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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2018.00332</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>T-Cell-Specific Loss of the PI-3-Kinase p110&#x003B1; Catalytic Subunit Results in Enhanced Cytokine Production and Antitumor Response</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Aragoneses-Fenoll</surname> <given-names>Laura</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/495287"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ojeda</surname> <given-names>Gloria</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/495290"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Montes-Casado</surname> <given-names>Mar&#x000ED;a</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/480154"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Acosta-Ampudia</surname> <given-names>Yeny</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/530498"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Dianzani</surname> <given-names>Umberto</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/529771"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Portol&#x000E9;s</surname> <given-names>Pilar</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/479217"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Rojo</surname> <given-names>Jos&#x000E9; M.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/483171"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Unidad de Inmunolog&#x000ED;a Celular, Centro Nacional de Microbiolog&#x000ED;a, Instituto de Salud Carlos III, Majadahonda</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country></aff>
<aff id="aff2"><sup>2</sup><institution>Departamento de Medicina Celular y Molecular, Centro de Investigaciones Biol&#x000F3;gicas, CSIC</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country></aff>
<aff id="aff3"><sup>3</sup><institution>Interdisciplinary Research Center of Autoimmune Diseases (IRCAD), Department of Health Sciences, University of Piemonte Orientale (UPO)</institution>, <addr-line>Novara</addr-line>, <country>Italy</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Loretta Tuosto, Sapienza Universit&#x000E0; di Roma, Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Christopher E. Rudd, Universit&#x000E9; de Montr&#x000E9;al, Canada; Klaus Okkenhaug, University of Cambridge, United Kingdom</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: Pilar Portol&#x000E9;s, <email>pportols&#x00040;isciii.es</email>; Jos&#x000E9; M. Rojo, <email>jmrojo&#x00040;cib.csic.es</email></corresp>
<fn fn-type="present-address" id="fn001"><p><sup>&#x02020;</sup>Present address: Yeny Acosta-Ampudia, Center for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogot&#x000E1;, Colombia</p></fn>
<fn fn-type="other" id="fn002"><p>Specialty section: This article was submitted to T Cell Biology, a section of the journal Frontiers in Immunology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>9</volume>
<elocation-id>332</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>02</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2018 Aragoneses-Fenoll, Ojeda, Montes-Casado, Acosta-Ampudia, Dianzani, Portol&#x000E9;s and Rojo.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Aragoneses-Fenoll, Ojeda, Montes-Casado, Acosta-Ampudia, Dianzani, Portol&#x000E9;s and Rojo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Class IA phosphatidylinositol 3-kinase (PI3K) catalytic subunits p110&#x003B1; and p110&#x003B4; are targets in cancer therapy expressed at high levels in T lymphocytes. The role of p110&#x003B4; PI3K in normal or pathological immune responses is well established, yet the importance of p110&#x003B1; subunits in T cell-dependent immune responses is not clear. To address this problem, mice with p110&#x003B1; conditionally deleted in CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) were used. p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice show normal development of T cell subsets, but slightly reduced numbers of CD4<sup>&#x0002B;</sup> T cells in the spleen. &#x0201C;<italic>In vitro</italic>,&#x0201D; TCR/CD3 plus CD28 activation of naive CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T T cells showed enhanced effector function, particularly IFN-&#x003B3; secretion, T-bet induction, and Akt, Erk, or P38 activation. Tfh derived from p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells also have enhanced responses when compared to normal mice, and IL-2 expanded p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T CD8<sup>&#x0002B;</sup> T cells had enhanced levels of LAMP-1 and Granzyme B. By contrast, the expansion of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T iTreg cells was diminished. Also, p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice had enhanced anti-keyhole limpet hemocyanin (KLH) IFN-&#x003B3;, or IL-4 responses and IgG1 and IgG2b anti-KLH antibodies, using CFA or Alum as adjuvant, respectively. When compared to WT mice, p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice inoculated with B16.F10 melanoma showed delayed tumor progression. The percentage of CD8<sup>&#x0002B;</sup> T lymphocytes was higher and the percentage of Treg cells lower in the spleen of tumor-bearing p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice. Also, IFN-&#x003B3; production in tumor antigen-activated spleen cells was enhanced. Thus, PI3K p110&#x003B1; plays a significant role in antigen activation and differentiation of CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes modulating antitumor immunity.</p>
</abstract>
<kwd-group>
<kwd>PI3K</kwd>
<kwd>PI3-kinase alpha subunit</kwd>
<kwd>T lymphocytes</kwd>
<kwd>CD28 costimulation</kwd>
<kwd>anti-KLH response</kwd>
<kwd>melanoma</kwd>
</kwd-group>
<contract-num rid="cn01">PI13/01809, PI13/02153, PI16CIII/00012</contract-num>
<contract-num rid="cn02">IG14430</contract-num>
<contract-sponsor id="cn01">Ministerio de Econom&#x000ED;a y Competitividad<named-content content-type="fundref-id">10.13039/501100003329</named-content></contract-sponsor>
<contract-sponsor id="cn02">Associazione Italiana per la Ricerca sul Cancro<named-content content-type="fundref-id">10.13039/501100005010</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="14"/>
<word-count count="7945"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="introduction">
<title>Introduction</title>
<p>Phosphoinositide-3 kinases (PI3K) phosphorylate inositol-containing lipids (PtdIns) at the D3 OH&#x02013; group of the inositol ring. Generation of PtdIns(3)P in the inner leaflet of membrane bilayers allow the recruitment of cytosolic proteins that participate in distinct signaling cascades [reviewed in Ref (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>)]. Three different classes of PI3K (class I, class II, and class III PI3K) are grouped according to their structure, regulation of activity, and preference for lipid substrate. Among these, the activity of class I PI3K that phosphorylate PtdIns(4,5)P<sub>2</sub> yielding PtdIns(3,4,5)P<sub>3</sub> is frequently altered in cancer cells and are important targets in cancer therapy (<xref ref-type="bibr" rid="B6">6</xref>&#x02013;<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>Class IA PI3-kinases are heterodimers of one catalytic subunit (p110&#x003B1;, p110&#x003B2;, or p110&#x003B4;) and one regulatory subunit (p85&#x003B1;, p55&#x003B1;, p50&#x003B1;, derived from the same gene by alternative splicing, or p85&#x003B2;) that characteristically bind to proteins phosphorylated at the tyrosine of YxxM motifs (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>), including molecules of the CD28 family (<xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B12">12</xref>). Class IB PI3-kinases comprise one p101 or p84/87<sup>PIKAB</sup> regulatory subunit and one p110&#x003B3; catalytic subunit. Class IB, but also class IA p110&#x003B2; kinases, are recruited and activated upon ligand binding to cell surface G-protein coupled receptors (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>). Whereas p110&#x003B1; and p110&#x003B2; catalytic subunits have a wide tissue distribution, p110&#x003B3; and p110&#x003B4; subunits are mainly expressed by cells of hematopoietic origin. Genetic and pharmacological data show that these Class I PI3-kinases are of prime importance to lymphocyte differentiation and activation necessary to develop effective immune responses (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B13">13</xref>&#x02013;<xref ref-type="bibr" rid="B15">15</xref>). Thus, the analysis of PI3-kinases in immune cells has focused on these subunits, as potential targets for immune intervention. Indeed, there is abundant evidence of the importance of both p110&#x003B3; and p110&#x003B4; in different aspects of normal or pathological leukocyte function and immune reactions [Reviewed in Ref (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>)].</p>
<p>The abundant expression of class IA p110&#x003B4; catalytic subunits by leukocytes, and the functional association of p110&#x003B4; to the antigen receptors of T and B lymphocytes might point to these catalytic subunits as the main source of class IA PI3-kinase activity in lymphocytes (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). Indeed, genetic and pharmacological data confirm the importance of p110&#x003B4; to B and T cell antigen activation, and p110&#x003B4;-specific inhibitors can induce inhibition of TCR activation, or costimulation by YxxM motif-containing molecules like CD28 or ICOS (<xref ref-type="bibr" rid="B20">20</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>We have previously shown that PI3-kinase p110&#x003B1; catalytic subunits are expressed by CD4<sup>&#x0002B;</sup> T lymphocytes, or T cell lines at levels comparable to those of p110&#x003B4; subunits (<xref ref-type="bibr" rid="B20">20</xref>). This is also found in other leukocyte populations (<xref ref-type="bibr" rid="B23">23</xref>). Interestingly, p110&#x003B1; subunits were preferentially recruited to phosphorylated ICOS or CD28 (<xref ref-type="bibr" rid="B20">20</xref>); this was due to the preferential association of p110&#x003B1; catalytic subunits to the regulatory subunits of class IA PI-3 kinases that bind to their phosphorylated YxxM motifs. In agreement with these data, inhibition or silencing p110&#x003B1; blocked ICOS-dependent elongation or costimulation of early TCR signals and cytokine secretion in T cell lines (<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>Here, we have used T-lymphocyte-specific deletion of p110&#x003B1; PI3-kinase to further analyze the role of p110&#x003B1; in T cell activation, CD28-dependent costimulation, and T-dependent responses. Our data show that CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes lacking p110&#x003B1; (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) have enhanced effector function and hampered expansion of Treg cells. Particularly, they show higher IFN-&#x003B3; secretion <italic>in vitro</italic> that correlate with higher T-bet levels and early Erk and P38 activation. Using protein antigens and experimental models of melanoma we show that p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice have altered humoral responses and inhibited growth of melanoma linked to enhanced antigen-specific IFN-&#x003B3; responses and lower Treg cell numbers.</p>
</sec>
<sec id="S2">
<title>Results</title>
<sec id="S2-1">
<title>Activation of PI3-Kinase p110&#x003B1;-Deficient CD4<sup>&#x0002B;</sup> T Cells</title>
