Although infection with M. tuberculosis induces both humoral immunity and cell-mediated immunity, only cell-mediated immunity responses mediated primarily by gamma interferon (IFN-γ)-producing Th1 cells are relevant to protection (4, 16). Thus, identification of antigens and peptides that induce Th1 cell responses could be useful for designing new vaccines to protect against TB. Secreted proteins of M. tuberculosis have been the focus of extensive research on the development of subunit vaccines because these proteins are considered to be important targets of recognition by the immune system (1, 31).

MPB70 is a major secreted protein of M. bovis, and small quantities of this protein are expressed by M. tuberculosis. M. bovis BCG strains can be divided into strains that produce high levels of MPB70 and strains that produce low levels of MPB70 (9, 18, 34, 58). There are no differences between M. bovis and M. tuberculosis (H37Rv and CDC1551) in terms of the sequences of the expressed proteins encoded by the mpb70 and mpt70 genes, respectively (17; http://www.ncbi.nlm.nih.gov/BLAST). MPB70 is an M. tuberculosis complex-specific nonglycosylated protein with a signal peptide consisting of 30 amino acids (aa) and a mature protein sequence consisting of 163 aa with a deduced molecular mass of 16.3 kDa (53). The mature MPB70 protein stimulates both cellular and humoral immune responses during infection with bovine and human tubercle bacilli (4, 10, 16, 28, 47, 49, 36).

The present work was carried out to identify dominant and natural Th1 cell epitopes of MPB70 which can be recognized by humans in the context of multiple HLA molecules. Peripheral blood mononuclear cells (PBMC) from healthy donors showing strong responses to complex M. tuberculosis antigens and MPB70 in proliferation and IFN-γ assays were tested for reactivity against synthetic peptides (25-mers with 10-residue overlaps) covering the entire MPB70 sequence, including the signal peptide. In addition, antigen-specific T-cell lines were established from HLA-DR-typed antigen-responding donors and were screened for proliferation and IFN-γ secretion in response to the peptides of MPB70. Finally, selected T-cell lines were also tested for HLA restriction and cytotoxic activity to confirm the promiscuous presentation and Th1 cell reactivity of MPB70 and its immunodominant peptides.

Study population. BCG-vaccinated healthy subjects were randomly selected from the blood donors at the Central Blood Bank, Kuwait. The donors were all PPD skin test positive (as determined with tuberculin PPD RT 23SSI from Statens Serum Institute, Copenhagen, Denmark) and were both Kuwaiti and non-Kuwaiti citizens.

Complex and purified mycobacterial antigens. The complex antigens used in this study were killed whole cells of M. tuberculosis H37Rv (20) and M. tuberculosis culture filtrate (CF) (provided by P. J. Brennan, Colorado State University, Fort Collins) and were obtained through the repository of TB research materials at the National Institute of Allergy and Infectious Diseases (contract AI-25147). The secreted antigen, MPB70 from BCG Tokyo, was purified as previously described (34, 35).

Synthetic peptides. Thirteen synthetic peptides (25-mers overlapping neighboring peptides by 10 aa) spanning the sequence of MPB70 (Fig. 1) were purchased from Genemed Synthesis Inc., San Francisco, Calif. Pools of synthetic peptides covering the sequences of ESAT-6 and CFP-10 were synthesized by using fluorenylmethoxy carbonyl chemistry, and sequence fidelity and purity (>90%) were confirmed by mass spectrometry and analytical high-pressure liquid chromatography, respectively (32). The stock concentrations (5 mg/ml) of the peptides were prepared in normal saline (0.9%) by vigorous pipetting, and the working concentrations were prepared by further dilution in complete tissue culture medium (RPMI 1640 containing 10% human AB serum, 100 U of penicillin per ml, 100 μg of streptomycin per ml, 40 μg of gentamicin per ml, and 2.5 μg of amphotericin B per ml).

FIG. 1. Thirteen 25-mer synthetic peptides covering the entire amino acid sequence of MPB70. The peptides overlap each other by 10 aa. The single-letter designations for amino acids are used.

