRUCTURE AND REGULATION OF
                B-cell immunodeficiency, X-linked agamma-                         ITK ACTIVITY
                globulinemia (XLA), is caused by mutations
                                                                                  Tec Kinase Domain Structure
                in Btk first underscored the importance of this
                tyrosine kinase family in lymphocyte develop-                     Itk (inducible T-cell kinase; also known as Emt,
                ment and antigen receptor signaling (Rawlings                     expressed in mast cells and T lymphocytes,
                et al. 1993; Thomas et al. 1993; Tsukada et al.                   and Tsk, T-cell-specific kinase) was cloned in
                1993; Vetrie et al. 1993). T lymphocytes express                  the early 1990s (Siliciano et al. 1992; Gibson
                three Tec kinases: Itk, Rlk and Tec. To date, only                et al. 1993; Heyeck and Berg 1993; Tanaka
                Itk has been found to have a clearly defined                      et al. 1993; Yamada et al. 1993). The domain
                function in T cells, leading to the conclusion                    organization of Itk and related Tec kinase family

                Editors: Lawrence E. Samelson and Andrey Shaw
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                A.H. Andreotti et al.

                members shares similarities with other tyrosine                                              sensus sequence of an SH3 ligand. Instead of
                kinase families but also reveals unique features                                             the PH-BH region, Txk (also known as Rlk)
                (Fig. 1A). Shared features include the com-                                                  contains a cysteine string motif at its amino
                mon SH3-SH2-kinase cassette also found in                                                    terminus.
                the Src, Csk, and Abl kinases (Williams et al.
                1998; Tsygankov 2003). Four of the five Tec tyro-
                                                                                                             Itk Activation Downstream of the TCR
                sine kinases (Itk, Btk, Tec, and Bmx) contain an
                amino-terminal region that includes a pleck-                                                 The Tec family kinases are involved in multiple
                strin homology (PH) domain, followed by a                                                    receptor-mediated signaling pathways in many
                Znþþ binding region termed the Btk homology                                                  cell types; several recent reviews have covered
                (BH) motif, and (except for Bmx) a proline                                                   these in depth (Berg et al. 2005; Felices et al.
                rich region (PRR) that conforms to the con-                                                  2007; Gomez-Rodriguez et al. 2007; Mihara

                    A                                                                              SH2-kinase
                                                                    PRR                              linker
                                           Itk            PH-BH           SH3           SH2                                     Kinase

                    B
                         APC
                                       pMHC

                                           TCR
                                                              CD4                                                                                         PIP2                   DAG
                                       CD3
                    T Cell
                                                              2+
                                                                                     PIP3                           PIP3 PIP3                      hydrolysis O
                                                             Zn                                         pY   PI3K                                                                 OH
                                           YY YYYY                                                                                                        –
                                                                                                                                                            O P O
                                   ITAMS

                                                                                                        pY
                                                                                                                                                                                             2+
                                           YY YYYY                                                                    pY                                    OH
                                                                                                                                                               O      O                 Ca
                                                              Lck                                                          Vav
                                           YY                                         Itk                                  pY                            HO
                                                                                                                                                                   OH
                                                                                                                                                                    O P O
                                           YY
                                                                             PXXP             pY                             Nck                              O 5
                                                                                                                                                                 4             PKC Ras/GRP
                                           YY                                                                PLCg1                                        –
                                                                                                                                                                      O
                                                                                                                                             O–            O P O
                                           YY
                                                                                                                                         –                     O–
                                                  Zap-70                                                                               O P O
                                                                                                                                       OH      O–
                                                                             SIp76                                                      1 O OH
                                                                                                     PXXP                            HO
                                                                                                                                           4 O P O
                                                                                                                                         O 5
                                                                                                                                               O–
                                                                                                                                      –
                                                                                                                                       O P O
                                                                     ADAP           PXXP GADS
                                                                                                pY
                                                                                                                                             O–    IP3
                                                                      HPK1                                                                                2+
                                                                                                                                                     Ca
                                                                                                        pY
                                                                                                            Grb2
                                                                                            LAT
                                                                                                              SOS
                                                                                                                                              IP3 Sensitive
                                                                                                                                                 2+
                                                             Actin                                                                            Ca channel
                                                 Arp2/3
                               cdc42
                                            WASP                          Actin reorganization/cell adhesion                         Erk 1/2                   Transcription

                Figure 1. Itk domain organization and it’s role in T cell signaling. (A) The domain structure of Itk. (B) Schematic
                of T-cell signaling emphasizing the proximal signaling complex downstream of the TCR as described in the
                text. The trio of tyrosine kinases, Zap-70, Lck, and Itk that initiate signaling following TCR engagement are
                shown as gray, green, and brown circles, respectively. Arrows indicate early phosphorylation events on TCR/
                pMHC recognition. The amino-terminal region of Lck binds to the cytoplasmic tail of CD4 via coordination
                of Znþþ (Huse et al. 1998). Active Lck phosphorylates the ITAMs, Zap-70, and Itk, which in turn
                phosphorylate their targets Slp-76, LAT (by Zap-70) and PLCg1 (by Itk). Activated PLCg1 then hydrolyzes
                PIP2 (dashed arrow) to produce DAG and IP3 leading to increased calcium flux. Multiple copies of these
                signaling molecules likely cooperate in the phosphorylation cascade and so stoichiometry as shown is overly
                simplified. Moreover, negative regulation of the signaling cascade in the form of phosphatases, kinases and
                other types of molecules also plays a significant role in T-cell function but are not represented here.

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                                                                                             Tec Kinase Itk in T-Cell Signaling