<p>PI3-kinase p110&#x003B1;-null mice are embryonic lethal (<xref ref-type="bibr" rid="B24">24</xref>). So, to assess the role of p110&#x003B1; PI3-kinase in T cell function, mice with conditional deletion of the <italic>pik3ca</italic> gene in T cells were generated by crossing CD4-Cre mice and mice with a floxed <italic>pik3ca</italic> gene (p110&#x003B1;<sup>flox/flox</sup>) (<xref ref-type="bibr" rid="B24">24</xref>). CD4-Cre<sup>&#x0002B;/&#x02212;</sup>/p110&#x003B1;<sup>flox/flox</sup> mice will be hereinafter referred to as p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T, whereas CD4-Cre<sup>&#x02212;/&#x02212;</sup>/p110&#x003B1;<sup>flox/flox</sup> littermates will be termed wild type (WT). PI3-kinase p110&#x003B1; was efficiently removed from peripheral CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice; however, the PI3-kinase p110&#x003B4; subunit or other proteins like CD4, or Erk were unaffected (see Figure S1 in Supplementary Material, and data not shown). Most subpopulations in the peripheral lymphoid organs of WT and p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice were not significantly changed, including the percentage of total T (CD3<sup>&#x0002B;</sup>) cells, CD8 T lymphocytes, B lymphocytes, &#x003B3;&#x003B4;, and NKT lymphocytes, or NK cells (see Figure S1 in Supplementary Material, and data not shown). However, p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice showed a slightly lower number of spleen cells and a lower percentage of CD4<sup>&#x0002B;</sup> cells (Figure S1 in Supplementary Material), even though the percentage of naive and memory or Treg cells within the CD4<sup>&#x0002B;</sup> T cell population was not significantly different. Analysis of thymus cells indicated that this was not due to a deficient development of mature CD4<sup>&#x0002B;</sup> T lymphocytes (Figure S1 in Supplementary Material).</p>
<p>Next, the effect of PI3-kinase p110&#x003B1; removal on the activation of naive CD4<sup>&#x0002B;</sup> T lymphocytes <italic>in vitro</italic> was determined. Secretion of IL-10 and, particularly, IFN-&#x003B3; were significantly enhanced in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells activated with anti-CD3 plus anti-CD28 antibodies, as compared to WT littermates (Figure <xref ref-type="fig" rid="F1">1</xref>A). In contrast, IL-2 secretion or proliferation was not significantly changed (Figure <xref ref-type="fig" rid="F1">1</xref>A, and data not shown). The levels of the IFN-&#x003B3; master transcription factor T-bet were also significantly enhanced in activated CD4<sup>&#x0002B;</sup> T cells of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice (Figure <xref ref-type="fig" rid="F1">1</xref>B). Induction of T-bet expression in CD4<sup>&#x0002B;</sup> T lymphocytes depends on the activity of MAP kinases like P38 and, particularly, Erk, as revealed using specific inhibitors (Figure <xref ref-type="fig" rid="F1">1</xref>C). Consequently, the impact of p110&#x003B1; removal in early MAP kinase activation was analyzed (Figure <xref ref-type="fig" rid="F1">1</xref>D). As expected, activation of naive CD4<sup>&#x0002B;</sup> T with anti-CD3 plus anti-CD28 induced Tyr phosphorylation of specific substrates, and some of them showed enhanced phosphorylation in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cell lysates. Furthermore, Erk activation was clearly higher in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells than in WT cells. In unstimulated WT cells, the basal phosphorylation of P38 was not significantly changed upon anti-CD3 plus anti-CD28 stimulation. In p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells, the basal level of P38 activation was higher than in WT cells, and was enhanced by CD3 plus CD28 stimuli (Figure <xref ref-type="fig" rid="F1">1</xref>D). Interestingly, T cells lacking p110&#x003B1; show enhanced levels of phosphorylation of the PI3K target Akt. This suggests that other PI3K catalytic subunits like p110&#x003B4; can advantageously replace p110&#x003B1; concerning PI3K activation. Taken together, these data indicate that p110&#x003B1; removal enhances early activation signals in CD4<sup>&#x0002B;</sup> T lymphocytes, leading to enhanced MAPK activity, T-bet induction, and eventually to higher IFN-&#x003B3; secretion.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Effect of PI3-kinase p110&#x003B1; removal on naive T cell activation. <bold>(A)</bold> Naive CD4<sup>&#x0002B;</sup> T lymphocytes from WT or p110&#x003B1;-T cell deficient (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice were activated with plate-bound anti-CD3 plus anti-CD28, as indicated. At 72&#x02009;h, IL-2, IL-10, and IFN-&#x003B3; content in the supernatants was determined. Mean from three experiments&#x02009;&#x000B1;&#x02009;SE. Asterisks indicate significant differences (&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01; &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001) between groups, as determined by the Student&#x02019;s <italic>t</italic>-test. <bold>(B)</bold> Naive CD4<sup>&#x0002B;</sup> T lymphocytes from WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice (WT) were activated with plate-bound anti-CD3 plus anti-CD28 for 24&#x02009;h, then analyzed for T-bet expression by flow cytometry. Mean from three determinations&#x02009;&#x000B1;&#x02009;SE. Significant differences between data are indicated (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05). <bold>(C)</bold> Effect of MAPK inhibitors on T-bet induction. Naive CD4<sup>&#x0002B;</sup> T lymphocytes from WT mice were activated as in <bold>(B)</bold> in the presence of vehicle (DMSO), or the P38 inhibitor SB203580 (2&#x02009;&#x000B5;M), or Erk inhibitor U0126 (5&#x02009;&#x000B5;M), as indicated in the histograms. Red histograms: anti-T-bet; Blue histograms: control antibody. <bold>(D)</bold> WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T naive CD4<sup>&#x0002B;</sup> T cells were activated for 20&#x02009;min with CD3 plus CD28 stimulus. Cell lysates were then analyzed by immunoblot. Cells lacking PI3K p110&#x003B1; show increased phosphorylation of distinct proteins (left panel) as well as of activated forms of the ERK and P38 MAP kinases (center and right panels, and histograms), or Akt Ser<sub>473</sub> phosphorylation (right panels). Relative OD of CD3/CD28-activated WT cells was considered&#x02009;&#x0003D;&#x02009;1.00. Data from one experiment of three independent experiments performed.</p></caption>
<graphic xlink:href="fimmu-09-00332-g001.tif"/>
</fig>
</sec>
<sec id="S2-2">
<title>Effect of PI3-Kinase p110&#x003B1;-Deficiency on the Differentiation of Effector CD4<sup>&#x0002B;</sup> T Cells</title>
<p>Naive CD4<sup>&#x0002B;</sup> T cells were then differentiated into effector T cell populations &#x0201C;<italic>in vitro</italic>,&#x0201D; as under neutral activation conditions, i.e., in the absence of added cytokines, the effect of p110&#x003B1;-deficiency on cytokines other than IL-2, IL-10, or IFN-&#x003B3; could not be determined.</p>
<p>In differentiated Tfh cells, the production of IL-21 (Tfh) was significantly enhanced in p110&#x003B1;-deficient cells (Figure <xref ref-type="fig" rid="F2">2</xref>A). Then, ICOS-induced elongation of Tfh cells was analyzed. Tfh express ICOS at high levels, and it is known that ICOS interaction with ICOS-ligand expressed by bystander B cells is needed for Tfh cells to reach germinal centers. This phenomenon is dependent on PI3-kinase activity, so that ICOS-induced, PI3-kinase-dependent elongation of ICOS<sup>&#x0002B;</sup> T cells might be involved in germinal center formation <italic>in vivo</italic>. Our previous data using specific inhibitors indicated that, in Th2 cell lines, ICOS-induced elongation is largely dependent on the activity of the p110&#x003B1; PI3K subunits (<xref ref-type="bibr" rid="B20">20</xref>). Hence, anti-ICOS antibody was used to compare the elongation of &#x0201C;<italic>in vitro</italic>&#x0201D; differentiated Tfh cells of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T or WT genotype. As shown in Figure <xref ref-type="fig" rid="F2">2</xref>B, the contribution of p110&#x003B1; to this phenomenon was confirmed by the significantly lower elongation of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T Tfh cells. Indeed, the elongation of Tfh cells from WT, but not p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice was significantly inhibited by a p110&#x003B1;-specific PI3K inhibitor (A66, 1&#x02009;&#x000B5;M). In both cases, a p110&#x003B4;-specific inhibitor (IC87114, 5&#x02009;&#x000B5;M) blocked ICOS-induced elongation.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>PI3-kinase 110&#x003B1;-deficient Tfh cells show enhanced secretion of the effector cytokine IL-21 <bold>(A)</bold>, but partially impaired ICOS-induced elongation <bold>(B)</bold>. Naive CD4<sup>&#x0002B;</sup> T lymphocytes from WT or p110&#x003B1;-T cell deficient (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice were differentiated for 4&#x02009;days &#x0201C;<italic>in vitro</italic>&#x0201D; with anti-CD3 plus anti-CD28 antibodies under Tfh conditions. Then, culture supernatants were analyzed for IL-21 <bold>(A)</bold>, or ICOS-induced elongation of Tfh cells was determined <bold>(B)</bold>, as indicated. Mean&#x02009;&#x000B1;&#x02009;SE of four experiments <bold>(A)</bold>. In <bold>(B)</bold>, the elongation of WT or p110&#x003B1;-T cell-deficient Tfh cells was determined as the axis ratio in the presence of plate-bound Poly-L-Lys (PLL) or anti-ICOS, as indicated. The cultures received vehicle (DMSO), or inhibitors specific for PI3-kinase p110&#x003B1; (A66, 1&#x02009;&#x000B5;M) and p110&#x003B4; (IC87114, 5&#x02009;&#x000B5;M). Mean&#x02009;&#x000B1;&#x02009;SE of elongation in &#x0003E;50 individual cells. Significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05; &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001) were determined using the Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-09-00332-g002.tif"/>
</fig>
<p>Our results using Th1 T cells differentiated &#x0201C;<italic>in vitro</italic>&#x0201D; indicated that IL-2 and IFN-&#x003B3; secretion as well as T-bet expression were enhanced in cells lacking PI3K p110&#x003B1; (Figure S2A in Supplementary Material), in agreement with the results obtained under neutral conditions (Figure <xref ref-type="fig" rid="F1">1</xref>). In differentiated Th17, the production of IL-17A was also enhanced in p110&#x003B1;-deficient cells Figure S2A in Supplementary Material.</p>
<p>Last, the differentiation of naive CD4<sup>&#x0002B;</sup> T cells into iTreg was checked. No significant differences were observed in the percentage of CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup> (Figure <xref ref-type="fig" rid="F3">3</xref>), of Foxp3<sup>&#x0002B;</sup> cells expressing the inhibitory checkpoint marker PD-1 (Figure <xref ref-type="fig" rid="F3">3</xref>), or of Foxp3<sup>&#x0002B;</sup> cells expressing ICOS (data not shown). Furthermore, similar amounts of IL-10 were secreted on a per-cell basis (Figure <xref ref-type="fig" rid="F3">3</xref>B). In contrast, the number of cells recovered from p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cultures was significantly lower than from WT cultures, and so were the number of iTreg cells (Figure <xref ref-type="fig" rid="F3">3</xref>C). Overall, this might result in a weaker Treg activity in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Differentiation of iTreg in WT or PI3-kinase p110&#x003B1; deficient (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) CD4<sup>&#x0002B;</sup> T cells. <bold>(A)</bold> Naive CD4<sup>&#x0002B;</sup> T lymphocytes were cultured for 48&#x02009;h under conditions favoring Treg differentiation. The percentage of iTreg (CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup>) cells and the expression of PD-1 were analyzed by flow cytometry. Figures inside the histograms represent the percentage of cells in each quadrant. Data from one representative experiment of four performed. <bold>(B)</bold> Percentage of iTreg (Foxp3<sup>&#x0002B;</sup> cells in CD4<sup>&#x0002B;</sup> cells); PD-1<sup>&#x0002B;</sup> cells in Foxp3<sup>&#x0002B;</sup> cells; and IL-10 in culture supernatants. <bold>(C)</bold> Number of iTreg cells/culture in naive CD4<sup>&#x0002B;</sup> T lymphocytes from WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice cultured under Treg conditions. Mean from four experiments&#x02009;&#x000B1;&#x02009;SE. IL-10, mean from two experiments with similar results. Asterisks indicate significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05) between groups, as determined by the Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-09-00332-g003.tif"/>
</fig>
</sec>
<sec id="S2-3">
<title>p110&#x003B1; Deficiency Enhances CD8<sup>&#x0002B;</sup> T Cell Function</title>