Isolation of PBMC. PBMC were isolated from buffy coats of healthy subjects by using standard procedures (19). In brief, each buffy coat was diluted with warm tissue culture medium (RPMI 1640) at a ratio of 1:2 and gently mixed. Two volumes of the buffy coat was loaded very slowly on top of 1 volume of a Lymphoprep gradient. After centrifugation, the white ring of PBMC between the plasma and the Lymphoprep was removed and washed three times with RPMI 1640. The cells were finally suspended in complete tissue culture medium and counted with a Coulter Counter (Coulter Electronics Ltd., Luton, Beds, England).

Antigen- and peptide-induced proliferation of PBMC. Antigen- and peptide-induced proliferation of PBMC was performed by using standard procedures (21, 24). In brief, PBMC (2 × 10⁵ cells/well) suspended in 50 μl of complete tissue culture medium were seeded into the wells of 96-well tissue culture plates (Nunc, Roskilde, Denmark). Antigen or peptide in 50 μl of complete medium was added to the wells in triplicate at an optimal concentration of 5 μg/ml. Whole bacilli were used at a concentration of 10 μg (wet weight) per ml (28). The final volume of the culture in each well was adjusted to 200 μl. The plates were incubated at 37°C in a humidified atmosphere containing 5% CO₂ and 95% air. The cultures were pulsed for 4 h on day 6 with 1 μCi of [³H]thymidine (Amersham Life Sciences, Little Chalfont, United Kingdom) and harvested on filter mats with a Skatron harvester (Skatron Instruments AS, Oslo, Norway), and the amount of radioactivity incorporated was measured by liquid scintillation counting as described previously.

HLA typing of PBMC. PBMC were HLA typed genomically by isolating the high-molecular-weight genomic DNA from each PBMC by treatment of the cells with proteinase K and salting out in miniscale as described by Olerup and Zetterquist (43). The amount of DNA obtained was quantified by spectrophotometry. The localization, sequences, lengths, and specificities of the sequence-specific primers used for typing the DRB1, DRB3, DRB4, and DRB5 alleles were described previously by Olerup and Zetterquist (43). An HLA-DR low-resolution kit containing all the primers was purchased from Dynal AS (Oslo, Norway) and was used in PCR as specified by the manufacturer. DNA amplification was carried out with a Gene Amp 2400 PCR system (Perkin-Elmer Cetus), and the amplified products were analyzed by gel electrophoresis by using standard procedures. Serologically defined HLA-DR specificities were determined from the genotypes by following the guidelines provided by Dynal AS.

Establishment of antigen-specific T-cell lines. Antigen-specific T-cell lines were established from the donors by stimulating PBMC with CF or purified MPB70 by using procedures described previously (22, 26). In brief, PBMC (2 × 10⁵ cells/well) were stimulated with the antigen (5 μg/ml) in triplicate in 96-well plates and incubated at 37°C in an atmosphere containing 5% CO₂ and 95% air. After 6 days, interleukin-2 (100 U/well; Amersham Life Sciences) was added twice a week until the cell culture density allowed transfer to 24-well tissue culture plates (Nunc). The growing T-cell lines were expanded in 24-well plates with addition of interleukin-2 twice a week until they were tested for antigen reactivity.

Antigen- and peptide-induced proliferation of T-cell lines. The T-cell lines were tested for antigen- and peptide-induced proliferation in the presence of autologous and allogeneic HLA-typed antigen-presenting cells (APC) by using the procedures described previously (20, 41). In brief, irradiated (2,400 rads) PBMC were seeded into the wells of 96-well plates at a concentration of 1 × 10⁵ cells/well. The plates were incubated for 1 h at 37°C in a humidified atmosphere containing 5% CO₂ and 95% air. Nonadherent cells were removed, and adherent cells were washed three times with tissue culture medium (RPMI 1640) and used as APC. Antigen-specific T-cell lines were harvested, washed three times, and added to the APC-containing wells at a concentration of 5 × 10⁴ cells/well. Antigen and peptides were each added in triplicate at a final concentration of 5 μg/ml, and the culture volume in the wells was adjusted to 200 μl with complete tissue culture medium. The plates were incubated at 37°C in an atmosphere containing 5% CO₂ and 95% air. On day 3, the cultures were pulsed with 1 μCi of [³H]thymidine and harvested on filter mats, and the amount of radioactivity incorporated was determined by liquid scintillation counting as described previously (37).