                and Suzuki 2007; Gilfillan and Rivera 2009;                Itk autophosphorylation may serve as a trigger
                Koprulu and Ellmeier 2009; Prince et al. 2009;             to alter protein interaction partners or locali-
                Readinger et al. 2009). For Itk, significant atten-        zation either before or after PLCg1 activation.
                tion has been given to activation via T-cell recep-        PLCg1, once activated, hydrolyzes PIP2 to
                tor (TCR) stimulation (see Fig. 1B). Interaction           produce the second messengers IP3 and DAG
                of the TCR with peptide-MHC complexes on                   (Rhee 2001). Downstream consequences in-
                antigen presenting cells (APC) activates the Src           clude Ca2þ flux (Lewis and Cahalan 1995),
                kinase Lck, leading to phosphorylation of the              Erk activation (Schaeffer et al. 1999; Schaeffer
                CD3 immunoreceptor tyrosine-based activation               et al. 2000; Miller and Berg 2002), transcrip-
                motifs (ITAMs). Zap-70 then binds to the phos-             tion (Crabtree and Olson 2002), cytokine re-
                phorylated ITAMs and is phosphorylated by                  lease (Liao and Littman 1995; Liu et al. 1998),
                Lck, resulting in Zap-70 activation and subse-             and actin reorganization (Labno et al. 2003),
                quent phosphorylation of the adaptors LAT                  all of which are impaired in the absence of Itk.
                and SLP-76 (Pitcher and van Oers 2003; Hout-               Importantly, these downstream consequences
                man et al. 2005; Au-Yeung et al. 2009; Smith-              of TCR activation are not ablated by a deficiency
                Garvin et al. 2009). Following activation of               in Itk, but instead, are substantially reduced,
                PI3K and accumulation of phosphatidylinositol              leading to altered development and differentia-
                (3,4,5) trisphosphate (PIP3) in the plasma mem-            tion of distinct T-cell lineages, as discussed later.
                brane, Itk is recruited to the membrane via its PH
                domain (August et al. 1997; Ching et al. 1999;
                                                                           The Itk Signaling Complex
                Yang et al. 2001). There, Itk interacts with the
                phosphorylated SLP-76/LAT adapter complex                  The Itk/SLP-76 interaction likely involves the
                via Itk’s Src homology (SH3 and SH2) domains               SH3 and SH2 domains of Itk targeting a
                (Bubeck Wardenburg et al. 1996; Zhang et al.               proline-rich stretch within SLP-76 (residues
                1998; Shan and Wange 1999; Su et al. 1999;                 184-195) and an adjacent phosphorylated tyro-
                Bunnell et al. 2000; Ching et al. 2000; Sommers            sine (Y145) in SLP-76, respectively (Su et al.
                et al. 2004; Koretzky et al. 2006), permitting             1999; Bunnell et al. 2000). In an elegant knockin
                phosphorylation of Itk on its activation loop              mouse study, tyrosine 145 of SLP-76 was
                (Y511) by Lck (Heyeck et al. 1997).                        replaced with the nonphosphorylatable phe-
                    Once activated, Itk undergoes cis autophos-            nylalanine to probe the contribution of the
                phorylation on Y180 in its SH3 domain (Wilcox              ItkSH2/pY145 interaction to signaling (Jordan
                and Berg 2003; Joseph et al. 2007a). Itk also              et al. 2008). Mutation of Y145 resulted in mark-
                interacts with and directly phosphorylates its             edly diminished PLCg1 phosphorylation, dec-
                downstream target, PLCg1 (Perez-Villar and                 reased Ca2þ flux, lowered phospho-ERK levels
                Kanner 1999; Joseph et al. 2007c), resulting               and gave rise to T cells that resembled those
                in phospholipase activation (Liu et al. 1998;              lacking Itk, as discussed later. This observation
                Schaeffer et al. 1999; Wilcox and Berg 2003;               (Jordan et al. 2008) is consistent with findings
                Bogin et al. 2007). The kinetics characterizing            that the Itk/SLP-76 interaction is required to
                many of these early phosphorylation events                 activate Itk kinase activity in Jurkat cells (Bogin
                have been delineated, providing an under-                  et al. 2007). Intriguingly, the majority of the cat-
                standing of the sequential nature of signaling             alytically active Itk in the cell consists of only the
                following TCR engagement (Houtman et al.                   small fraction of Itk that is bound to SLP-76
                2005). It is not known, however, whether Itk               (Bogin et al. 2007). Surprisingly, the SLP-76
                autophosphorylation occurs prior to, or follow-            Y145F mutation did not lead to loss of the
                ing, phosphorylation of PLCg1. Because auto-               Itk/SLP-76 association (Jordan et al. 2008)
                phosphorylation on Y180 does not affect Itk                despite altered signaling. This finding suggests
                catalytic activity but instead modulates binding           that cooperative multivalent interactions pre-
                of the Itk SH3 domain to different targets                 serve Itk localization in this signaling complex
                (Wilcox and Berg 2003; Joseph et al. 2007a),               even when a single contact site is disrupted.

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                A.H. Andreotti et al.

                    The importance of the Itk PH domain/PIP3            Tec kinases lack the carboxy-terminal regula-
                interaction (Fukuda et al. 1996; August et al.          tory tail that plays an important role in Src
                1997) was also recently probed by inhibition            regulation (Brown and Cooper 1996; Xu et al.
                of phosphatidylinositol-3 kinase (PI3K) activ-          1997; Xu et al. 1999; Cowan-Jacob et al. 2005).
                ity in human peripheral blood T cells (Cruz-            Moreover, removal of the noncatalytic domains
                Orcutt and Houtman 2009). In a manner                   from the Src kinase domain yields an active
                similar to SLP-76 Y145F, loss of the Itk PH             enzyme, whereas the isolated Itk and Btk kinase
                domain/PIP3 interaction resulted in impaired            domains show poor catalytic activity (Fig. 2A)
                downstream signaling but did not affect the             (LaFevre-Bernt et al. 1998; Hawkins and Marcy
                ability of Itk and other PH domain containing           2001; Guo et al. 2006; Joseph et al. 2007b).
                signaling proteins to assemble into the signaling       Mutation of a well-conserved tryptophan resi-
                complex (Cruz-Orcutt and Houtman 2009).                 due in the Itk and Btk SH2-kinase linkers
                In a separate study, soluble IP4 was found to           (W355 in Itk, W395 in Btk) results in a signifi-
                promote binding of the Itk PH domain to                 cant decrease in kinase activity (Lin et al. 2005;
                PIP3 (Huang et al. 2007). Reminiscent of the            Guo et al. 2006; Joseph et al. 2007b) whereas
                Itk/SLP-76 interaction (Bogin et al. 2007), these       mutation of the corresponding tryptophan in
                studies also showed that only a limited pool            the Src kinase Hck leads to a dramatic increase
                of Itk in the cell is capable of binding PIP3           in the activity of that kinase (LaFevre-Bernt
                even in the presence of excess PIP3 (Huang              et al. 1998). In this regard, Itk is similar to Csk
                et al. 2007). These separate findings suggest           (carboxy-terminal Src kinase), another tyrosine
                that multiple interaction sites exist to properly       kinase comprised of the common SH3-SH2-
                localize Itk following TCR stimulation (Graef           Kinase cassette and regulated in a manner
                et al. 1997; Garcon and Nunes 2006; Beach               opposite that of Src (Huang et al. 2009). The
                et al. 2007). Furthermore, part of the function         isolated Csk kinase domain shows negligible
                of Itk and other proteins in the LAT/SLP-76             catalytic activity (Fig. 2A) and mutation of the
                complex may be to function as adaptors and              conserved tryptophan (W188) decreases Csk
                stabilize proteins in the complex. Kinase-inde-         activity (Lin et al. 2005). Based on similar bio-
                pendent functions for Itk have been observed            chemical profiles, a model for active Itk can
                in the regulation of actin polymerization               be developed using the available structure of
                (Dombroski et al. 2005) and activation of the           active Csk (Fig. 2B).
                transcription factor, SRF (Hao et al. 2006); these          In agreement with the established interac-
                functions may be secondary to effects on re-            tion between active Itk and SLP-76 (Jordan
                cruitment of the guanine-nucleotide exchange            et al. 2008; Bogin et al. 2007), the distance
                factor Vav to this complex (Labno et al. 2003).         between the SH3 and SH2 binding pockets
                                                                        in the high-resolution structure of Csk closely
                                                                        matches the distance between the phosphotyro-
                Regulation of Itk Activity
                                                                        sine motif and proline-rich region in SLP-76
                The regulatory mechanisms that control the              (residues 143– 195). Moreover, the Itk PRR
                activity of Lck and Zap-70 during TCR signal-           region adjacent to the Itk SH3 domain in the
                ing have been the subject of intense investiga-         model of active Itk (Fig. 2B) could be available
                tion, leading to detailed insights into function        for binding to an SH3 domain from an exoge-
                (Palacios and Weiss 2004; Au-Yeung et al.               nous signaling partner. The precise binding
                2009). In contrast, a mechanistic understanding         partner of the Itk PRR is not yet clear but can-
                of Itk regulation remains elusive, as Itk and           didates include the SH3 domains of Vav, Fyn,
                other Tec kinases have, to date, resisted crystal-      Src, PLCg1 or Grb2 (Yang et al. 1995; Perez-
                lization in their full-length form. Comparing           Villar and Kanner 1999; Bunnell et al. 2000;
                the Tec and Src kinase families, it is evident          Chamorro et al. 2001). Csk lacks the PH-BH
                that regulatory differences must exist. In spite        region of the Tec kinases and so comparative
                of the shared SH3-SH2-Kinase cassette, the              model building for this region of Itk becomes

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                                                                                                                        Tec Kinase Itk in T-Cell Signaling