<p>Then, the role of PI3K p110&#x003B1; deficiency on the activation and differentiation &#x0201C;<italic>in vitro</italic>&#x0201D; of T CD8<sup>&#x0002B;</sup> lymphocytes was also addressed. Naive CD8<sup>&#x0002B;</sup> T cells were cultured for 72&#x02009;h with anti-CD3 and anti-CD28. IFN-&#x003B3; levels were much higher in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cell cultures, in agreement with the results observed in CD4<sup>&#x0002B;</sup> T cells. As shown in Figure <xref ref-type="fig" rid="F4">4</xref>A, the levels of secreted TNF-&#x003B1; were clearly enhanced in activated p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells, whereas IL-2 secretion was not significantly different in WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>PI3-kinase p110&#x003B1; deficiency enhances activation and effector functions of CD8<sup>&#x0002B;</sup> naive T cells. <bold>(A)</bold> Naive (CD8<sup>&#x0002B;</sup> CD62L<sup>&#x0002B;</sup>) CD8<sup>&#x0002B;</sup> T lymphocytes were isolated from the spleen of WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice. They were activated for 3&#x02009;days with anti-CD3 and anti-CD28, as shown in the figure. Then, the culture supernatants were taken and analyzed for IL-2, IFN-&#x003B3;, and TNF-&#x003B1; content. Data from three experiments&#x02009;&#x000B1;&#x02009;SE. Significant differences (&#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001) between groups are indicated, as determined by the Student&#x02019;s <italic>t</italic>-test, n.s., not significant. Alternatively, CD8<sup>&#x0002B;</sup> T cells were activated 72&#x02009;h with anti-CD3 plus anti-CD28 antibodies, washed, and cultured 72&#x02009;h in the presence of IL-2. Then, the expression in the expanded cells of LAMP-1 <bold>(B)</bold>, or Granzymes A and B <bold>(C)</bold> was analyzed by flow cytometry. Mean&#x02009;&#x000B1;&#x02009;SE from three independent experiments (Granzyme A, B). Significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05; &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001) between means are indicated, as determined by the Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-09-00332-g004.tif"/>
</fig>
<p>Class I PI3-kinases control the differentiation of TCR-activated CD8<sup>&#x0002B;</sup> in the presence of IL-2. So, naive CD8<sup>&#x0002B;</sup> T cells were activated for 72&#x02009;h with anti-CD3 and anti-CD28, washed, and expanded in the presence of IL-2 for further 72&#x02009;h. The expanded p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells also showed enhanced effector mechanisms. These included the expression of molecules involved in cytotoxic mechanisms like CD107a (LAMP-1) and Granzyme B (Figures <xref ref-type="fig" rid="F4">4</xref>B,C), or IFN-&#x003B3; and TNF-&#x003B1; secretion (Figure S2B in Supplementary Material).</p>
</sec>
<sec id="S2-4">
<title>Altered Immune Responses against Protein Antigens in Mice with p110&#x003B1;-Deficient T Cells</title>
<p>The impact of T cell PI3K p110&#x003B1; deficiency &#x0201C;<italic>in vivo</italic>&#x0201D; was also analyzed in a model of immune response to the protein antigen keyhole limpet hemocyanin (KLH). Mice were first immunized s.c. with KLH in Freund&#x02019;s adjuvant (KLH/FCA). Cytokine release upon antigen re-stimulation &#x0201C;<italic>in vitro</italic>&#x0201D; of cells from draining lymph nodes was then determined (Figure <xref ref-type="fig" rid="F5">5</xref>A). The levels of IFN-&#x003B3; in cell cultures from p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice were significantly higher than those of WT mice. No significant differences were observed in the other cytokines examined (IL-2, IL-10, IL-17A, and TNF-&#x003B1;), even though the levels of the inflammatory cytokines IL-17A and TNF-&#x003B1; were higher in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells (Figure <xref ref-type="fig" rid="F5">5</xref>A). No significant differences were found in the levels of KLH-specific antibodies of the isotypes examined (Figure S3A in Supplementary Material).</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>T-cell PI3-kinase p110&#x003B1; deficiency alters cytokine and antibody responses against the protein antigen keyhole limpet hemocyanin (KLH). <bold>(A)</bold> WT (<italic>n</italic>&#x02009;&#x0003D;&#x02009;8) or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice (<italic>n</italic>&#x02009;&#x0003D;&#x02009;7) were immunized s.c. with KLH plus FCA. Lymph node cells from individual mice were taken on day 7 after immunization, and cultured &#x0201C;<italic>in vitro</italic>&#x0201D; for further 96&#x02009;h in the presence of KLH. Then, cytokines in the supernatant (IL-2, IL-10, IL-17A, IFN-&#x003B3;, or TNF-&#x003B1;) were determined, as indicated in the figure. Individual values as well as means&#x02009;&#x000B1;&#x02009;SE are shown. Data from two experiments. Significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05) are indicated, as determined by the Student&#x02019;s <italic>t</italic>-test. <bold>(B)</bold> KLH-specific response of WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice injected i.p. with KLH in Alum: antibodies of the IgG1, IgG2a, IgG2c, IgG3, and IgM isotypes were determined in the serum 10 days after immunization. <bold>(C)</bold> Percentage of germinal center B cells (CD19<sup>&#x0002B;</sup>PNA<sup>&#x0002B;</sup>) and Tfh cells (CD4<sup>&#x0002B;</sup>CXCR5<sup>&#x0002B;</sup>ICOS<sup>&#x0002B;</sup>) were determined in the spleen of KLH/Alum immunized mice. <bold>(D)</bold> Spleen cells from immunized mice were cultured &#x0201C;<italic>in vitro</italic>&#x0201D; for 96&#x02009;h in the presence of KLH, and cytokines in the supernatant (IL-4, IL-10, IFN-&#x003B3;) were determined. Data from one <bold>(C)</bold> or two experiments <bold>(B,D)</bold>. Individual values from <italic>n</italic>&#x02009;&#x0003D;&#x02009;8 (WT) or <italic>n</italic>&#x02009;&#x0003D;&#x02009;7 (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice <bold>(B,D)</bold>, or <italic>n</italic>&#x02009;&#x0003D;&#x02009;7 (WT) and <italic>n</italic>&#x02009;&#x0003D;&#x02009;5 (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice <bold>(C)</bold>, as well as means&#x02009;&#x000B1;&#x02009;SE, are shown. Significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05) are indicated, as determined by the Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-09-00332-g005.tif"/>
</fig>
<p>Mice were also immunized i.p. with KLH and Alum as adjuvant (KLH/Alum). In these conditions, the level of anti-KLH-specific antibodies of the IgG1 and IgG2b isotypes was significantly higher in the sera of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice (Figure <xref ref-type="fig" rid="F5">5</xref>B), as was the percentage of germinal center B lymphocytes and T lymphocytes with a Tfh cell phenotype in the spleen cells from immunized mice (Figure <xref ref-type="fig" rid="F5">5</xref>C). Spleen cells were re-stimulated &#x0201C;<italic>in vitro</italic>&#x0201D; with KLH and the cytokines released determined (Figure <xref ref-type="fig" rid="F5">5</xref>D; Figure S3B in Supplementary Material). Significantly enhanced secretion of the Th2 cytokine IL-4 fitted with the higher titer of IgG1 anti-KLH antibodies, but no significant differences were observed in IL-10 and IFN-&#x003B3; levels (Figure <xref ref-type="fig" rid="F5">5</xref>D) or in IL-2, IL-17A, and TNF-&#x003B1; levels (Figure S3B in Supplementary Material).</p>
</sec>
<sec id="S2-5">
<title>p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T Mice Show Enhanced Resistance to B16 Melanoma</title>
<p>IFN-&#x003B3; is a major mediator in antitumor adaptive responses. Since T cells from p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice had enhanced effector mechanisms including IFN-&#x003B3; secretion, and might have altered Treg proliferation, the effect of PI3K p110&#x003B1; deletion in T cells on the growth of s.c. injected B16.F10 melanoma was examined. Tumor growth was significantly lower in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice, as shown by tumor size or by the survival rate (Figure <xref ref-type="fig" rid="F6">6</xref>A). Furthermore, spleen cells from tumor-bearing mice were analyzed by flow cytometry and activated &#x0201C;<italic>in vitro</italic>&#x0201D; with melanoma proteins. Activated cells from p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice secreted significantly higher amounts of IFN-&#x003B3;; however, this difference was not found in other cytokines like IL-2 and TNF-&#x003B1; (Figure <xref ref-type="fig" rid="F6">6</xref>B). Interestingly, the percentage of CD8<sup>&#x0002B;</sup> T cells was significantly enhanced in tumor-bearing p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice (Figure <xref ref-type="fig" rid="F6">6</xref>C). Furthermore, CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup> Treg cells (CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup>) were significantly diminished in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice, and the level of Foxp3 in these cells was lower than in their WT counterparts (Figure <xref ref-type="fig" rid="F6">6</xref>C). The fraction of CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes expressing the inhibitory checkpoint marker PD-1 was also lower in the spleen of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice, yet the difference was not significant. In summary, our data show enhanced T-cell-mediated mechanisms of tumor rejection in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice.</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>PI3-kinase p110&#x003B1;-deficiency in T cells inhibits the growth of B16.F10 melanoma cells. <bold>(A)</bold> B16.F10 melanoma cells were injected s.c. in WT or p110&#x003B1;-T cell deficient (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice. Then, tumor growth and survival of mice were determined, as indicated. Data from two experiments are depicted as tumor size in individual mice (top panels) or as mean&#x02009;&#x000B1;&#x02009;SE from <italic>n</italic>&#x02009;&#x0003D;&#x02009;8 (WT) or <italic>n</italic>&#x02009;&#x0003D;&#x02009;6 (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice. Significant differences (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05) are indicated, as determined by the Student&#x02019;s <italic>t</italic>-test (lower left) or the long-rank Mantel&#x02013;Cox test (lower right). <bold>(B)</bold> Spleen cells from melanoma-bearing mice were activated &#x0201C;<italic>in vitro</italic>&#x0201D; with melanoma proteins for 96&#x02009;h. Then, cytokines in the supernatant (IL-2, IFN-&#x003B3;, TNF-&#x003B1;) were determined. Data from two experiments. Individual values from <italic>n</italic>&#x02009;&#x0003D;&#x02009;5 (WT) or <italic>n</italic>&#x02009;&#x0003D;&#x02009;5 (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice and means&#x02009;&#x000B1;&#x02009;SE, are depicted. Significant differences are indicated (&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01), as determined by the Student&#x02019;s <italic>t</italic>-test. <bold>(C)</bold> Expression of cell surface (CD4, CD8, PD-1) or intracellular markers (Foxp3) as determined by flow cytometry of spleen cells from WT (<italic>n</italic>&#x02009;&#x0003D;&#x02009;6) or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T (<italic>n</italic>&#x02009;&#x0003D;&#x02009;6) melanoma-bearing mice. Data expressed as percentage of cells or as mean fluorescence of Foxp3 in CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup> cells (lower right panel). Individual values and mean&#x02009;&#x000B1;&#x02009;SE are shown. Significant differences (&#x0002A; <italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01), as determined by the Student&#x02019;s <italic>t</italic>-test, are indicated.</p></caption>
<graphic xlink:href="fimmu-09-00332-g006a.tif"/>
<graphic xlink:href="fimmu-09-00332-g006b.tif"/>
</fig>
</sec>
</sec>
<sec id="S3" sec-type="discussion">
<title>Discussion</title>
<p>Class IA PI3Ks are essential to normal development and function of adaptive immune reactions. In T and B lymphocytes, the p110&#x003B4; isoform has a major role in ontogeny and adaptive immunity. Intriguingly, the p110&#x003B1; isoform is abundant in lymphocytes and can bind to and participate in the signals of costimulatory molecules like CD28 or ICOS (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Studies with isoform-specific inhibitors suggest that p110&#x003B1; might be relevant in certain T cell functions (i.e., IFN-&#x003B3; or IL-21 production) but not in others (i.e., IL-2) (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). Consequently, to further determine the importance of PI3K p110&#x003B1; in T cell function, CD4-Cre mice were crossed with mice with a floxed <italic>pik3ca</italic> gene (p110&#x003B1;<sup>flox/flox</sup>) to obtain mice (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) whose T cells lacked the PI3K p110&#x003B1; isoform.</p>