Interpretation of proliferation results. The radioactivity incorporated was obtained as counts per minute. The average radioactivity was calculated from triplicate cultures stimulated with each antigen or peptide, as well as from triplicate wells of negative control cultures lacking antigen. Cellular proliferation results are expressed below by using the stimulation index (SI), which is defined as follows: SI = counts per minute in antigen-stimulated cultures/counts per minute in cultures without antigen. An SI of ≥3 was considered a positive proliferative response (55, 57).

IFN-γ assay. Supernatants (100 μl) were collected from antigen-stimulated cultures of PBMC and T-cell lines (96-well plates) before they were pulsed with [³H]thymidine. The supernatants were kept frozen at −70°C until they were assayed for IFN-γ activity. The amounts of IFN-γ in the supernatants were quantified by using PREDICTA immunoassay kits (Genzyme Co., Cambridge, Mass.) as specified by the manufacturer. The detection limit of the IFN-γ assay kits was 8 pg/ml. Secretion of IFN-γ in response to a given antigen or peptide was considered positive when the IFN-γ concentration in cultures stimulated with antigen minus the IFN-γ concentration in cultures without antigen was ≥500 pg/ml (30).

Inhibition assays with monoclonal anti-HLA antibodies. Inhibition of antigen-induced T-cell proliferation was studied as described previously (25, 27) in the presence of monoclonal antibody L243 (anti-HLA-DR) purchased from the American Type Culture Collection, Rockville, Md., and monoclonal antibody FN81 (anti-HLA-DQ), a gift from S. Funderud, Oslo, Norway. In brief, adherent APC in the wells of 96-well flat-bottom plates were preincubated with the antibodies for 30 min at 37°C in an atmosphere containing 5% CO₂ and 95% air. After preincubation, antigen-induced proliferation of T-cell lines was assayed as described above. The results were expressed as percentages of inhibition, calculated as follows: [1 − (counts per minute in antigen-stimulated cultures in the presence of antibodies/counts per minute in antigen-stimulated cultures in the absence of antibodies)] × 100.

Cytotoxicity assay. Cytotoxicity of T-cell lines against antigen- and peptide-pulsed monocytes/macrophages was assessed by the neutral red release assay as previously described (25, 29). In brief, adherent monocytes/macrophages from 1 × 10⁶ autologous irradiated PBMC in 24-well Costar plates were pulsed with MPB70 or peptide. The T-cell lines were added at a concentration of 2 × 10⁵ cells/well. After 7 days of incubation at 37°C, the wells were washed to remove nonadherent T cells, and the macrophages were allowed to take up neutral red for 30 min. The dye taken up by macrophages was released by adding 0.5 ml of 0.05 M acetic acid in 50% ethanol. The results are expressed below as percentages of cytotoxicity, which were calculated from spectrophotometric measurement of optical density at 540 nm (OD₅₄₀) by using the following equation: percentage of cytotoxicity = [(OD₅₄₀ of the control − OD₅₄₀ of the experimental preparation)/(OD₅₄₀ of the control)] × 100, where OD₅₄₀ of the control is the OD₅₄₀ of cultures containing adherent cells plus T cells and OD₅₄₀ of the experimental preparation is the OD₅₄₀ of cultures containing adherent cells plus T cells plus antigen or peptide.

Identification of MPB70 responding donors. To identify donors suitable for testing reactivity against the peptides of MPB70 and establishing antigen-specific T-cell lines, PBMC from 53 healthy subjects were screened for proliferation and IFN-γ secretion in response to M. tuberculosis, CF, MPB70, and pools of synthetic peptides of ESAT-6 and CFP-10. The results showed that PBMC from a majority of the donors (≥92%) responded to complex M. tuberculosis and CF antigens in both assays (Table 1). When single antigens were used, 64 and 71% of the donors responded to MPB70 in the proliferation and IFN-γ assays, respectively, whereas only 28 and 28% of the donors responded to ESAT-6, respectively, and 49 and 28% of the donors responded to CFP-10, respectively (Table 1). In addition, the results obtained when PBMC were tested with a pool of MPB70 peptides in the same assays were comparable to the results obtained with the complete antigen (results not shown). The donors responding to MPB70 were then selected to identify the individual MPB70 peptides recognized by PBMC and to establish antigen-specific T-cell lines.