                   A                                                                                                              D
                                                                                                                                       SH3-SH2-kinase Full-length
                                  PRR                                                                                                    Itk fragment      Itk
                   Itk      PH-BH    SH3             SH2       Kinase                            Itk Kinase                                        *           *
                                                                                                                                                   *           *
                                                                                                                                                   *
                                                                                                                                                   *           *
                   Csk                       SH3     SH2       Kinase                           Csk Kinase
                                                                                                                                                   *           *
                   Src myristoylation SH3            SH2       Kinase        Y                  Src Kinase       Y            P
                                                                                                                                                    *

                   B                                             C                                      E
                                                                        BH
                                                                                   PH
                                                                                        N
                           (SH3?)                                                                                PIP3                  PIP3               PIP3
                                        PIP3
                                                                                 PRR SH3                    BH                    BH                BH
                           PRRBH                                                                                        N                     N                  N
                                                                                                                 PH                    PH                 PH
                         Slp76          PH     N
                                               SH3-SH2                                                 SH3                  SH3                   SH3
                                 SH3             linker                                   SH2
                                                                                                                        SH2                   SH2                SH2
                                               SH2

                                      Kinase         SH2-Kinase                  Kinase                       Kinase               Kinase               Kinase
                                                        linker
                                  C                                                                      C                    C                     C
                                                   (contains W355)
                                                                             C

                Figure 2. Activation/inactivation of Itk. (A) Comparison of the domain structures of Itk, Csk and Src kinases.
                The domains are colored as follows: PH-BH is brown, PRR is yellow, SH3 is green, SH2 is orange, SH2-Kinase
                linker and Kinase domain are blue. All three kinases share the SH3-SH2-kinase cassette but differ with respect to
                resulting catalytic activity of the isolated kinase domain. Itk and Csk kinase domains alone show very poor
                catalytic activity whereas the Src kinase domain readily phosphorylates substrates. (B) Model of active Itk
                based on biochemical data and the high-resolution structure of Csk (PDB code: 1K9A). The SH2-Kinase
                linker and SH3-SH2 linker are both arranged along the back of the small kinase lobe. Activating interactions
                between the kinase domain and the SH2-kinase linker in particular are also supported by a recent structure of
                Btk (Marcotte et al. 2010). SLP-76 is depicted by the black line and is shown binding to both Itk SH3 and
                SH2. The PH-BH domain is placed so that its carboxy-terminus is close in space to the amino-terminus of
                the SH3 domain. The intervening sequence is the PRR, which would be available in this model for binding an
                SH3 domain from another protein. PH domain is shown bound to its PIP3 ligand. (C) Model of Itk adopting
                the extended conformation seen for Btk in SAXS studies (Marquez et al. 2003). Of note is the fact that the
                intramolecular PRR/SH3 interaction is sterically allowed and that the SH2-Kinase linker region is likely in an
                extended conformation and not the active conformation shown in (B). (D) Native gel electrophoresis for the
                SH3-SH2-Kinase fragment of Itk and for full length Itk showing ladders indicative of mulitmerization.
                Sample concentration for both purified proteins is approximately 5 micromolar. (E) Model of Itk
                multimerization based on the structure of the binary Itk SH3/SH2 complex (PDB code: 2K79). Doubled
                headed arrows indicate PH domain self-association. Whether Itk multimerization occurs exclusively at the
                membrane remains to be determined. It is of note that the SH3/SH2 interface defined in PDB 2K79 is
                accessible in the models shown in both (B) and (C) suggesting that either configuration could multimerize.
                In (B), (C) and (E) the amino and carboxy-termimi of full length Itk are indicated by N and C, respectively.

                speculative. It is interesting to note however,                                 affecting kinase activity (Joseph et al. 2007b)
                that the PH-BH domain of Itk extends from                                       (Fig. 2B).
                the amino-terminus of the PRR region and,
                within the context of the Csk-based model,
                                                                                                Mechanism of Itk Substrate Recognition
                the PH-BH domain could pack between the
                SH3 and SH2 domains making contact with                                         Once activated and assembled within the
                the small lobe of the kinase domain and/or the                                  SLP-76/LAT signaling complex, Itk meets its
                SH3-SH2/SH2-kinase linker regions potentially                                   downstream substrate, PLCg1 (Liu et al. 1998;

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                A.H. Andreotti et al.

                Schaeffer et al. 1999; Wilcox and Berg 2003;            kinase comes from small-angle X-ray scattering
                Houtman et al. 2005; Bogin et al. 2007). Itk            (SAXS) analysis of Btk (Marquez et al. 2003).
                mediated phosphorylation of Y783 in PLCg1               These data indicate that an inactive preparation
                requires a remote specificity-determining ele-          of Btk (Marquez et al. 2003; Lin et al. 2009)
                ment within the second SH2 domain of                    adopts an extended conformation in solution
                PLCg1 (Joseph et al. 2007c). Mutation in the            with negligible contacts between domains
                PLCg1 SH2 domain that disrupts the Itk/                 (Fig. 2C). Whether the fully extended con-
                PLCg1 interaction results in decreased PLCg1            figuration derived from SAXS data represent
                activation as measured by calcium flux in Jurkat        a physiologically relevant state remains to be
                T cells (Braiman et al. 2006; Min et al. 2009).         determined but the available data suggest that
                Earlier work also identified a TCR-regulated            a conformational shift of the regulatory do-
                association between Itk and PLCg1 involving             mains away from the kinase domain could pro-
                the SH3 domain of PLCg1 (Perez-Villar and               vide one layer of negative regulation.
                Kanner 1999). Although PLCg1 is the most                     In addition to negatively regulating the ca-
                well established substrate of Itk, additional           talytic domain, the configuration of the in-
                candidate substrates have been described and            active kinase might also serve to sequester its
                include TFII-I (August 2009; Sacristan et al.           ligand binding sites (Pawson and Kofler 2009).
                2009), Tim-3 (van de Weyer et al. 2006) and             The SH3/PXXP interaction, in particular, is
                T-bet (Hwang et al. 2005); the molecular details        constitutive and not controlled by transient
                of Itk recognition of these substrates has not          phosphorylation/dephosphorylation events. In
                been elucidated.                                        down-regulated Itk, the SH3 domain-binding
                                                                        site might be masked in an intramolecular fash-
                                                                        ion by the adjacent PRR (Andreotti et al. 1997;
                Downregulation of Itk Kinase Activity
                                                                        Laederach et al. 2003) (Fig. 2C). However, it is
                Inactivation of kinase activity is an important         experimentally difficult to probe the precise
                regulatory feature that must appropriately bal-         role of the PRR in kinase regulation because it
                ance activating signals. Although few negative          is also likely involved in activating interactions
                regulators of Itk have been described, expression       with SH3 domain-containing signaling part-
                of PTEN, a lipid phosphatase, can decrease              ners (Yang et al. 1995; Bunnell et al. 2000).
                Itk activity by reducing PIP3 levels (Shan et al.       Efforts that use deletion of the PRR region to
                2000). Negative regulation of Itk by the peptidyl       probe its regulatory role (Hao and August
                prolyl isomerase, cyclophilin A, has been de-           2002) are therefore complicated by the dual
                scribed (Brazin et al. 2002; Colgan et al. 2004).       nature of the PRR.
                Interestingly, another peptidyl prolyl isomerase,
                Pin1 ( protein interacting with NIMA1), regu-
                                                                        Regulation of Itk Activity by Multimerization
                lates phosphorylation and steady state levels of
                Btk (Yu et al. 2006). However, the mechanism            Structural studies using different Tec kinase
                of action remains poorly understood for both            fragments indicate that the noncatalytic regula-
                Pin1 and CypA (Joseph and Andreotti 2009;               tory domains interact in an intermolecular
                Mohamed et al. 2009).                                   fashion driving multimerization in solution
                    As already described, the regulatory do-            (Andreotti et al. 1997; Brazin et al. 2000; Hans-
                mains of the Tec kinases exert a positive in-           son et al. 2001; Laederach et al. 2002; Okoh and
                fluence on the kinase domain in a manner                Vihinen 2002; Pursglove et al. 2002; Laederach
                similar to Csk (Fig. 2B) and so conformational          et al. 2003; Severin et al. 2009). For Itk, multi-
                rearrangements that uncouple the regulatory             merization is mediated by self-association of
                domains ( particularly the SH2-kinase linker            the PH domain (Huang et al. 2007) and inter-
                region) from the catalytic domain would down-           molecular interactions between the SH3 and
                regulate Itk activity. In this context, the only        SH2 domains of different Itk molecules (Bra-
                structural data available for any full length Tec       zin et al. 2000; Severin et al. 2009). Native gel