<p>Previous data using CD2-Cre mice and p110&#x003B1;<sup>flox/flox</sup> to delete PI3K p110&#x003B1; in lymphocytes indicated a role for p110&#x003B1; in pre-B cell receptor and tonic B-cell receptor signaling, contributing to B lymphocyte differentiation and B cell survival (<xref ref-type="bibr" rid="B27">27</xref>). In contrast, development and survival of CD3<sup>&#x0002B;</sup> cells in these p110&#x003B1;-deficient mice was apparently unaffected (<xref ref-type="bibr" rid="B27">27</xref>). Indeed, we observed no significant differences in the thymus differentiation of T cells or in the proportion of total T (i.e., CD3<sup>&#x0002B;</sup>) lymphocytes in the spleen of p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T animals. However, a closer analysis of lymphocyte subpopulations indicated a minor but significant decrease in the percentage of CD4<sup>&#x0002B;</sup> T cells as well as in the number of spleen cells.</p>
<p>In the absence of additional cytokines or signals, CD4<sup>&#x0002B;</sup> or CD8<sup>&#x0002B;</sup> p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T cells activated through TCR/CD3 and CD28 show augmented secretion of certain cytokines, particularly IFN-&#x003B3;. Enhanced signaling is observed very early in the activation of naive T cells at the Tyr phosphorylation of cell substrates, or in the activation of Akt and the MAP kinases Erk and P38. Furthermore, the level of the Th1 master transcription factor T-bet is also higher in activated p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T T cells.</p>
<p>Although these data suggest that Th1 responses are favored in the absence of p110&#x003B1;, our results also indicate that, depending on the conditions and/or the presence of additional cytokines, p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mouse T cells have significantly enhanced Tfh and effector CD8 cell responses &#x0201C;<italic>in vitro</italic>.&#x0201D; &#x0201C;<italic>In vivo</italic>,&#x0201D; injection of KLH in FCA induces enhanced IFN-&#x003B3; responses, whereas immunization with the same antigen in Alum induces enhanced production of the Th2 cytokine IL-4. Although this suggests a widespread enhancing effect of p110&#x003B1; deletion, the absence of significant changes in some cases like IL-2 point to a selective effect on specific signal pathways and transcription factors.</p>
<p>Taken together, our results with p110&#x003B1; deletion, plus previous data using inhibitors suggest that p110&#x003B1; contribute to PI3K signaling upon T lymphocyte activation, but at the same time might compete with other catalytic PI3K subunits (i.e., p110&#x003B4;) and down-modulate their signals. Since some molecules of the Ras family (including Ras) are activators of p110&#x003B1; but not p110&#x003B4; (<xref ref-type="bibr" rid="B28">28</xref>) and are recruited by phosphorylated CD28 through GRB/Sos (<xref ref-type="bibr" rid="B29">29</xref>), it is possible that the activity of recruited Ras is directed to Raf/Erk activation rather than to PI3K activation when p110&#x003B1; is missing.</p>
<p>Changes in T lymphocyte activation and differentiation in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice have interesting consequences in antitumor immunity. When compared to WT mice, tumor-bearing p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice have enhanced numbers of CD8<sup>&#x0002B;</sup> T lymphocytes and enhanced production of IFN-&#x003B3;. Furthermore, the percentage of Treg cells was lower in tumor-bearing p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice. Overall, these features should delay melanoma growth. In our p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice, p110&#x003B4; is left as the main PI3K class IA subunit present in T lymphocytes. Interestingly, PI3K p110&#x003B4; activity is necessary for efficient Treg expansion and function, and Tregs have a particular sensitivity to p110&#x003B4; inactivation or inhibition (<xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B32">32</xref>). So, mice with inactive p110&#x003B4; or p110&#x003B4;-specific inhibitors favor antitumor immunity by preventing Treg cell-mediated suppression (<xref ref-type="bibr" rid="B32">32</xref>). However, there are also data indicating that activation of the PI3K/AKT/mTOR axis inhibits iTreg (<xref ref-type="bibr" rid="B33">33</xref>&#x02013;<xref ref-type="bibr" rid="B37">37</xref>), and the p110&#x003B1; isoform might play a relevant role (<xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>Our data show that Treg numbers are not significantly altered in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice under homeostatic conditions. Treg differentiation &#x0201C;<italic>in vitro&#x0201D;</italic> is also unaffected in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T, as far as the percentage of Foxp3<sup>&#x0002B;</sup> cells, PD-1 expression, or IL-10 secretion is concerned; however, absolute numbers were lower in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T iTreg cultures. This effect was observed under different culture conditions provided TGF-&#x003B2; was present (data not shown), suggesting that, in our conditions, p110&#x003B1; is needed for iTreg expansion and/or survival <italic>in vitro</italic>. Whereas the percentage of Treg in the spleen of tumor-bearing mice was elevated compared to normal mice, p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T tumor-bearing mice had significantly lower Treg than WT mice. Previous data showing that Akt/mTOR activation fosters Th1 but hamper TGF-&#x003B2; signaling and Treg differentiation (<xref ref-type="bibr" rid="B38">38</xref>) fit with the enhanced Th1 response and lower Treg numbers observed in p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T T cells; this might well be due to overall enhancement of PI3K activity through p110&#x003B4; signaling. Alternatively, p110&#x003B1; might participate in IL-2R PI3K signals and PTEN expression in Treg, as IL-2-induced expansion of Treg needs IL-2 activation of the PI3K/Akt axis, but also TCR signals that block PTEN expression (<xref ref-type="bibr" rid="B39">39</xref>). These possibilities need to be further ascertained.</p>
<p>In summary, our data indicate that the p110&#x003B1; PI3K catalytic subunit contributes to and regulates the antigen activation and differentiation of CD4<sup>&#x0002B;</sup> and CD8<sup>&#x0002B;</sup> T lymphocytes, including antitumor immunity. This points to the importance of assessing the impact in immune responses of anticancer therapies using PI3K p110&#x003B1; inhibitors, particularly when combined with immunotherapy (<xref ref-type="bibr" rid="B40">40</xref>), or the importance of p110&#x003B1; in autoimmune diseases. Interestingly, recent data indicate that CD28, and particularly CD28 recruitment of PI3K, is a major target of PD-1-mediated dephosphorylation and PD-1 targeted immunotherapy (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>).</p>
</sec>
<sec id="S4" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S4-1">
<title>Mice</title>
<p>Mice used in this study were C57BL/6J, CD4-Cre [(<xref ref-type="bibr" rid="B43">43</xref>) Tg(Cd4-cre)1Cwi; MGI:2386448, backcrossed for nine generations with C57BL/6NTac mice], and <italic>Pik3ca<sup>flox</sup></italic>, p110&#x003B1;<sup>flox/flox</sup> described in Ref. (<xref ref-type="bibr" rid="B24">24</xref>). They were bred under specific pathogen-free conditions in the animal care facility of the Centro de Investigaciones Biol&#x000F3;gicas from stock purchased from Charles River (C57BL/6J, p110&#x003B1;<sup>flox/flox</sup>), or the European Mouse Mutant Archive Repository (CD4-Cre), and used at 8&#x02013;12&#x02009;weeks of age. CD4-Cre and p110&#x003B1;<sup>flox/flox</sup> mice were crossed to obtain CD4-Cre<sup>&#x0002B;/&#x02212;</sup> p110&#x003B1;<sup>flox/flox</sup> (p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T) mice, and these crossed with CD4-Cre<sup>&#x02212;/&#x02212;</sup> p110&#x003B1;<sup>flox/flox</sup> (WT) mice to obtain p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T and WT littermates used in the experiments. All experimental procedures were performed according to established institutional and national guidelines under project licenses PROEX 181/15 (JMR, CIB) and PROEX 330/15 (PP, ISCIII) from the Consejeria de Medio Ambiente y Ordenaci&#x000F3;n del Territorio de la Comunidad de Madrid. Mice were genotyped for Cre, p110&#x003B1;, p110&#x003B1;flox, or Cre-mediated removal of floxed p110&#x003B1; using the oligonucleotides and conditions described in Ref. (<xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec id="S4-2">
<title>Antibodies, Inhibitors, and Other Reagents</title>
<p>Antibodies used were monoclonal rat anti-mouse CD3&#x003B5; [YCD3-1 (<xref ref-type="bibr" rid="B44">44</xref>)]; rat anti-mouse CD4 [GK1.5 (<xref ref-type="bibr" rid="B45">45</xref>)]; rat anti-mouse CD8 [53&#x02013;6.72 (<xref ref-type="bibr" rid="B46">46</xref>)]; syrian hamster anti-mouse CD28 [37.51 (<xref ref-type="bibr" rid="B47">47</xref>)]; rat anti-mouse CD44 (IM-7.8.1); rat anti-mouse CD62L (MEL-14); armenian hamster anti- ICOS (CD278) [C398.4A (<xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>)]; anti-IL-4 (11B11); and anti-IFN-&#x003B3; (XMG.1). They were prepared in-house as protein A- or protein G-purified preparations from hybridoma supernatants, or purchased from eBioscience (37.51). Where needed, they were coupled with biotin, FITC, or DyLight<sub>647</sub> in our laboratory using standard methods or as recommended by the manufacturer. Anti-&#x003B3;&#x003B4;-FITC was from BD Biosciences, RM-5 anti-CD4-FITC, -PE, -PE-Cy7, and -APC conjugates, PE conjugates of anti-mouse CD8a, anti-CD19, anti-CD25, anti-NK1.1, anti-T-bet (4B10), and anti-Foxp3 (FJK-16s) antibodies; APC conjugates of anti-CD62L-, anti- ICOS- (C398.4A), anti-PD-1- (J43) antibodies were from eBioscience. Anti-mouse CXCR5-Biotin (2G8) was from BD-Pharmingen. Anti-CD107a (LAMP-1) (eBio1D4B) Alexa Fluor 488 conjugate and anti-Granzyme B-PE (NGZB-PE) were from eBioscience; anti-Granzyme A-FITC (3G8.5-FITC) was from Santa Cruz Biotechnology.</p>
<p>Anti-phosphotyrosine antibody (PY-20) was from GE Healthcare. Polyclonal rabbit anti-ZAP-70 and anti-CD4 antibodies were obtained and purified as described previously (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B50">50</xref>). Rabbit antibody specific for dually phosphorylated ERK (Anti-Active MAPK ref. V6671) was from Promega; rabbit anti-phospho-p38 MAPK (Thr180/Tyr182) (&#x00023;9211) and monoclonal rabbit anti-phospho-Akt(Ser473) (D9E, &#x00023;4060) antibodies were from Cell Signaling Technology. Conjugates of Streptavidin with AlexaFluor647 (Molecular Probes), PE (Southern Biotech) and PE-Cy7 (BD-Pharmingen) were also used. Peanut agglutinin FITC conjugate was from Vector.</p>
<p>Horseradish peroxidase-coupled polyclonal goat antibodies specific for mouse IgM, IgG1, IgG2b, IgG2c, and IgG3 immunoglobulin were from Southern Biotech.</p>
<p>Rabbit polyclonal anti-ERK antibody was from Upstate Biotechnology. Rabbit anti-PI3K p110&#x003B4; (H-219) was from Santa Cruz Biotechnology; the rabbit anti-p110&#x003B1; monoclonal antibody C73F8 was from Cell Signaling Technology.</p>
<p>Recombinant human IL-2 and mouse IL-4 and IL-6 were from Preprotech; recombinant human TGF-&#x003B2; was from R&#x00026;D. PI3K&#x003B1; inhibitor (A66) was from Selleckchem; the PI3K PI3K&#x003B4; Inhibitor IC87114 was from Symansis Pty. The P38 inhibitor SB203580 was from Sigma; the MEK1 inhibitor U0126 was from Calbiochem.</p>
</sec>
<sec id="S4-3">
<title>Cell Separation</title>