TABLE 1. Antigen-induced proliferation and secretion of IFN-γ from PBMC of healthy blood donors in response to CF, M. tuberculosis, MPB70, ESAT-6, and CFP-10

Peptides of MPB70 recognized by PBMC. To map the T-cell epitopes recognized by healthy subjects, PBMC from 14 of 34 MPB70-responding donors were chosen at random and tested for reactivity against 13 overlapping peptides covering the entire MPB70 sequence, including the signal sequence (Fig. 1). Although positive responses were obtained with all the peptides in one or more donors, the results showed that the most frequent responses (ranging from 43 to 50%) in the proliferation assays were obtained with peptides p5, p6, p8, p12, and p13, whereas the remaining peptides showed low responder frequencies (7 to 21%) (Fig. 2). The peptides that showed strong proliferation responses also showed strong IFN-γ responses (data not shown). HLA-DR typing of the subjects responding to MPB70 and the peptides demonstrated that they represented a heterogeneous group of donors with respect to HLA expressing DR1, DR2, DR3, DR5, DR6, DR7, DR51, DR52, and DR53 molecules (data not shown), thus indicating the permissive nature of MPB70 and its immunodominant peptides in recognition by human PBMC.

FIG. 2. Proliferation of PBMC of healthy donors in response to complex mycobacterial antigens, including ESAT-6, CFP-10, MPB70, and synthetic peptides of MPB70. Healthy donors (n = 14) were randomly chosen from the group of 34 positive responders to MPB70 (more ...)

Proliferation and IFN-γ secretion of antigen-specific T-cell lines in response to mycobacterial antigens and synthetic MPB70 peptides. To confirm that Th1 cells were the major cells responding to MPB70 and its peptides in PBMC assays, antigen-specific T-cell lines were established from 15 positive donors after primary stimulation of PBMC with CF or purified MPB70. Surface phenotyping revealed that all of the established T-cell lines had the CD4⁺ CD8⁻ phenotype. Furthermore, all of the T-cell lines responded to MPB70 in proliferation and/or IFN-γ assays (Table 2). When tested with the peptides most frequently recognized by PBMC (peptides p5, p6, p8, p12, and p13), the responses to p8 (27 and 60% in proliferation and IFN-γ assays, respectively), p12 (40 and 73%), and p13 (47 and 87%) confirmed the dominant recognition of these peptides by CD4⁺ Th1 cells (Table 2). Compared to the responses to p8, p12, and p13, the responses of the T-cell lines to peptides p5 and p6 were weaker in both assays (Table 2). HLA-DR typing of these donors further showed that they covered a large spectrum of HLA-DR types (DR1, DR2, DR3, DR4, DR5, DR6, DR7, DR51, DR52, and DR53), thus reinforcing the finding that MPB70 and its dominant peptides were presented to T cells promiscuously (Table 2).

TABLE 2. Proliferation and IFN-γ secretion by specific T-cell lines in response to MPB70 and its synthetic peptides

HLA restriction analysis of MPB70 and peptide presentation to antigen-specific T-cell lines. HLA restriction analysis of antigen-specific T-cell lines was performed to confirm the promiscuous presentation of MPB70 and its dominant peptides, as indicated by the HLA typing of the donors. These studies were carried out by combining information from antibody blocking assays and panel studies with HLA-DR-typed autologous and allogeneic APC.

In antibody blocking assays, the use of well-defined monoclonal antibodies against HLA-DR and -DQ molecules showed that MPB70 and the peptides were presented to T cells in the context of HLA-DR molecules. The results of representative experiments demonstrating anti-HLA-DR blocking of antigen-and peptide-induced proliferation in a dose-dependent manner are shown in Fig. 3.

FIG. 3. Inhibition of the proliferative responses of T-cell line SF1 in the presence of anti-HLA class II monoclonal antibodies. T-cell line SF1 was stimulated with MPB70, peptide p12, or peptide p13. Ab, antibody.

To identify the HLA-DR molecules responsible for presentation of MPB70 and its peptides to T cells, a selected T-cell line was tested for IFN-γ secretion in the presence of a panel of autologous and allogeneic HLA-DR-typed APC. The T-cell line (C2), which was established by using the CF antigens tested for HLA restriction with a panel of HLA-DR-typed APC, demonstrated that the presentation of MPB70 and peptides p12 and p13 in IFN-γ assays was DR53 restricted (Table 3).