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                                                                                           Tec Kinase Itk in T-Cell Signaling

                electrophoresis indicates that the full-length Itk         observed for almost any domain arrangement
                molecule, the SH3-SH2-kinase fragment, and                 of Itk; compact or extended. Thus, the fluores-
                the Itk SH3-SH2 fragment all form multimers                cence “ruler” used in these experiments is un-
                (Severin et al. 2009) (Fig. 2D). The high resolu-          likely to discriminate between different domain
                tion structure of the Itk SH3/SH2 complex                  arrangements.
                has been solved and provides insight into how                   Intermolecular fluorescence complementa-
                full length Itk might self-associate (Severin              tion between differentially tagged Itk molecules
                et al. 2009) (Fig. 2E). Functionally, disruption           is consistently observed only at the cell mem-
                of the SH3/SH2 interface by mutation reduced               brane and not in the cytosol (Qi et al. 2006;
                oligomerization and increased Itk kinase activ-            Qi and August 2009). Although this data alone
                ity both in vitro and in T cells (Severin et al.           does not rule out multimerization in the cyto-
                2009; Min et al. 2010). Moreover, both binding             sol, the spatial segregation of the stronger fluo-
                experiments and structural data indicate that              rescence signal to the membrane is certainly
                intermolecular association of Itk is mutually              interesting and suggests that Itk clusters are
                exclusive with binding of SLP-76 to the SH3                at least stabilized upon or after membrane lo-
                and SH2 domains (Brazin et al. 2000; Pletneva              calization. Notably, Itk autophosphorylation
                et al. 2006; Severin et al. 2009). Thus, down-             enhances the affinity between the SH3 and
                regulation of Itk activity might involve intermo-          SH2 domains (Joseph et al. 2007a), possibly
                lecular self-association whereas multimeriza-              triggering sequestration of Itk into clusters
                tion is disfavored for active, SLP-76 bound                and down-regulation of kinase activity. Release
                Itk. The interplay between specific clustering             of Itk from the membrane, promoted by de-
                of signaling molecules (Houtman et al. 2006),              phosphorylation of PIP3 and the SLP-76/LAT
                the formation of TCR microclusters (Bunnell                complex (Shan et al. 2000; Baker et al. 2001;
                et al. 2006; Seminario and Bunnell 2008) and               Yang et al. 2001; Tomlinson et al. 2004), would
                the specific role of Itk multimerization during            then result in decreased local Itk concentration,
                T-cell signaling certainly deserve continued               which could cause Itk oligomers to disassociate
                attention.                                                 into inactive, monomeric species in the cytosol.
                    A split YFP/fluorescence complementation               Regardless of aggregation state, the inactive spe-
                approach has been used to probe the different              cies would adopt a conformation that decouples
                conformational and oligomeric states of Itk                the regulatory region (in particular the SH2-
                in cells (Qi et al. 2006; Qi and August 2009).             kinase linker) from the Itk kinase domain.
                Itk that is doubly tagged at the amino- and
                carboxy-termini results in fluorescence comple-
                mentation in the cytosol and at the membrane.              ITK REGULATION OF T-CELL FUNCTION
                The authors suggest that the observed fluores-
                                                                           Naı̈ve T-Cell Activation is Impaired in the
                cence complementation within a single Itk mol-
                                                                           Absence of Itk
                ecule is indicative of a folded compact structure.
                Taking the linker lengths between Itk and each             The central role of Itk in the LAT-SLP-76 com-
                of the split YFPs (two linkers each 40 Å)                plex suggests that Itk is an important com-
                and the diameter of YFP itself (30 Å) into               ponent of TCR signaling. Early studies using
                account, fluorescence complementation in this              primary murine Itk -/- T cells showed that Itk
                system would occur for distances of approxi-               is required for robust T-cell activation in re-
                mately 110 Å between the Itk termini. It should           sponse to TCR plus costimulatory receptor sig-
                be noted that the distance between the amino-              naling. However, these studies also revealed that
                and carboxy-termini of Btk in the fully extended           Itk is not absolutely required for all responses
                model derived from SAXS data is 125 Å and                 downstream of the TCR (Liao and Littman
                given the flexibility inherent in the extended             1995; Liu et al. 1998; Schaeffer et al. 1999).
                model (Marquez et al. 2003), it seems likely               One aspect of this modulatory role for Itk
                that fluorescence complementation would be                 is the partial redundancy between Itk and a

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                A.H. Andreotti et al.

                second Tec kinase family member, Rlk. Thus, a                Leishmania major infection typically seen in
                combined deficiency in both Itk and Rlk results              wild-type Balb/c mice and instead, mounted a
                in TCR signaling defects that are significantly              protective TH1 response that cleared the infec-
                more profound than is seen in T cells lacking                tion (Fowell et al. 1999). These results high-
                Itk alone (Schaeffer et al. 1999). Overall, the              lighted the importance of Itk signaling in the
                message from these experiments was that Itk                  generation of TH2 responses, a function of Itk
                functions to amplify TCR signaling, rather                   that has been studied in more detail both in
                than as an all-or-nothing component of the                   vitro and in vivo.
                TCR signaling pathway.
                                                                             Itk Promotes TH2 Differentiation and
                T-Cell Differentiation and Effector Functions                Cytokine Production
                are Regulated by Itk
                                                                             The initial findings that Itk-deficient mice were
                In spite of the relatively modest impact of the Itk          unable to mount a protective TH2 response to
                deficiency on naı̈ve T-cell activation, numerous             infection were verified in a number of distinct
                studies have shown that Itk signaling plays a                infectious disease systems including Leishmania
                critical role in regulating T-cell differentiation           major in Itk -/- Balb/c mice, as well as Nippo-
                and T-cell effector functions (Fig. 3). The first            strongylus brasiliensis and Schistosoma mansoni,
                of these studies showed that Itk -/- Balb/c mice             two parasites that are eliminated by TH2-depen-
                were unable to generate the TH2 response to                  dent recruitment and activation of granulocytes

                      T helper cell development                                 ITK-deficiency

                                           STAT1/4
                                              T-bet                                                  T-bet
                                                                IFN-g                                                    IFN-g
                                                       Th1                                                     Th1
                                                                TNF-µ                                                    TNF-µ
                                        IL-12
                                                                LT                                                       LT
                                        IFN-g
                                        IL-18   RLK                                                      RLK
                                                ITK                                                      ITK
                         Naive                                                  Naive
                          CD4+            GATA-3                                 CD4+
                                           STAT6                                                GATA-3
                         TH cell                                                TH cell
                                           C-MAF                                                 C-MAF
                                                                IL-4                                                     IL-4
                                     IL-4 NFATc1                IL-5
                                                                                              NFATc1

                                             ITK       Th2      IL-10                               ITK        Th2
                                        TGF-b                   IL-13
                                        IL-6
                                        IL-1
                                               RORgT
                                               RORµ                                                    RORgT
                                               STAT3                                                   RORµ

                                            ITK                                                    ITK
                                                       Th17     IL-17A                                         Th17      IL-17A
                                                                                              NFATc1
                                                                IL-17F                                                   IL-17F
                                                                IL-21                                                    IL-21
                                                                IL-22                                                    IL-22

                Figure 3. Itk function in T helper cell differentiation. At the left, the three major lineages of effector T cells are
                shown, along with the cytokine signals and transcription factors that regulate their differentiation from naı̈ve
                CD4þ T cells. Unlike TH1 cells, which coexpress Itk and Rlk, TH2 cells express only Itk. The status of Rlk
                expression in TH17 cells is currently unknown. In the absence of Itk (right panel), NFATc1 activity is greatly
                reduced, leading to impaired production of IL-4 by TH2 cells and IL-17A by TH17 cells. Itk -/- TH1 cells,
                which continue to express Rlk, have a more modest defect in effector cytokine production.