<p>Spleen or thymus cell suspensions were prepared in culture medium (Click&#x02019;s medium supplemented with 10% heat inactivated fetal bovine serum) and passed through 30-&#x000B5;m filters to remove clumps. Naive CD4<sup>&#x0002B;</sup> (CD4<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup>) T cells were isolated using mouse naive CD4<sup>&#x0002B;</sup> T cell isolation kit II (130-090-860, Miltenyi Biotech, Bergisch Gladbach, Germany). CD8<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup> T cells were obtained with the CD8a T Cell Isolation Kit (130-104-075) and anti-CD62L beads (Miltenyi Biotech). Where required, CD4<sup>&#x0002B;</sup> T cells were purified to &#x0003E;98% CD4<sup>&#x0002B;</sup> T cells by sorting using a FACS Vantage-DIVA flow cytometer (B-D Bioscience).</p>
</sec>
<sec id="S4-4">
<title>Cell Activation and Differentiation</title>
<p>CD4<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup> or CD8<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup> T cells were cultured at 0.5&#x02013;1&#x02009;&#x000D7;&#x02009;10<sup>6</sup>&#x02009;cells/ml in 24-well culture plates (Costar 3524, 1&#x02009;ml/well) or 96-well culture plates (Costar 3590, 0.2&#x02009;ml/well) previously coated with anti-CD3 (YCD3-1, 5&#x02013;10&#x02009;&#x000B5;g/ml) plus soluble anti-CD28 (2.5&#x02009;&#x000B5;g/ml), as described in the Section &#x0201C;<xref ref-type="sec" rid="S2">Results</xref>.&#x0201D; At 72&#x02009;h, supernatants were taken for cytokine determination. Differentiation of naive CD4<sup>&#x0002B;</sup> T cells into distinct functional effector subsets was performed by activation with anti-CD3 and anti-CD28 antibodies plus cytokines and antibodies as follows: for Th1 differentiation, 20&#x02009;ng/ml IL-12 and 5&#x02009;&#x000B5;g/ml anti-IL-4 (11B11); for Th2 differentiation, 10&#x02009;ng/ml IL-4 and 10&#x02009;&#x000B5;g/ml anti-IFN-&#x003B3; (XMG.1); for Th17 differentiation, 20&#x02009;ng/ml IL-6, 5&#x02009;ng/ml human TGF-&#x003B2;1 plus anti-IL-4 and anti-IFN-&#x003B3;; for Tfh differentiation, cells were cultured in the presence of anti-IL-4 and anti-IFN-&#x003B3; antibodies plus 20&#x02009;ng/ml IL-6. Treg differentiation from naive CD4<sup>&#x0002B;</sup> T cells was achieved with anti-CD3 (YCD3-1, 5&#x02009;&#x000B5;g/ml) plus huIL-2 (20&#x02009;ng/ml), 5&#x02009;ng/ml TGF-&#x003B2;1, 5&#x02009;&#x000B5;g/ml anti-IL-4, and 10&#x02009;&#x000B5;g/ml anti-IFN-&#x003B3;. At 48&#x02009;h, cells were stained for Foxp3 with the PE anti-mouse/rat FoxP3 staining set (eBioscience), according to the manufacturer&#x02019;s instructions.</p>
<p>Where needed, CD8<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup> T cells were first activated for 72&#x02009;h with anti-CD3 plus anti-CD28, washed, adjusted to 15&#x02009;&#x000D7;&#x02009;10<sup>4</sup>&#x02009;cells/ml in culture medium and then expanded for further 96&#x02009;h in the presence of 20&#x02009;ng/ml huIL-2.</p>
</sec>
<sec id="S4-5">
<title>Elongation Assays</title>
<p>Naive CD4<sup>&#x0002B;</sup> cells were first differentiated into Tfh cells that express high levels of ICOS. Elongation assays were performed in 24-well culture plates containing glass coverslips previously coated with anti-ICOS antibody or Poly-<sc>l</sc>-Lysine (10&#x02009;&#x000B5;g/ml in PBS), as described (<xref ref-type="bibr" rid="B20">20</xref>). After washing with PBS, the wells received 2&#x02009;&#x000D7;&#x02009;10<sup>5</sup>&#x02009;cells in 0.5&#x02009;ml of PBS, 10&#x02009;mM HEPES, 0.1% glucose, pH 7.2. The plates were briefly spun and then incubated for 60&#x02009;min at 37&#x000B0;C, washed twice with PBS, and fixed with 4% formaldehyde 5&#x02009;min at 37&#x000B0;C. After washing with PBS, the coverslips were mounted on Vectastain (Vector). The cells were analyzed in an Axioplan Universal microscope (Carl Zeiss, Jena, Germany) and a Leica DFC 350 FX CCD at a 40&#x000D7; magnification to acquire images. Cell elongation was expressed as the Axis Ratio of the major and minor axis of the ellipse fitting the cell using the shape descriptors of the ImageJ 1.51j8 public domain software (National Institutes of Health).</p>
</sec>
<sec id="S4-6">
<title>Cytokine Detection</title>
<p>Cytokines in culture supernatants (IL-2, IL-4, IL-10, IL-17A, IL-21, IFN-&#x003B3;, and TNF-&#x003B1;) were determined with Ready-SET-Go! kits (eBioscience).</p>
</sec>
<sec id="S4-7">
<title>Immunoblot Analysis</title>
<p>Phosphorylated Tyr in proteins and activated Erk and P38 MAP kinases were determined in lysates of activated cells. Freshly isolated CD4<sup>&#x0002B;</sup>CD62L<sup>&#x0002B;</sup> T cells from the spleen of WT or p110&#x003B1;<sup>&#x02212;/&#x02212;</sup>&#x00394;T mice were washed with PBS and activated for 20&#x02009;min at 37&#x000B0;C in serum-free medium by mixing the cells at 50&#x02009;&#x000D7;&#x02009;10<sup>6</sup>/ml with an equal number of latex beads coated with anti-CD3 or control antibodies (5&#x02009;&#x000B5;g/ml) in the presence of anti-CD28 antibodies (5&#x02009;&#x000B5;g/ml), as described in Ref. (<xref ref-type="bibr" rid="B12">12</xref>). Separation of cell lysates by SDS-PAGE, transfer to PVDF membranes, and immunoblot was performed as described previously in detail (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B51">51</xref>). ImageJ 1.51j8 was used for densitometry analysis of immunoblots.</p>
</sec>
<sec id="S4-8">
<title>Intracellular Staining and Flow Cytometry</title>
<p>For staining of the transcription factors Foxp3 and T-bet, or Granzymes A and B, the cells were cultured for the times specified in each case. After washing, they were fixed, permeabilized, and stained with fluorochrome-conjugated antibodies using the Transcription Factor Staining Buffer Set (Affimetrix/eBioscience), according to the manufacturer&#x02019;s instructions. Staining of CD107a was performed as described in detail in Ref. (<xref ref-type="bibr" rid="B52">52</xref>). Flow cytometry analysis of surface and intracellular stained cells was performed in a FC-500 flow cytometer (Beckman Coulter, Brea, SA, USA).</p>
</sec>
<sec id="S4-9">
<title>Immunization with KLH</title>
<p>Keyhole limpet hemocyanin (Sigma) was injected at 100&#x02009;&#x003BC;g/mouse. It was either emulsified v:v in Freund&#x02019;s complete adjuvant (FCA, Sigma-Aldrich) and injected s.c. in two sites in the base of the tail, or mixed with Alum (Imject Alum, Thermo Scientific) and injected i.p. Mice were bled and sacrificed on day 7 (FCA) or day 10 (Alum) after immunization. Cells from inguinal lymph nodes (FCA) or the spleen (Alum) of individual mice were analyzed by flow cytometry, or cultured in round-bottom 5&#x02009;ml polystyrene tubes at 5&#x02009;&#x000D7;&#x02009;10<sup>6</sup>&#x02009;cells/ml plus 100&#x02009;&#x000B5;g/ml KLH in 1&#x02009;ml of culture medium. Culture supernatants were taken at 96&#x02009;h to determine KLH-induced cytokine secretion. The titer of anti-KLH-specific antibodies of the IgM, IgG1, IgG2b, IgG2c, and IgG3 subclasses were determined in the serum of individual mice, as described previously (<xref ref-type="bibr" rid="B51">51</xref>).</p>
</sec>
<sec id="S4-10">
<title>Melanoma Cell Growth and Melanoma-Specific Responses</title>
<p>Mouse melanoma B16.F10 cells from a mycoplasma-free stock were maintained by serial passage in culture medium. Primary B16.F10 tumors were induced by s.c. inoculation of 10<sup>5</sup> B16.F10 melanoma cells in one flank of mice. Tumor size was periodically measured with calipers by experimenters blind to phenotype. Mice were sacrificed when tumor diameter reached 10&#x02009;mm, or on day 21 after inoculation, and spleen was obtained.</p>
<p>Spleen cells from individual mice were analyzed by flow cytometry, or cultured (5&#x02009;&#x000D7;&#x02009;10<sup>6</sup>&#x02009;cells/culture) in 1&#x02009;ml of culture medium in round-bottom 5&#x02009;ml polystyrene tubes containing 100&#x02009;&#x000B5;g/ml of protein extract from B16.F10 cell lysates. Supernatants were collected after 6&#x02009;days of culture and cytokine content determined by ELISA.</p>
</sec>
<sec id="S4-11">
<title>Statistical Analyses</title>
<p>The statistical analyses were performed with GraphPad Prism 6.05 using the Student&#x02019;s <italic>t</italic>-test, or the log-rank Mantel&#x02013;Cox test. Significant differences between data are indicated by asterisks (&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.05, &#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001).</p>
</sec>
</sec>
<sec id="S5">
<title>Ethics Statement</title>
<p>All experimental procedures were performed according to established institutional, local, and national guidelines. The studies were first approved by the Animal Welfare Commitees of the Centro de Investigaciones Biol&#x000F3;gicas (OEBA-CIB) and the Centro Nacional de Microbiolog&#x000ED;a (OEBA-Majadahonda). Then, the study was approved by the Ethics Commitee, Subcommiteee of Bioethics, of the Consejo Superior de Investigaciones Cient&#x000ED;ficas as well as by the Ethics and Animal Welfare Commitee of the Instituto de Salud Carlos III (CEYBA). The study was eventually authorized by the &#x0201C;Consejeria de Medio Ambiente y Ordenaci&#x000F3;n del Territorio de la Comunidad de Madrid&#x0201D; under project licenses PROEX 181/15 (to JR) and PROEX 330/15 (to PP).</p>
</sec>
<sec id="S6" sec-type="author-contributor">
<title>Author Contributions</title>
<p>JR, PP, and UD conceived, designed, and supervised the study, and wrote, reviewed, and revised the manuscript. LA-F, GO, MM-C, YA-A, and JR performed the experiments and acquired the data, analyzed and interpreted the results.</p>
</sec>
<sec id="S7">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>The authors thank the staff of CIB animal facility for animal husbandry and assistance in tumor experiments. PP is a Tenured Scientist of the Consejo Superior de Investigaciones Cient&#x000ED;ficas (CSIC) at the Centro Nacional de Microbiolog&#x000ED;a, Instituto de Salud Carlos III.</p>
</ack>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> The study was supported by &#x0201C;Acci&#x000F3;n Estrat&#x000E9;gica en Salud, Plan Estatal I&#x02009;&#x0002B;&#x02009;D&#x02009;&#x0002B;&#x02009;I,&#x0201D; Ministerio de Econom&#x000ED;a, Industria y Competitividad (MINECO, Spain) under Grants PI13/01809 (to JR), and Grants PI13/02153 and PI16CIII/00012 (to PP); and by Associazione Italiana Ricerca sul Cancro (AIRC, Milan) under Grant IG14430 and Fondazione Amici di Jean (to UD).</p></fn>
</fn-group>
<sec id="S8" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at <uri xlink:href="http://www.frontiersin.org/articles/10.3389/fimmu.2018.00332/full&#x00023;supplementary-material">http://www.frontiersin.org/articles/10.3389/fimmu.2018.00332/full&#x00023;supplementary-material</uri>.</p>
<supplementary-material xlink:href="Data_Sheet_1.PDF" id="SM1" mimetype="applicationn/PDF" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><label>1</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name> <name><surname>Leevers</surname> <given-names>SJ</given-names></name> <name><surname>Ahmadi</surname> <given-names>K</given-names></name> <name><surname>Timms</surname> <given-names>J</given-names></name> <name><surname>Katso</surname> <given-names>R</given-names></name> <name><surname>Driscoll</surname> <given-names>PC</given-names></name> <etal/></person-group> <article-title>Synthesis and function of 3-phosphorylated inositol lipids</article-title>. <source>Annu Rev Biochem</source> (<year>2001</year>) <volume>70</volume>:<fpage>535</fpage>&#x02013;<lpage>602</lpage>.<pub-id pub-id-type="doi">10.1146/annurev.biochem.70.1.535</pub-id><pub-id pub-id-type="pmid">11395417</pub-id></citation></ref>
<ref id="B2"><label>2</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Deane</surname> <given-names>JA</given-names></name> <name><surname>Fruman</surname> <given-names>DA</given-names></name></person-group>. <article-title>Phosphoinositide 3-kinase: diverse roles in immune cell activation</article-title>. <source>Annu Rev Immunol</source> (<year>2004</year>) <volume>22</volume>:<fpage>563</fpage>&#x02013;<lpage>98</lpage>.<pub-id pub-id-type="doi">10.1146/annurev.immunol.22.012703.104721</pub-id><pub-id pub-id-type="pmid">15032589</pub-id></citation></ref>
<ref id="B3"><label>3</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hawkins</surname> <given-names>PT</given-names></name> <name><surname>Anderson</surname> <given-names>KE</given-names></name> <name><surname>Davidson</surname> <given-names>K</given-names></name> <name><surname>Stephens</surname> <given-names>LR</given-names></name></person-group>. <article-title>Signalling through class I PI3Ks in mammalian cells</article-title>. <source>Biochem Soc Trans</source> (<year>2006</year>) <volume>34</volume>:<fpage>647</fpage>&#x02013;<lpage>62</lpage>.<pub-id pub-id-type="doi">10.1042/bst0340647</pub-id><pub-id pub-id-type="pmid">17052169</pub-id></citation></ref>