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                                                                                            Tec Kinase Itk in T-Cell Signaling

                (Fowell et al. 1999; Schaeffer et al. 2001). Anal-         agreement with an independent set of exper-
                yses of cytokine responses of the parasite-spe-            iments examining T-cell-mediated airway hy-
                cific T cells from these infected mice indicated           perresponsiveness in Itk -/- mice (Mueller and
                that Itk -/- T cells produced decreased IL-4,              August 2003). In this system, in addition to
                IL-5, and IL-10 (Schaeffer et al. 2001). Similarly,        impaired TH2 cytokine production, T-cell
                in vitro experiments showed that Itk -/- Balb/c            recruitment to the lungs was also impaired fol-
                CD4þ T cells stimulated under TH2-polarizing               lowing inhaled antigen challenge in Itk -/- mice
                conditions produced much less IL-4 than their              compared to controls. Interestingly, a partial
                wild-type counterparts (Fowell et al. 1999).               inhibition of Itk kinase activity was able to block
                These cytokine responses correlated with de-               T-cell migration to the lung in this model sys-
                fective TCR-induced activation of the calcium-             tem, but had no effect on the priming of TH2
                dependent transcription factor, NFAT, by Itk -/-           effector responses in secondary lymphoid or-
                T cells, providing a potential explanation for             gans (Sahu et al. 2008a). These findings indicate
                the reduced Il4 transcription (Fig. 3).                    roles for Itk in both T-cell priming and T-cell
                     However, it is difficult to infer from these          migration, findings that are supported by studies
                experiments the precise nature of the T-cell               showing a role for Itk in signaling downstream of
                defect resulting in impaired protection to para-           chemokine receptors (Fischer et al. 2004; Take-
                sitic infections. Reductions in T-cell activation,         sono et al. 2004).
                T-cell differentiation, T-cell migration, or elici-             These in vivo experiments have been com-
                tation of recall responses at the site of infection        plemented by a series of in vitro experiments
                could each contribute to the poor protection               performed with naı̈ve Itk -/- CD4þ T cells. All
                observed in Itk -/- mice. An additional compli-            of these studies agreed that Itk -/- CD4þ T cells
                cation is the presence of a large population of            produced substantially less IL-4, IL-5, and
                previously activated/memory CD4þ T cells in                IL-13 than wild-type T cells, even after differen-
                Itk -/- mice; global gene expression analysis has          tiation in a powerful TH2 polarizing environ-
                confirmed that Itk -/- CD4þ T cells are not com-           ment (Fowell et al. 1999; Schaeffer et al. 2001;
                parable to wild-type CD4þ T cells prior to their           Miller et al. 2004; Au-Yeung et al. 2006). In these
                activation (Blomberg et al. 2009), and thus,               studies, the defects in effector cytokine produc-
                might respond differently than naı̈ve T cells to           tion were not because of impaired TH2 differen-
                parasite infections.                                       tiation, as molecular analyses indicated that
                     Nonetheless, useful information has been              Itk -/- T cells polarized into the TH2 lineage
                gleaned from direct infection of Itk -/- mice              showed all of the hallmarks of bona fide TH2
                with pathogenic microorganisms. One elegant                effector cells (Schaeffer et al. 2001; Miller et al.
                approach to evaluating T cell defects in the               2004; Au-Yeung et al. 2006). Interestingly, the
                absence of Itk was taken by Au-Yeung and colle-            requirement for Itk in effector cytokine produc-
                agues, who crossed Balb/c Itk -/- mice to re-              tion is shared by abTCRþ NKT cells specific
                porter mice that express GFP under the control             for a-galactosyl ceramide bound to CD1d; in
                of the IL-4 promoter (Au-Yeung et al. 2006).               the absence of Itk, NKT cells stimulated in
                Following infection of these mice with Leishma-            vivo or in vitro produce substantially less IL-4
                nia major, equal numbers of CD4þGFPþ T cells               or IFNg than wild-type NKT cells (Au-Yeung
                were found at the sites of infection in wild-type          and Fowell 2007; Felices and Berg 2008).
                versus Itk -/- mice, indicating that Itk was not
                required for the initiation of the TH2 response
                                                                           TH1 Differentiation and Effector
                or for the migration of IL-4-competent T cells
                                                                           Functions are Modestly Impaired
                to these sites. Instead, the effector T-cell recall
                                                                           in the Absence of Itk
                response at the sites of infection were impaired
                in the absence of Itk, leading to reduced IL-4             Unlike the essential role for Itk in protective
                production by Itk -/- T cells following restimula-         immunity to helminthic parasites, Itk signaling
                tion. However, these studies are not in complete           in T cells is largely dispensible for protective

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                A.H. Andreotti et al.

                CD4þ TH1 responses to intracellular pathogens.            pro-inflammatory cytokines IL-17A, IL-17F,
                Thus, Itk -/- mice clear infections of Leishmania         IL-21 and IL-22 (Korn et al. 2009). TH17 cells
                major, and are only modestly more susceptible             are important for antimicrobial activity, partic-
                to sublethal doses of Toxoplasma gondii than              ularly in the gastrointestinal system, but are also
                wild-type mice (Fowell et al. 1999; Schaeffer             hallmarks of inflammation involved in multiple
                et al. 1999). These observations may reflect the          autoimmune disorders.
                fact that IFNg production by Itk -/- CD4þ T cells              Although the requirements for cytokine
                is not reduced to the same extent as production           signals for TH17 differentiation have been
                of TH2 cytokines (Fowell et al. 1999; Schaeffer           extensively examined, the contribution of TCR
                et al. 2001; Miller et al. 2004; Au-Yeung et al.          signaling to the regulation of TH17 cytokine
                2006). Indeed, under certain conditions that              production was unknown. To evaluate this
                normally lead to TH2 cytokine production,                 question, naı̈ve CD4þ T cells from Itk -/- and
                such as stimulation with altered peptide ligands,         Rlk -/-Itk -/- mice were differentiated under TH1
                Itk -/- CD4þ T cells produce IFN-g (Miller et al.         and TH17 polarizing conditions, and cytokine
                2004). A second aspect of this differential re-           production evaluated by intracellular stain-
                quirement for Itk in TH1 versus TH2 effector re-          ing (Gomez-Rodriguez et al. 2009). Although
                sponses is the interesting expression pattern of          both cell types could generate large percentages
                the two predominant Tec kinases in T cells, Itk           of IFNg producing TH1 cells, Itk -/- and even
                and Rlk (Fig. 3). Unlike naı̈ve T cells which ex-         more dramatically Rlk -/-Itk -/- T cells showed
                press both Itk and Rlk, TH2 effector cells lose           reduced IL-17A production. These defects did
                Rlk and express only Itk; in fact, the levels of          not appear to be because of altered thymic
                Itk are several-fold increased in TH2 cells com-          development, because they could be reversed
                pared to naı̈ve T cells (Miller et al. 2004). In con-     by re-introduction of Itk by retroviral transduc-
                trast, TH1 effector cells continue to express both        tion before TH17 differentiation. Further analy-
                of these Tec kinases. As a consequence, whereas           ses showed decreased Il17a message in Itk -/- T
                Itk -/- TH1 cells continue to express Rlk, Itk -/-        cells (Fig. 3). However, surprisingly, expression
                TH2 cells lack both Itk and Rlk, thus accounting          of other TH17 cytokines including the closely
                for the more severe functional defect observed            linked Il17f gene, was relatively intact, as was
                in Itk -/- TH2 responses. Corroborating this no-          the expression of genes encoding the master reg-
                tion, ectopic expression of Rlk in effector TH2           ulators RORgt and RORa. Although phosphor-
                cells restores wild-type T cell responses in              ylation of STAT3 in response to IL-6 was slightly
                Itk -/- mice injected with Schistosoma mansoni            attenuated in Itk-deficient T cells, re-expression
                eggs or immunized to induce allergic airway               of a constitutively activated STAT3 construct
                hypersensitivity (Sahu et al. 2008b).                     did not restore normal IL-17A production.
                                                                               The selective role for Itk in IL-17A produc-
                                                                          tion resulted from a requirement for robust cal-
                Itk Is Required for IL-17A Production in
                                                                          cium signaling, leading to NFAT activation, in
                TH17 Effector Cells
                                                                          the transcription of the Il17a gene (Fig. 3).
                In addition to the global defects in effector             Thus, differentiation of Itk -/- T cells in the pres-
                T-cell responses described above for TH2, and             ence of anti-CD3 plus ionomycin, which can
                to a lesser extent, TH1 responses, T cells lacking        rescue Ca2þ mobilization in Itk-deficient T cells
                Itk display more selective alterations in cytokine        (Liu et al. 1998), did restore IL-17A production,
                production that highlight the complex nature              directly implicating defective TCR-driven
                of the signaling pathways that regulate T-cell            Ca2þ mobilization in this phenotype (Gomez-
                effector responses. One recent example is the             Rodriguez et al. 2009). Supporting this idea,
                role of Itk in the regulation of cytokine produc-         stimulation of wild-type T cells with decreas-
                tion by TH17 cells, a recently recognized CD4             ing amounts of anti-CD3 during differen-
                effector T-cell lineage that differentiates in            tiation preferentially reduced expression of IL-
                response to IL-6 and TGF-b and expresses the              17A, whereas leaving IL-17F relatively spared.

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                                                                                            Tec Kinase Itk in T-Cell Signaling

                Similarly, differentiation of wild-type T cells            the exact mechanism of this defect awaits fur-
                in the presence of low-dose CyclosporinA or                ther study, these detailed investigations of Itk-
                FK506, two inhibitors of Calcineurin that pre-             deficient T lymphocytes have revealed another
                vent NFAT activation (Winslow et al. 2003),                feature of how TCR signaling can affect the dif-
                also preferentially decreased IL-17A expression.           ferentiation of distinct cytokine producing cells.
                Conversely, expression of a constitutively active
                mutant of NFATc1 (Neal and Clipstone 2003)
                                                                           TCR Signaling in CD8þ T Cells Requires Itk
                restored IL-17A production by Itk -/- TH17 cells,
                suggesting that Itk-mediated activation of                 Although fewer studies have addressed the role
                NFAT contributes to the regulation of IL-17A.              of Itk in CD8þ T-cell responses, the conclusions
                Sequence analyses showed a conserved NFAT                  thus far indicate that primary responses to viral
                binding site located 3.5 kb upstream of the start          infection are largely intact in the absence of
                site of the Il17a gene and ChIP analyses showed            Itk, or Itk and Rlk (Bachmann et al. 1997;
                that this site was occupied in wild-type but not           Atherly et al. 2006). Biochemical studies show
                Itk-deficient cells differentiated under TH17              that Itk -/- and Rlk -/-Itk -/- CD8þ T cells share a
                conditions. Although potential NFAT binding                similar deficiency in TCR-induced PLC-g1 acti-
                sites were found upstream of the Il17f gene,               vation, calcium mobilization, ERK activa-
                none were conserved cross-species. Nonethe-                tion, and cytokine production as CD4þ T cells
                less, conserved noncoding sequences in the re-             lacking the Tec kinases (Atherly et al. 2006).
                gion around both the linked Il17a and Il17f                Nonetheless, Itk -/- mice do mount protective
                genes showed epigenetic modifications sugges-              immune responses to LCMV, vaccinia virus,
                tive of open chromatin conformations (Wilson               and VSV, and Rlk -/-Itk -/- mice to LCMV,
                et al. 2009).                                              although kinetics of viral clearance were often
                     These results suggest that a TCR-driven               slightly delayed. Tracking of virus-specific
                pathway involving Itk-mediated regulation of               CD8þ T cells indicated that Itk -/- and
                Ca2þ and NFAT is required for full expression              Rlk -/-Itk -/- T cells were unable to expand to
                of IL-17A and that this pathway distinguishes              the extent seen with wild-type T cells, resulting
                expression of different TH17 cytokines. These              in an overall deficit in the magnitude of the
                data support the growing view that there are dis-          CD8þ T-cell response. This reduction in T-cell
                tinct subclasses of TH17 cells that produce over-          expansion could not be accounted for by
                lapping sets of cytokines based upon distinct              impaired CD4þ T cell help in Itk -/- mice, as
                inputs. Thus, TCR signaling may be particularly            adoptive transfer of wild-type LCMV-immune
                important for expression of IL-17A, which is               T cells (CD4þ and CD8þ) into Itk -/- mice prior
                more strongly proinflammatory than IL-17F                  to LCMV challenge was unable to rescue the
                (Yang et al. 2008; Ishigame et al. 2009). This             CD8þ T-cell defects. In addition, the impaired
                regulation operates during the differentiation             response of Itk -/- CD8þ T-cells was not because
                of TH17 cells, because the defect in IL-17A pro-           of the predominant population of “innate-like”
                duction is seen even upon restimulation of cells           CD8þ T-cells present in these mice (see the fol-
                with PMA and ionomycin (Gomez-Rodriguez                    lowing), as OT-1 TCR transgenic Itk -/- CD8þ
                et al. 2009). NFATc1 autoregulates its own ex-             T-cells, which develop as conventional naı̈ve
                pression and previous data showed defective                T-cells, also shared the defect seen with polyclo-
                NFATc1 induction in Itk-deficient cells (Nurieva           nal Itk -/- CD8þ T-cells in non-TCR transgenic
                et al. 2007), perhaps accounting for the require-          mice. It still remains to be determined whether
                ment for Itk during TH17 differentiation. Alter-           Itk -/- CD8þ T-cells can generate functional
                natively, other chromatin remodeling factors               memory cells. Although virus-specific T-cells
                that are recruited by transcription factors,               persist in Itk -/- mice well after virus has been
                including the BRG proteins, may not assemble               cleared from the animals, the ability of these
                properly on the IL-17A locus in the absence of             cells to provide protection, and to mount an
                efficient NFATactivation (Berg 2009). Although             effective recall response, has not yet been tested.

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                A.H. Andreotti et al.