<ref id="B4"><label>4</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fruman</surname> <given-names>DA</given-names></name> <name><surname>Bismuth</surname> <given-names>G</given-names></name></person-group>. <article-title>Fine tuning the immune response with PI3K</article-title>. <source>Immunol Rev</source> (<year>2009</year>) <volume>228</volume>:<fpage>253</fpage>&#x02013;<lpage>72</lpage>.<pub-id pub-id-type="doi">10.1111/j.1600-065X.2008.00750.x</pub-id><pub-id pub-id-type="pmid">19290933</pub-id></citation></ref>
<ref id="B5"><label>5</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name> <name><surname>Guillermet-Guibert</surname> <given-names>J</given-names></name> <name><surname>Graupera</surname> <given-names>M</given-names></name> <name><surname>Bilanges</surname> <given-names>B</given-names></name></person-group>. <article-title>The emerging mechanisms of isoform-specific PI3K signalling</article-title>. <source>Nat Rev Mol Cell Biol</source> (<year>2010</year>) <volume>11</volume>:<fpage>329</fpage>&#x02013;<lpage>41</lpage>.<pub-id pub-id-type="doi">10.1038/nrm2882</pub-id><pub-id pub-id-type="pmid">20379207</pub-id></citation></ref>
<ref id="B6"><label>6</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>L</given-names></name> <name><surname>Vogt</surname> <given-names>PK</given-names></name></person-group>. <article-title>Class I PI3K in oncogenic cellular transformation</article-title>. <source>Oncogene</source> (<year>2008</year>) <volume>27</volume>:<fpage>5486</fpage>&#x02013;<lpage>96</lpage>.<pub-id pub-id-type="doi">10.1038/onc.2008.244</pub-id><pub-id pub-id-type="pmid">18794883</pub-id></citation></ref>
<ref id="B7"><label>7</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tzenaki</surname> <given-names>N</given-names></name> <name><surname>Papakonstanti</surname> <given-names>EA</given-names></name></person-group>. <article-title>p110&#x003B4; PI3 kinase pathway: emerging roles in cancer</article-title>. <source>Front Oncol</source> (<year>2013</year>) <volume>3</volume>:<fpage>40</fpage>.<pub-id pub-id-type="doi">10.3389/fonc.2013.00040</pub-id></citation></ref>
<ref id="B8"><label>8</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Samuels</surname> <given-names>Y</given-names></name> <name><surname>Waldman</surname> <given-names>T</given-names></name></person-group>. <article-title>Oncogenic mutations of PIK3CA in human cancers</article-title>. In: <person-group person-group-type="editor"><name><surname>Rommel</surname> <given-names>C</given-names></name> <name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name> <name><surname>Vogt</surname> <given-names>PK</given-names></name></person-group>, editors. <source>Phosphoinositide 3-Kinase in Health and Disease</source>. <publisher-loc>Berlin Heidelberg</publisher-loc>: <publisher-name>Springer</publisher-name> (<year>2010</year>). p. <fpage>21</fpage>&#x02013;<lpage>41</lpage>.</citation></ref>
<ref id="B9"><label>9</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Prasad</surname> <given-names>KVS</given-names></name> <name><surname>Cai</surname> <given-names>Y-C</given-names></name> <name><surname>Raab</surname> <given-names>M</given-names></name> <name><surname>Duckworth</surname> <given-names>B</given-names></name> <name><surname>Cantley</surname> <given-names>L</given-names></name> <name><surname>Shoelson</surname> <given-names>SE</given-names></name> <etal/></person-group> <article-title>T-cell antigen CD28 interacts with the lipid kinase phosphatidylinositol 3-kinase by a cytoplasmic Tyr(<italic>P</italic>)-Met-Xaa-Met motif</article-title>. <source>Proc Natl Acad Sci U S A</source> (<year>1994</year>) <volume>91</volume>:<fpage>2834</fpage>&#x02013;<lpage>8</lpage>.<pub-id pub-id-type="doi">10.1073/pnas.91.7.2834</pub-id><pub-id pub-id-type="pmid">8146197</pub-id></citation></ref>
<ref id="B10"><label>10</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schneider</surname> <given-names>H</given-names></name> <name><surname>Prasad</surname> <given-names>KVS</given-names></name> <name><surname>Shoelson</surname> <given-names>SE</given-names></name> <name><surname>Rudd</surname> <given-names>CE</given-names></name></person-group>. <article-title>CTLA-4 binding to the lipid kinase phosphatidylinositol 3-kinase in T cells</article-title>. <source>J Exp Med</source> (<year>1995</year>) <volume>181</volume>:<fpage>351</fpage>&#x02013;<lpage>5</lpage>.<pub-id pub-id-type="doi">10.1084/jem.181.1.351</pub-id><pub-id pub-id-type="pmid">7807015</pub-id></citation></ref>
<ref id="B11"><label>11</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Coyle</surname> <given-names>AJ</given-names></name> <name><surname>Lehar</surname> <given-names>S</given-names></name> <name><surname>Lloyd</surname> <given-names>C</given-names></name> <name><surname>Tian</surname> <given-names>J</given-names></name> <name><surname>Delaney</surname> <given-names>T</given-names></name> <name><surname>Manning</surname> <given-names>S</given-names></name> <etal/></person-group> <article-title>The CD28-related molecule ICOS is required for effective T cell-dependent immune responses</article-title>. <source>Immunity</source> (<year>2000</year>) <volume>13</volume>:<fpage>95</fpage>&#x02013;<lpage>105</lpage>.<pub-id pub-id-type="doi">10.1016/S1074-7613(00)00011-X</pub-id><pub-id pub-id-type="pmid">10933398</pub-id></citation></ref>
<ref id="B12"><label>12</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feito</surname> <given-names>MJ</given-names></name> <name><surname>Vaschetto</surname> <given-names>R</given-names></name> <name><surname>Criado</surname> <given-names>G</given-names></name> <name><surname>S&#x000E1;nchez</surname> <given-names>A</given-names></name> <name><surname>Chiocchetti</surname> <given-names>A</given-names></name> <name><surname>Jim&#x000E9;nez-Peri&#x000E1;&#x000F1;ez</surname> <given-names>A</given-names></name> <etal/></person-group> <article-title>Mechanisms of H4/ICOS costimulation: effects on proximal TCR signals and MAP kinase pathways</article-title>. <source>Eur J Immunol</source> (<year>2003</year>) <volume>33</volume>:<fpage>204</fpage>&#x02013;<lpage>14</lpage>.<pub-id pub-id-type="doi">10.1002/immu.200390023</pub-id><pub-id pub-id-type="pmid">12594849</pub-id></citation></ref>
<ref id="B13"><label>13</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Okkenhaug</surname> <given-names>K</given-names></name> <name><surname>Ali</surname> <given-names>K</given-names></name> <name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name></person-group>. <article-title>Antigen receptor signalling: a distinctive role for the p110&#x003B4; isoform of PI3K</article-title>. <source>Trends Immunol</source> (<year>2007</year>) <volume>28</volume>:<fpage>80</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1016/j.it.2006.12.007</pub-id></citation></ref>
<ref id="B14"><label>14</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rudd</surname> <given-names>CE</given-names></name> <name><surname>Schneider</surname> <given-names>H</given-names></name></person-group>. <article-title>Unifying concepts in CD28, ICOS and CTLA4 coreceptor signalling</article-title>. <source>Nat Rev Immunol</source> (<year>2003</year>) <volume>3</volume>:<fpage>544</fpage>&#x02013;<lpage>56</lpage>.<pub-id pub-id-type="doi">10.1038/nri1131</pub-id></citation></ref>
<ref id="B15"><label>15</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rudd</surname> <given-names>CE</given-names></name> <name><surname>Taylor</surname> <given-names>A</given-names></name> <name><surname>Schneider</surname> <given-names>H</given-names></name></person-group>. <article-title>CD28 and CTLA-4 coreceptor expression and signal transduction</article-title>. <source>Immunol Rev</source> (<year>2009</year>) <volume>229</volume>:<fpage>12</fpage>&#x02013;<lpage>26</lpage>.<pub-id pub-id-type="doi">10.1111/j.1600-065X.2009.00770.x</pub-id><pub-id pub-id-type="pmid">19426212</pub-id></citation></ref>
<ref id="B16"><label>16</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rommel</surname> <given-names>C</given-names></name> <name><surname>Camps</surname> <given-names>M</given-names></name> <name><surname>Ji</surname> <given-names>H</given-names></name></person-group>. <article-title>PI3K&#x003B4; and PI3K&#x003B3;: partners in crime in inflammation in rheumatoid arthritis and beyond?</article-title> <source>Nat Rev Immunol</source> (<year>2007</year>) <volume>7</volume>:<fpage>191</fpage>&#x02013;<lpage>201</lpage>.<pub-id pub-id-type="doi">10.1038/nri2036</pub-id></citation></ref>
<ref id="B17"><label>17</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>So</surname> <given-names>L</given-names></name> <name><surname>Fruman</surname> <given-names>DA</given-names></name></person-group>. <article-title>PI3K signalling in B- and T-lymphocytes: new developments and therapeutic advances</article-title>. <source>Biochem J</source> (<year>2012</year>) <volume>442</volume>:<fpage>465</fpage>&#x02013;<lpage>81</lpage>.<pub-id pub-id-type="doi">10.1042/bj20112092</pub-id><pub-id pub-id-type="pmid">22364281</pub-id></citation></ref>
<ref id="B18"><label>18</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Okkenhaug</surname> <given-names>K</given-names></name> <name><surname>Bilancio</surname> <given-names>A</given-names></name> <name><surname>Farjot</surname> <given-names>G</given-names></name> <name><surname>Priddle</surname> <given-names>H</given-names></name> <name><surname>Sancho</surname> <given-names>S</given-names></name> <name><surname>Peskett</surname> <given-names>E</given-names></name> <etal/></person-group> <article-title>Impaired B and T cell antigen receptor signaling in p110&#x003B4; PI 3-kinase mutant mice</article-title>. <source>Science</source> (<year>2002</year>) <volume>297</volume>:<fpage>1031</fpage>&#x02013;<lpage>4</lpage>.<pub-id pub-id-type="doi">10.1126/science.1073560</pub-id></citation></ref>
<ref id="B19"><label>19</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Delgado</surname> <given-names>P</given-names></name> <name><surname>Cubelos</surname> <given-names>B</given-names></name> <name><surname>Calleja</surname> <given-names>E</given-names></name> <name><surname>Martinez-Martin</surname> <given-names>N</given-names></name> <name><surname>Cipres</surname> <given-names>A</given-names></name> <name><surname>Merida</surname> <given-names>I</given-names></name> <etal/></person-group> <article-title>Essential function for the GTPase TC21 in homeostatic antigen receptor signaling</article-title>. <source>Nat Immunol</source> (<year>2009</year>) <volume>10</volume>:<fpage>880</fpage>&#x02013;<lpage>8</lpage>.<pub-id pub-id-type="doi">10.1038/ni.1749</pub-id><pub-id pub-id-type="pmid">19561613</pub-id></citation></ref>
<ref id="B20"><label>20</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Acosta</surname> <given-names>Y</given-names></name> <name><surname>Zafra</surname> <given-names>M</given-names></name> <name><surname>Ojeda</surname> <given-names>G</given-names></name> <name><surname>Bernardone</surname> <given-names>I</given-names></name> <name><surname>Dianzani</surname> <given-names>U</given-names></name> <name><surname>Portol&#x000E9;s</surname> <given-names>P</given-names></name> <etal/></person-group> <article-title>Biased binding of class IA phosphatidyl inositol 3-kinase subunits to inducible costimulator (CD278)</article-title>. <source>Cell Mol Life Sci</source> (<year>2011</year>) <volume>68</volume>:<fpage>3065</fpage>&#x02013;<lpage>79</lpage>.<pub-id pub-id-type="doi">10.1007/s00018-010-0606-1</pub-id><pub-id pub-id-type="pmid">21188463</pub-id></citation></ref>
<ref id="B21"><label>21</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ji</surname> <given-names>H</given-names></name> <name><surname>Rintelen</surname> <given-names>F</given-names></name> <name><surname>Waltzinger</surname> <given-names>C</given-names></name> <name><surname>Bertschy Meier</surname> <given-names>D</given-names></name> <name><surname>Bilancio</surname> <given-names>A</given-names></name> <name><surname>Pearce</surname> <given-names>W</given-names></name> <etal/></person-group> <article-title>Inactivation of PI3K&#x003B3; and PI3K&#x003B4; distorts T-cell development and causes multiple organ inflammation</article-title>. <source>Blood</source> (<year>2007</year>) <volume>110</volume>:<fpage>2940</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1182/blood-2007-04-086751</pub-id></citation></ref>
<ref id="B22"><label>22</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soond</surname> <given-names>DR</given-names></name> <name><surname>Bjorgo</surname> <given-names>E</given-names></name> <name><surname>Moltu</surname> <given-names>K</given-names></name> <name><surname>Dale</surname> <given-names>VQ</given-names></name> <name><surname>Patton</surname> <given-names>DT</given-names></name> <name><surname>Torgersen</surname> <given-names>KM</given-names></name> <etal/></person-group> <article-title>PI3K p110&#x003B4; regulates T-cell cytokine production during primary and secondary immune responses in mice and humans</article-title>. <source>Blood</source> (<year>2010</year>) <volume>115</volume>:<fpage>2203</fpage>&#x02013;<lpage>13</lpage>.<pub-id pub-id-type="doi">10.1182/blood-2009-07-232330</pub-id></citation></ref>
<ref id="B23"><label>23</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Su</surname> <given-names>AI</given-names></name> <name><surname>Wiltshire</surname> <given-names>T</given-names></name> <name><surname>Batalov</surname> <given-names>S</given-names></name> <name><surname>Lapp</surname> <given-names>H</given-names></name> <name><surname>Ching</surname> <given-names>KA</given-names></name> <name><surname>Block</surname> <given-names>D</given-names></name> <etal/></person-group> <article-title>A gene atlas of the mouse and human protein-encoding transcriptomes</article-title>. <source>Proc Natl Acad Sci U S A</source> (<year>2004</year>) <volume>101</volume>:<fpage>6062</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1073/pnas.0400782101</pub-id><pub-id pub-id-type="pmid">15075390</pub-id></citation></ref>
<ref id="B24"><label>24</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Graupera</surname> <given-names>M</given-names></name> <name><surname>Guillermet-Guibert</surname> <given-names>J</given-names></name> <name><surname>Foukas</surname> <given-names>LC</given-names></name> <name><surname>Phng</surname> <given-names>L-K</given-names></name> <name><surname>Cain</surname> <given-names>RJ</given-names></name> <name><surname>Salpekar</surname> <given-names>A</given-names></name> <etal/></person-group> <article-title>Angiogenesis selectively requires the p110&#x003B1; isoform of PI3K to control endothelial cell migration</article-title>. <source>Nature</source> (<year>2008</year>) <volume>453</volume>:<fpage>662</fpage>&#x02013;<lpage>6</lpage>.<pub-id pub-id-type="doi">10.1038/nature06892</pub-id></citation></ref>
<ref id="B25"><label>25</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Acosta</surname> <given-names>YY</given-names></name> <name><surname>Montes-Casado</surname> <given-names>M</given-names></name> <name><surname>Aragoneses-Fenoll</surname> <given-names>L</given-names></name> <name><surname>Dianzani</surname> <given-names>U</given-names></name> <name><surname>Portol&#x000E9;s</surname> <given-names>P</given-names></name> <name><surname>Rojo</surname> <given-names>JM</given-names></name></person-group>. <article-title>Suppression of CD4<sup>&#x0002B;</sup> T lymphocyte activation &#x0201C;in vitro&#x0201D; and experimental encephalomyelitis &#x0201C;in vivo&#x0201D; by the phosphatidyl inositol 3-kinase inhibitor PIK-75</article-title>. <source>Int J Immunopathol Pharmacol</source> (<year>2014</year>) <volume>27</volume>:<fpage>53</fpage>&#x02013;<lpage>67</lpage>.<pub-id pub-id-type="doi">10.1177/039463201402700108</pub-id></citation></ref>
<ref id="B26"><label>26</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>So</surname> <given-names>L</given-names></name> <name><surname>Yea</surname> <given-names>SS</given-names></name> <name><surname>Oak</surname> <given-names>JS</given-names></name> <name><surname>Lu</surname> <given-names>M</given-names></name> <name><surname>Manmadhan</surname> <given-names>A</given-names></name> <name><surname>Ke</surname> <given-names>QH</given-names></name> <etal/></person-group> <article-title>Selective inhibition of phosphoinositide 3-kinase p110&#x003B1; preserves lymphocyte function</article-title>. <source>J Biol Chem</source> (<year>2013</year>) <volume>288</volume>:<fpage>5718</fpage>&#x02013;<lpage>31</lpage>.<pub-id pub-id-type="doi">10.1074/jbc.M112.379446</pub-id></citation></ref>
<ref id="B27"><label>27</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ramadani</surname> <given-names>F</given-names></name> <name><surname>Bolland</surname> <given-names>DJ</given-names></name> <name><surname>Garcon</surname> <given-names>F</given-names></name> <name><surname>Emery</surname> <given-names>JL</given-names></name> <name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name> <name><surname>Corcoran</surname> <given-names>AE</given-names></name> <etal/></person-group> <article-title>The PI3K isoforms p110&#x003B1; and p110&#x003B4; are essential for pre-B cell receptor signaling and B cell development</article-title>. <source>Sci Signal</source> (<year>2010</year>) <volume>3</volume>:<fpage>ra60</fpage>.<pub-id pub-id-type="doi">10.1126/scisignal.2001104</pub-id></citation></ref>
<ref id="B28"><label>28</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rodriguez-Viciana</surname> <given-names>P</given-names></name> <name><surname>Sabatier</surname> <given-names>C</given-names></name> <name><surname>McCormick</surname> <given-names>F</given-names></name></person-group>. <article-title>Signaling specificity by Ras family GTPases is determined by the full spectrum of effectors they regulate</article-title>. <source>Mol Cell Biol</source> (<year>2004</year>) <volume>24</volume>:<fpage>4943</fpage>&#x02013;<lpage>54</lpage>.<pub-id pub-id-type="doi">10.1128/mcb.24.11.4943-4954.2004</pub-id><pub-id pub-id-type="pmid">15143186</pub-id></citation></ref>
<ref id="B29"><label>29</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schneider</surname> <given-names>H</given-names></name> <name><surname>Cai</surname> <given-names>Y-C</given-names></name> <name><surname>Prasad</surname> <given-names>KVS</given-names></name> <name><surname>Shoelson</surname> <given-names>SE</given-names></name> <name><surname>Rudd</surname> <given-names>CE</given-names></name></person-group>. <article-title>T cell antigen CD28 binds to the GRB-2/SOS complex, regulators of p21ras</article-title>. <source>Eur J Immunol</source> (<year>1995</year>) <volume>25</volume>:<fpage>1044</fpage>&#x02013;<lpage>50</lpage>.<pub-id pub-id-type="doi">10.1002/eji.1830250428</pub-id><pub-id pub-id-type="pmid">7737275</pub-id></citation></ref>
<ref id="B30"><label>30</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Patton</surname> <given-names>DT</given-names></name> <name><surname>Garden</surname> <given-names>OA</given-names></name> <name><surname>Pearce</surname> <given-names>WP</given-names></name> <name><surname>Clough</surname> <given-names>LE</given-names></name> <name><surname>Monk</surname> <given-names>CR</given-names></name> <name><surname>Leung</surname> <given-names>E</given-names></name> <etal/></person-group> <article-title>Cutting edge: the phosphoinositide 3-kinase p110&#x003B4; is critical for the function of CD4<sup>&#x0002B;</sup>CD25<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup> regulatory T cells</article-title>. <source>J Immunol</source> (<year>2006</year>) <volume>177</volume>:<fpage>6598</fpage>&#x02013;<lpage>602</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.177.10.6598</pub-id></citation></ref>
<ref id="B31"><label>31</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>D</given-names></name> <name><surname>Zhang</surname> <given-names>T</given-names></name> <name><surname>Marshall</surname> <given-names>AJ</given-names></name> <name><surname>Okkenhaug</surname> <given-names>K</given-names></name> <name><surname>Vanhaesebroeck</surname> <given-names>B</given-names></name> <name><surname>Uzonna</surname> <given-names>JE</given-names></name></person-group>. <article-title>The p110&#x003B4; isoform of phosphatidylinositol 3-kinase controls susceptibility to <italic>Leishmania major</italic> by regulating expansion and tissue homing of regulatory T cells</article-title>. <source>J Immunol</source> (<year>2009</year>) <volume>183</volume>:<fpage>1921</fpage>&#x02013;<lpage>33</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.0901099</pub-id></citation></ref>
<ref id="B32"><label>32</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ali</surname> <given-names>K</given-names></name> <name><surname>Soond</surname> <given-names>DR</given-names></name> <name><surname>Pineiro</surname> <given-names>R</given-names></name> <name><surname>Hagemann</surname> <given-names>T</given-names></name> <name><surname>Pearce</surname> <given-names>W</given-names></name> <name><surname>Lim</surname> <given-names>EL</given-names></name> <etal/></person-group> <article-title>Inactivation of PI(3)K p110&#x003B4; breaks regulatory T-cell-mediated immune tolerance to cancer</article-title>. <source>Nature</source> (<year>2014</year>) <volume>510</volume>:<fpage>407</fpage>&#x02013;<lpage>11</lpage>.<pub-id pub-id-type="doi">10.1038/nature13444</pub-id></citation></ref>
<ref id="B33"><label>33</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haxhinasto</surname> <given-names>S</given-names></name> <name><surname>Mathis</surname> <given-names>D</given-names></name> <name><surname>Benoist</surname> <given-names>C</given-names></name></person-group>. <article-title>The AKT-mTOR axis regulates de novo differentiation of CD4<sup>&#x0002B;</sup>Foxp3<sup>&#x0002B;</sup> cells</article-title>. <source>J Exp Med</source> (<year>2008</year>) <volume>205</volume>:<fpage>565</fpage>&#x02013;<lpage>74</lpage>.<pub-id pub-id-type="doi">10.1084/jem.20071477</pub-id><pub-id pub-id-type="pmid">18283119</pub-id></citation></ref>
<ref id="B34"><label>34</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sauer</surname> <given-names>S</given-names></name> <name><surname>Bruno</surname> <given-names>L</given-names></name> <name><surname>Hertweck</surname> <given-names>A</given-names></name> <name><surname>Finlay</surname> <given-names>D</given-names></name> <name><surname>Leleu</surname> <given-names>M</given-names></name> <name><surname>Spivakov</surname> <given-names>M</given-names></name> <etal/></person-group> <article-title>T cell receptor signaling controls Foxp3 expression via PI3K, Akt, and mTOR</article-title>. <source>Proc Natl Acad Sci U S A</source> (<year>2008</year>) <volume>105</volume>:<fpage>7797</fpage>&#x02013;<lpage>802</lpage>.<pub-id pub-id-type="doi">10.1073/pnas.0800928105</pub-id><pub-id pub-id-type="pmid">18509048</pub-id></citation></ref>
<ref id="B35"><label>35</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Merkenschlager</surname> <given-names>M</given-names></name> <name><surname>von Boehmer</surname> <given-names>H</given-names></name></person-group>. <article-title>PI3 kinase signalling blocks Foxp3 expression by sequestering Foxo factors</article-title>. <source>J Exp Med</source> (<year>2010</year>) <volume>207</volume>:<fpage>1347</fpage>&#x02013;<lpage>50</lpage>.<pub-id pub-id-type="doi">10.1084/jem.20101156</pub-id><pub-id pub-id-type="pmid">20603315</pub-id></citation></ref>
<ref id="B36"><label>36</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Semple</surname> <given-names>K</given-names></name> <name><surname>Nguyen</surname> <given-names>A</given-names></name> <name><surname>Yu</surname> <given-names>Y</given-names></name> <name><surname>Wang</surname> <given-names>H</given-names></name> <name><surname>Anasetti</surname> <given-names>C</given-names></name> <name><surname>Yu</surname> <given-names>X-Z</given-names></name></person-group>. <article-title>Strong CD28 costimulation suppresses induction of regulatory T cells from naive precursors through Lck signaling</article-title>. <source>Blood</source> (<year>2011</year>) <volume>117</volume>:<fpage>3096</fpage>&#x02013;<lpage>103</lpage>.<pub-id pub-id-type="doi">10.1182/blood-2010-08-301275</pub-id><pub-id pub-id-type="pmid">21245484</pub-id></citation></ref>