                This issue is complex, as defects in Itk -/- CD4þ         2007). However, Rlk -/-Itk -/- T cells also showed
                T-cells could impact the generation of robust             a competitive advantage compared to WT cells
                memory CD8þ T-cells; thus, appropriate stud-              at earlier stages ( prior to DN3), perhaps reflect-
                ies will be required to distinguish CD4þ T-               ing a negative signaling role for Rlk in cell
                cell-intrinsic from CD8þ T-cell-intrinsic con-            survival/cytokine signaling pathways.
                tributions to antiviral memory responses.                      Defects in positive selection of thymocytes
                                                                          lacking Itk have been shown using a variety of
                                                                          MHC Class I and Class II-restricted TCR trans-
                TEC KINASES IN T-CELL DEVELOPMENT                         genes (Liao and Littman 1995; Schaeffer et al.
                                                                          2000; Lucas et al. 2002; Lucas et al. 2003). The
                Role of Itk and Rlk in Conventional T-cell
                                                                          extent of these defects depended on the sel-
                Development
                                                                          ecting TCR, with the weakest selecting TCRs
                TCR signaling plays a critical role in the devel-         showing the largest effects (Lucas et al. 2002).
                opment of T cells within the thymus, where                Defects in positive selection were exacerbated
                the strength or duration of TCR signaling helps           in Rlk -/-Itk -/- mice, providing evidence that
                determine the survival, maturation, and dif-              these genes are partially redundant, and sup-
                ferentiation of thymocytes into mature T cells.           porting the idea that decreased TCR signaling
                Double negative CD42CD82 (DN) cells that                  reduces positive selection of conventional T
                have rearranged their TCRb chains must receive            cells (Schaeffer et al. 2000). Supporting partial
                competent signals through the pre-TCR to                  redundancy of these genes, overexpression of
                progress through the DN3 stage and expand                 Txk/Rlk partially rescued positive selection
                in the DN4 to double positive (DP) transition             defects in Itk -/- mice (Sommers et al. 1999).
                (Ciofani and Zuniga-Pflucker 2006). At the                     Itk-deficient animals also show reduced
                double positive stage, TCR signaling regulates            or delayed negative selection in multiple TCR
                cell survival and differentiation of conventional         transgenic systems (Liao and Littman 1995;
                T cells (Jameson et al. 1995). Thymocytes that            Schaeffer et al. 2000; Lucas et al. 2002). In
                receive very poor or no TCR signals undergo               Rlk -/-Itk -/- mice, negative selection is more
                “death by neglect.” Thymocytes that receive               clearly impaired, leading to positive selection
                strong TCR signals, as from agonist peptides,             of normally deleted HY TCR transgenic cells in
                particularly in the context of costimulation,             male Rlk -/-Itk -/- mice (Schaeffer et al. 2000).
                undergo negative selection and also die within            These data support a model where negative sel-
                the thymus. Only thymocytes that receive                  ection is converted to positive selection in the
                weak but adequate signals will progress onto              context of impaired TCR signaling and may
                CD4/CD8 selection, where the duration of                  account for the increased SP cells in Rlk -/-Itk -/-
                TCR signaling, in large part dictated by the              mice.
                expression patterns of the co-receptors CD4
                and CD8 upon TCR engagement, will deter-
                                                                          Development of Innate T-Lymphocyte
                mine their ultimate lineage as CD4 or CD8
                                                                          Populations
                single positive (SP) cells (Bosselut 2004).
                      It is therefore not surprising that Itk -/- and     Recent data have revealed surprising new find-
                Rlk Itk -/- T cells show altered thymocyte de-
                     -/-
                                                                          ings on thymic selection in mice deficient in
                velopment (Fig. 4). Itk -/- mice have smaller             Itk and Rlk (Atherly et al. 2006; Broussard
                thymi and show phenotypes consistent with                 et al. 2006; Dubois et al. 2006; Berg 2007; Hu
                impaired pre-TCR signaling. Although these                et al. 2007). Although Itk -/- and Rlk -/-Itk -/-
                defects are relatively subtle, competitive bone           mice show decreased positive selection of con-
                marrow transfers using mixtures of WT and                 ventional T cells using both MHC Class I and
                Itk -/- bone marrow indicated that both Itk -/-           Class II-restricted TCR transgenes, surprisingly,
                and Rlk -/-Itk -/- cells had a selective disadvan-        Itk -/- and Rlk -/-Itk -/- mice have increased num-
                tage at the DN-DP transition (Lucas et al.                bers of CD8 SP cells (Liao and Littman 1995;

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                                                                                              Tec Kinase Itk in T-Cell Signaling

                                                                 ab TCR       Thymic
                                                                                            Conventional    Itk-dependent
                                                        DP                    stromal
                                                                                               ab T
                                                                  MHC           cell                        (Fewer in Itk -/- mice)

                                                             SLAM receptors
                             DP                                 ab TCR
                                                        DP                HC                   ab NKT
                                                                 CD1d

                                                             SLAM receptors
                      DN                                        ab TCR                                      Itk-inhibited
                                                                                              Innate-like
                                                        DP                HC
                                                                                                 ab T       (More in Itk -/- mice)
                                                                  MHC

                                                              SLAM receptors

                                                                 gd TCR
                                                        DN                    ?                 gd NKT      Itk-independent

                                                                 gd TCR
                                                        DN                    ?              Conventional
                                                                                                 gd T

                Figure 4. Regulation of T-cell lineages by Itk. In the thymus, progenitor T cells (CD42CD82CD32; DN) develop
                into gd T cells and ab T cells. Cells developing in the ab T-cell lineage progress through an intermediate
                CD4þCD8þ (DP) stage prior to their maturation into mature conventional ab T cells, CD1d-restricted ab
                NKT cells and other subsets of innate-like ab T cells. Conventional ab T cells, which are selected on classical
                MHC molecules expressed on thymic stromal cells, and ab NKT cells, which are selected on the MHC class
                IB molecule, CD1d, expressed on hematopoietic cells (HC) and dependent on SLAM receptor signaling, are
                greatly reduced in the absence of Itk. In contrast, innate-like ab T cells, which are also selected by
                recognition of MHC molecules on HC and require SLAM receptor signaling, and “innate-like” gd T cells
                (gd NKT) are substantially increased in number in Itk -/- mice. A third subset of cells, illustrated by
                conventional gd T cells, appear unaffected by the presence versus the absence of Itk. Currently, the cell–cell
                interactions required for gd T-cell development are unknown.

                Schaeffer et al. 2000; Lucas et al. 2002). Further            upon activation (Atherly et al. 2006; Broussard
                examination of these CD8 SP populations sug-                  et al. 2006; Dubois et al. 2006; Hu et al. 2007).
                gested that these cells do not resemble conven-               These phenotypes are characteristic of memory
                tional naive CD8 SP thymocytes. Instead,                      cells in the periphery—however, developmental
                virtually all of the CD8 SP thymocytes in these               studies and fetal thymic organ cultures provided
                mice showed markers seen on memory or acti-                   evidence that Itk-deficient CD8 cells developed
                vated T cells, including CD44 and CD122 (the                  these characteristics within the thymus (Atherly
                IL-2Rb chain), and rapidly expressed cytokines                et al. 2006; Broussard et al. 2006; Dubois et al.

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                A.H. Andreotti et al.

                2006). Although genetic crosses showed a re-            is not clear. Reciprocal transfers of Itk -/-b2m-/-
                quirement for MHC Class I for their develop-            bone marrow provided evidence that the devel-
                ment, transfers of bone marrow from Itk -/- or          opment of these innate phenotypes required
                Rlk -/-Itk -/- mice into irradiated b2m-deficient       selection on hematopoietic cells (Horai et al.
                mice, which lack MHC-Class I on their radio-            2007). One possibility is that poor selection of
                resistant thymic stroma, showed that Itk -/- and        conventional thymocytes could permit selec-
                Rlk -/-Itk -/- CD8þ thymocytes could be selected        tion or expansion of cells selected on hema-
                on hematopoietically derived cells (Broussard           topoietic cells. However, transfer of WT bone
                et al. 2006). Although these observations are           marrow into irradiated b2m-deficient hosts
                atypical for conventional thymocytes, these fea-        prevents selection of conventional CD8þ T cells
                tures are all reminiscent of NKT cells and other        and yet does not give rise to a large number of
                related innate T-cell lineages; thus, many innate       innate CD8 cells, suggesting that development
                T-cell lineages have been shown to be selected          of these cells is normally suppressed. Given
                on double-positive thymocytes, to express acti-         the rapid production of cytokines showed by
                vation or memory cell markers, and to rapidly           these cells, it is likely that the generation of these
                produce cytokines even in the thymus (Berg              cells may be under tight control.
                2007). Like NKT cells, Itk -/- and Rlk -/-Itk -/-           Several theories could account for the devel-
                CD8þ cells also expressed NK cell markers and           opment of this population in Itk -/- mice. Itk
                high levels of the transcription factor Eosmeso-        could play a negative role in signaling pathways
                dermin, and were dependent on IL-15 (Atherly            required for the development of these lineages,
                et al. 2006; Dubois et al. 2006). Moreover, like        such those downstream of SLAM family recep-
                NKT cells, development of these CD8 cells was           tors. Alternatively, these cells might normally
                dependent on SAP, a small adaptor molecule              be deleted in wild-type animals—negative
                that is required for signaling from the SLAM            selection can occur on hematopoietic cells,
                family of receptors that are expressed on hema-         which express costimulatory molecules, such
                topoietic cells, but not on the thymic epithe-          as CD28, thought to be important in this proc-
                lium (Horai et al. 2007). Together these                ess (Punt et al. 1994). Alternatively, defective
                characteristics suggested that Itk-deficiency led       TCR signaling may make these cells more
                to the preferential selection of an innate CD8          susceptible to signals from costimulatory mole-
                cell population on hematopoietic cells within           cules, such as SLAM family members, or cyto-
                the thymus (Fig. 4).                                    kines that may be required either for selection
                     Although this phenotype is primarily seen          or development of these phenotypes (Atherly
                in CD8 cells, there is also a small population of       et al. 2006; Dubois et al. 2006; Horai et al.
                CD4 cells that show these properties in Itk -/-         2007). Further analyses will provide clues to
                mice. These CD44hiCD4þ cells are also depend-           the regulation of these interesting lineages that
                ent on SAP and express PLZF, a transcription            appear to be at the boundary of innate and adap-
                factor responsible for the innate characteristics       tive immune responses (Berg 2007).
                of NKT cells (PLS and LJB, unpublished data
                and Broussard et al. 2006; Hu and August
                                                                        Itk Signaling Regulates ab and gd NKT-Cell
                2008; Raberger et al. 2008). Although the select-
                                                                        Maturation
                ing cell population for the innate type T cells in
                Itk -/- mice is yet undetermined, the large num-        In addition to defects in the development
                ber of CD8 cells with this characteristic (and          and selection of conventional naı̈ve CD4þ and
                relatively low numbers of CD4 cells) suggests           CD8þ T-cells, abTCRþ NKT-cell maturation
                that it is likely to be DP thymocytes, which            is also impaired in the absence of Itk and Rlk
                express MHC Class I but not Class II, and are           (Gadue and Stein 2002; Au-Yeung and Fowell
                the selecting cells for NKT cells (Bendelac 1995).      2007; Felices and Berg 2008; and Fig. 5). In these
                     Why loss of Itk leads to the preferential          Tec kinase-deficient mice, ab NKT cell num-
                development of CD8 cells with this phenotype            bers are substantially reduced; furthermore, of

                14                                           Cite this article as Cold Spring Harb Perspect Biol 2010;2:a002287
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                                                                                            Tec Kinase Itk in T-Cell Signaling

                the cells that remain, few represent the most              switching to IgE. As with the majority of gd
                mature ab NKT subset characterized by high                 T cells, the ligand recognized by the Vg1.1/
                expression of NK1.1 and CD122, and down-                   Vd6.3þ TCR is unknown, nor is it known
                regulation of CD4. Itk -/- and Itk -/-Rlk -/- NKT          whether activation of these cells requires signal-
                cells also show poor responses to TCR stimula-             ing through the gd TCR.
                tion, producing little to no IL-4 and IFNg                      These findings raise several interesting
                following in vivo activation. Thus, similar to             issues regarding the development and signaling
                conventional ab T cells, ab NKT cells require              properties of gd T cells. In contrast to ab T cells,
                Tec kinases for their development and function.            gd T cells are not reduced in the absence of Itk;
                     In stark contrast to the requirements for             further, the gd NKT cell population is, in fact,
                abTCRþ T cells, the development of gd T cells              greatly expanded. These data indicate that the
                does not require Itk signaling (Fig. 4). The               signals regulating gd T-cell development do
                major gd T-cell populations that arise in the              not require Itk, a situation comparable to that
                fetus and adult are largely unchanged in Itk -/-           seen for innate CD8þ ab T cells. The expansion
                mice (Felices et al. 2009; C. Yin and LJB, unpub.          of both the gd NKT and the innate CD8þ pop-
                observ.). Indeed, overall gḋT cell numbers in             ulation in Itk -/- mice may reflect the fact that the
                Itk -/- mice are significantly increased compared          majority of these cells normally undergo nega-
                to wild-type mice, because of dramatic increases           tive selection, but that their deletion is impaired
                in one particular gd T-cell subset, the gd NKT             in the absence of Itk.
                cells (Felices et al. 2009; Qi et al. 2009). This               A second interesting issue is the apparently
                subset expresses the Vg1.1/Vd6.3 TCR; how-                 robust TCR signaling in Itk -/- gd T cells. ab T
                ever, in all other regards, these gd T cells share         cells lacking Itk have substantially reduced
                characteristics of CD1d-specific ab NKT cells              responses to TCR signaling, particularly in their
                rather than traits associated with most adult-             ability to synthesize effector cytokines. Itk -/- gd
                derived gd T cells (Vicari et al. 1996; Azuara             T cells, however, produce copious amounts of
                et al. 1997; Lees et al. 2001). For instance, the          cytokines in response to gd TCR stimulation.
                majority of gd NKT cells express CD4, NK1.1,               These data suggest that the biochemical path-
                and the signature NKT cell transcription factor,           ways downstream of the gd TCR are likely
                PLZF (Felices et al. 2009; Kreslavsky et al. 2009).        distinct from those in ab T cells. Consistent
                As a result, gd NKT cells, like their ab NKT cell          with this idea, mice carrying a mutant version
                counterparts, produce both IFNg and TH2                    of the adapter protein LAT also have few ab T
                cytokines. In addition, these cells preferentially         cells but greatly increased numbers of gd T cells
                home to the liver, rather than to lymphoid                 that overproduce TH2 cytokines; further, these
                organs such as the spleen (Lees et al. 2001; Feli-         mice share the hyper-IgE syndrome seen in
                ces et al. 2009).                                          Itk -/- mice (Nunez-Cruz et al. 2003). This LAT
                     Surprisingly, this expanded population of             mutant is lacking a critical tyrosine in the cyto-
                gd NKT cells is responsible for a spontaneous              plasmic tail that is essential for efficient TCR
                hyper-IgE syndrome observed in Itk -/- mice                signaling in ab T cells, reinforcing the notion
                (Felices et al. 2009; Qi et al. 2009). When                that aḃ and gd TCR signaling have distinct
                Itk -/- mice are crossed to mice lacking gd T cells,       biochemical requirements.
                the elevated serum IgE and germinal center
                hyperplasia seen in Itk -/- mice disappear. Itk -/-
                                                                           ITK AND HUMAN DISEASE
                splenic gd NKT cells constitutively express
                ICOS, and readily upregulate CD40-ligand                   Although mutations affecting Btk were identi-
                and OX40 following gd TCR stimulation in                   fied as the cause of X-linked Agammaglobuline-
                vitro (Felices et al. 2009). These findings suggest        mia 17 years ago (Rawlings et al. 1993; Thomas
                that Itk -/- gd NKT cells are being activated              et al. 1993; Tsukada et al. 1993; Vetrie et al.
                in vivo, allowing them to provide T cell help              1993), alterations in Itk have only recently
                to B cells and secrete cytokines that promote              been associated with human disorders. These

                Cite this article as Cold Spring Harb Perspect Biol 2010;2:a002287                                           15
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