<ref id="B37"><label>37</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Harada</surname> <given-names>Y</given-names></name> <name><surname>Harada</surname> <given-names>Y</given-names></name> <name><surname>Elly</surname> <given-names>C</given-names></name> <name><surname>Ying</surname> <given-names>G</given-names></name> <name><surname>Paik</surname> <given-names>J-H</given-names></name> <name><surname>DePinho</surname> <given-names>RA</given-names></name> <etal/></person-group> <article-title>Transcription factors Foxo3a and Foxo1 couple the E3 ligase Cbl-b to the induction of Foxp3 expression in induced regulatory T cells</article-title>. <source>J Exp Med</source> (<year>2010</year>) <volume>207</volume>:<fpage>1381</fpage>&#x02013;<lpage>91</lpage>.<pub-id pub-id-type="doi">10.1084/jem.20100004</pub-id><pub-id pub-id-type="pmid">20439537</pub-id></citation></ref>
<ref id="B38"><label>38</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>G</given-names></name> <name><surname>Yang</surname> <given-names>K</given-names></name> <name><surname>Burns</surname> <given-names>S</given-names></name> <name><surname>Shrestha</surname> <given-names>S</given-names></name> <name><surname>Chi</surname> <given-names>H</given-names></name></person-group>. <article-title>The S1P1-mTOR axis directs the reciprocal differentiation of TH1 and Treg cells</article-title>. <source>Nat Immunol</source> (<year>2010</year>) <volume>11</volume>:<fpage>1047</fpage>&#x02013;<lpage>56</lpage>.<pub-id pub-id-type="doi">10.1038/ni.1939</pub-id></citation></ref>
<ref id="B39"><label>39</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bensinger</surname> <given-names>SJ</given-names></name> <name><surname>Walsh</surname> <given-names>PT</given-names></name> <name><surname>Zhang</surname> <given-names>J</given-names></name> <name><surname>Carroll</surname> <given-names>M</given-names></name> <name><surname>Parsons</surname> <given-names>R</given-names></name> <name><surname>Rathmell</surname> <given-names>JC</given-names></name> <etal/></person-group> <article-title>Distinct IL-2 receptor signaling pattern in CD4<sup>&#x0002B;</sup>CD25<sup>&#x0002B;</sup> regulatory T cells</article-title>. <source>J Immunol</source> (<year>2004</year>) <volume>172</volume>:<fpage>5287</fpage>&#x02013;<lpage>96</lpage>.<pub-id pub-id-type="doi">10.4049/jimmunol.172.9.5287</pub-id><pub-id pub-id-type="pmid">15100267</pub-id></citation></ref>
<ref id="B40"><label>40</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vanneman</surname> <given-names>M</given-names></name> <name><surname>Dranoff</surname> <given-names>G</given-names></name></person-group>. <article-title>Combining immunotherapy and targeted therapies in cancer treatment</article-title>. <source>Nat Rev Cancer</source> (<year>2012</year>) <volume>12</volume>:<fpage>237</fpage>&#x02013;<lpage>51</lpage>.<pub-id pub-id-type="doi">10.1038/nrc3237</pub-id><pub-id pub-id-type="pmid">22437869</pub-id></citation></ref>
<ref id="B41"><label>41</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hui</surname> <given-names>E</given-names></name> <name><surname>Cheung</surname> <given-names>J</given-names></name> <name><surname>Zhu</surname> <given-names>J</given-names></name> <name><surname>Su</surname> <given-names>X</given-names></name> <name><surname>Taylor</surname> <given-names>MJ</given-names></name> <name><surname>Wallweber</surname> <given-names>HA</given-names></name> <etal/></person-group> <article-title>T cell costimulatory receptor CD28 is a primary target for PD-1&#x02013;mediated inhibition</article-title>. <source>Science</source> (<year>2017</year>) <volume>355</volume>:<fpage>1428</fpage>&#x02013;<lpage>33</lpage>.<pub-id pub-id-type="doi">10.1126/science.aaf1292</pub-id></citation></ref>
<ref id="B42"><label>42</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kamphorst</surname> <given-names>AO</given-names></name> <name><surname>Wieland</surname> <given-names>A</given-names></name> <name><surname>Nasti</surname> <given-names>T</given-names></name> <name><surname>Yang</surname> <given-names>S</given-names></name> <name><surname>Zhang</surname> <given-names>R</given-names></name> <name><surname>Barber</surname> <given-names>DL</given-names></name> <etal/></person-group> <article-title>Rescue of exhausted CD8 T cells by PD-1&#x02013;targeted therapies is CD28-dependent</article-title>. <source>Science</source> (<year>2017</year>) <volume>355</volume>:<fpage>1423</fpage>&#x02013;<lpage>7</lpage>.<pub-id pub-id-type="doi">10.1126/science.aaf0683</pub-id></citation></ref>
<ref id="B43"><label>43</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>PP</given-names></name> <name><surname>Fitzpatrick</surname> <given-names>DR</given-names></name> <name><surname>Beard</surname> <given-names>C</given-names></name> <name><surname>Jessup</surname> <given-names>HK</given-names></name> <name><surname>Lehar</surname> <given-names>S</given-names></name> <name><surname>Makar</surname> <given-names>KW</given-names></name> <etal/></person-group> <article-title>A critical role for Dnmt1 and DNA methylation in T cell development, function, and survival</article-title>. <source>Immunity</source> (<year>2001</year>) <volume>15</volume>:<fpage>763</fpage>&#x02013;<lpage>74</lpage>.<pub-id pub-id-type="doi">10.1016/S1074-7613(01)00227-8</pub-id><pub-id pub-id-type="pmid">11728338</pub-id></citation></ref>
<ref id="B44"><label>44</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Portol&#x000E9;s</surname> <given-names>P</given-names></name> <name><surname>Rojo</surname> <given-names>J</given-names></name> <name><surname>Golby</surname> <given-names>A</given-names></name> <name><surname>Bonneville</surname> <given-names>M</given-names></name> <name><surname>Gromkowski</surname> <given-names>S</given-names></name> <name><surname>Greenbaum</surname> <given-names>L</given-names></name> <etal/></person-group> <article-title>Monoclonal antibodies to murine CD3&#x003B5; define distinct epitopes, one of which may interact with CD4 during T cell activation</article-title>. <source>J Immunol</source> (<year>1989</year>) <volume>142</volume>:<fpage>4169</fpage>&#x02013;<lpage>75</lpage>.</citation></ref>
<ref id="B45"><label>45</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dialynas</surname> <given-names>DP</given-names></name> <name><surname>Wilde</surname> <given-names>DB</given-names></name> <name><surname>Marrack</surname> <given-names>P</given-names></name> <name><surname>Pierres</surname> <given-names>A</given-names></name> <name><surname>Wall</surname> <given-names>K</given-names></name> <name><surname>Harran</surname> <given-names>W</given-names></name> <etal/></person-group> <article-title>Characterization of the murine antigenic determinant, designated L3T4a, by functional T cell clones appears to correlate primarily with class II MHC antigen-reactivity</article-title>. <source>Immunol Rev</source> (<year>1983</year>) <volume>74</volume>:<fpage>29</fpage>&#x02013;<lpage>56</lpage>.<pub-id pub-id-type="doi">10.1111/j.1600-065X.1983.tb01083.x</pub-id></citation></ref>
<ref id="B46"><label>46</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ledbetter</surname> <given-names>JA</given-names></name> <name><surname>Herzenberg</surname> <given-names>LA</given-names></name></person-group>. <article-title>Xenogeneic monoclonal antibodies to mouse lymphoid differentiation antigens</article-title>. <source>Immunol Rev</source> (<year>1979</year>) <volume>47</volume>:<fpage>63</fpage>&#x02013;<lpage>90</lpage>.<pub-id pub-id-type="doi">10.1111/j.1600-065X.1979.tb00289.x</pub-id></citation></ref>
<ref id="B47"><label>47</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gross</surname> <given-names>JA</given-names></name> <name><surname>Callas</surname> <given-names>E</given-names></name> <name><surname>Allison</surname> <given-names>JP</given-names></name></person-group>. <article-title>Identification and distribution of the costimulatory receptor CD28 in the mouse</article-title>. <source>J Immunol</source> (<year>1992</year>) <volume>149</volume>:<fpage>380</fpage>&#x02013;<lpage>8</lpage>.<pub-id pub-id-type="pmid">1320641</pub-id></citation></ref>
<ref id="B48"><label>48</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Buonfiglio</surname> <given-names>D</given-names></name> <name><surname>Bragardo</surname> <given-names>M</given-names></name> <name><surname>Bonissoni</surname> <given-names>S</given-names></name> <name><surname>Redoglia</surname> <given-names>V</given-names></name> <name><surname>Cauda</surname> <given-names>R</given-names></name> <name><surname>Zupo</surname> <given-names>S</given-names></name> <etal/></person-group> <article-title>Characterization of a novel human surface molecule selectively expressed by mature thymocytes, activated T cells and subsets of T cell lymphomas</article-title>. <source>Eur J Immunol</source> (<year>1999</year>) <volume>29</volume>:<fpage>2863</fpage>&#x02013;<lpage>74</lpage>.<pub-id pub-id-type="doi">10.1002/(SICI)1521-4141(199909)29:09&#x0003C;2863:AID-IMMU2863&#x0003E;3.0.CO;2-W</pub-id><pub-id pub-id-type="pmid">10508261</pub-id></citation></ref>
<ref id="B49"><label>49</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Redoglia</surname> <given-names>V</given-names></name> <name><surname>Dianzani</surname> <given-names>U</given-names></name> <name><surname>Rojo</surname> <given-names>JM</given-names></name> <name><surname>Portol&#x000E9;s</surname> <given-names>P</given-names></name> <name><surname>Bragardo</surname> <given-names>M</given-names></name> <name><surname>Wolff</surname> <given-names>H</given-names></name> <etal/></person-group> <article-title>Characterization of H4: a murine T lymphocyte activation molecule functionally and physically associated with the CD3/TCR</article-title>. <source>Eur J Immunol</source> (<year>1996</year>) <volume>26</volume>:<fpage>2781</fpage>&#x02013;<lpage>9</lpage>.<pub-id pub-id-type="doi">10.1002/eji.1830250526</pub-id></citation></ref>
<ref id="B50"><label>50</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bello</surname> <given-names>R</given-names></name> <name><surname>Feito</surname> <given-names>MJ</given-names></name> <name><surname>Ojeda</surname> <given-names>G</given-names></name> <name><surname>Portol&#x000E9;s</surname> <given-names>P</given-names></name> <name><surname>Rojo</surname> <given-names>JM</given-names></name></person-group>. <article-title>Loss of N-terminal charged residues of mouse CD3&#x003B5; chains generates isoforms modulating T cell receptor-mediated signals and T cell receptor-CD3 interactions</article-title>. <source>J Biol Chem</source> (<year>2007</year>) <volume>282</volume>:<fpage>22324</fpage>&#x02013;<lpage>34</lpage>.<pub-id pub-id-type="doi">10.1074/jbc.M701875200</pub-id></citation></ref>
<ref id="B51"><label>51</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aragoneses-Fenoll</surname> <given-names>L</given-names></name> <name><surname>Montes-Casado</surname> <given-names>M</given-names></name> <name><surname>Ojeda</surname> <given-names>G</given-names></name> <name><surname>Acosta</surname> <given-names>YY</given-names></name> <name><surname>Herranz</surname> <given-names>J</given-names></name> <name><surname>Mart&#x000ED;nez</surname> <given-names>S</given-names></name> <etal/></person-group> <article-title>ETP-46321, a dual p110&#x003B1;/&#x003B4; class IA phosphoinositide 3-kinase inhibitor modulates T lymphocyte activation and collagen-induced arthritis</article-title>. <source>Biochem Pharmacol</source> (<year>2016</year>) <volume>106</volume>:<fpage>56</fpage>&#x02013;<lpage>69</lpage>.<pub-id pub-id-type="doi">10.1016/j.bcp.2016.02.005</pub-id><pub-id pub-id-type="pmid">26883061</pub-id></citation></ref>
<ref id="B52"><label>52</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alter</surname> <given-names>G</given-names></name> <name><surname>Malenfant</surname> <given-names>JM</given-names></name> <name><surname>Altfeld</surname> <given-names>M</given-names></name></person-group>. <article-title>CD107a as a functional marker for the identification of natural killer cell activity</article-title>. <source>J Immunol Methods</source> (<year>2004</year>) <volume>294</volume>:<fpage>15</fpage>&#x02013;<lpage>22</lpage>.<pub-id pub-id-type="doi">10.1016/j.jim.2004.08.008</pub-id><pub-id pub-id-type="pmid">15604012</pub-id></citation></ref>
</ref-list>
</back>
</article>