TABLE 3. IFN-γ secretion by T-cell line C2 (HLA-DR7,53) in response to MPB70 and its peptides in the presence of HLA class II-typed APC

Cytotoxic activity of MPB70-specific T-cell lines. T-cell lines from three HLA-DR heterogeneous donors (SF15 [HLA-DR4,5,52,53], SF17 [HLA-DR3,52], and C2 [HLA-DR7,53]), which responded to MPB70 in IFN-γ assays, were tested for cytotoxic activity against autologous monocytes/macrophages pulsed with the complete protein antigen and synthetic peptides. The results revealed that all three T-cell lines were cytotoxic for monocytes/macrophages pulsed with MPB70 (Table 4). When individual peptides were examined, cytotoxic activity seemed to be associated with IFN-γ secretion. Peptides p5 and p7 induced neither IFN-γ secretion nor cytotoxic activity in any of the T-cell lines tested. However, peptide p8 induced IFN-γ secretion and cytotoxic activity in T-cell lines SF15 and SF17, whereas peptides p12 and p13 induced both IFN-γ secretion and cytotoxic activity in T-cell lines SF15 and C2 (Table 4). This could indicate that in the absence of DR53, SF17 (HLA-DR3,52) could respond only to p8.

TABLE 4. Cytotoxic activities of MPB70-specific T-cell lines against monocytes/macrophages pulsed with MPB70 and MPB70 peptides

In the present study, PBMC from a large number of healthy donors (n = 53) were tested for T-cell responses (i.e., antigen-induced proliferation and IFN-γ secretion) to complex and secreted single mycobacterial antigens. Most of the donors (>90%) responded to the complex mycobacterial antigens, suggesting that these donors were sensitized to mycobacteria. When the same donors were tested for responses to single mycobacterial antigens, about two-thirds, one-half, and one-third of the donors responded to MPB70, CFP-10, and ESAT-6, respectively (Table 1). MPB70 is M. tuberculosis complex specific; small amounts of this protein are secreted by M. tuberculosis, and various amounts are secreted by different BCG strains (9, 18, 34, 58). ESAT-6 and CFP-10 are M. tuberculosis-specific proteins, and the genes encoding them are absent in all BCG strains (2). The PBMC responses to MPB70 could have been due to either exposure to or latent infection with M. tuberculosis or vaccination with BCG. However, about 50% of the donors responded to the M. tuberculosis-specific antigen ESAT-6 or the M. tuberculosis-specific antigen CFP-10 or both, which suggests that a significant proportion of the donors that responded to MPB70 could have been infected with M. tuberculosis.

Several studies have demonstrated that TB patients exposed to healthy household contacts and individuals with inactive self-healed pulmonary TB show strong T-cell responses to ESAT-6 and/or CFP-10 (2, 14, 46, 55), whereas BCG-vaccinated and nonvaccinated healthy individuals from countries with low levels of TB endemicity show either low-level responses (The Netherelands) or no responses (Germany and United Kingdom) to ESAT-6 or CFP-10 (2, 15, 55). In contrast, the majority of healthy adults (80%) from an area where TB is endemic (Bombay, India) showed positive responses to ESAT-6 and CFP-10, thereby suggesting that the prevalence of latent TB in urban India is 80% (15). The positive responses in about one-half of the healthy donors to ESAT-6 and/or CFP-10 in proliferation assays in this study suggest that about 50% of our donors were latently infected with M. tuberculosis.

It has recently been shown in the mouse model that immunization with a synthetic peptide of ESAT-6 along with a proper adjuvant induced IFN-γ secretion from T cells and provided protection against challenge with M. tuberculosis (44). Interestingly, the level of protection afforded by the peptide vaccine was equivalent to the level of protection observed after immunization with the complete ESAT-6 antigen (44). These results suggest that some of the IFN-γ-inducing peptides could replace complete antigens in subunit vaccines. To identify the T-cell epitopes of MPB70 that induce strong IFN-γ responses, in this study we used a synthetic peptide approach. As the T-cell epitopes are usually 8 to 10 aa long (31), the MPB70 peptides used in this study overlapped each other by 10 aa to minimize the possibility of missing the T-cell epitopes of the protein. Moreover, in the cattle model it has previously been shown that in addition to the mature protein, the peptides belonging to the 30-aa signal sequence of MPB70 also induced IFN-γ secretion (56). We therefore used peptides covering the entire sequence of MPB70, including the signal sequence. A total of 13 overlapping peptides were tested for recognition by human T cells by using PBMC and antigen-specific CD4⁺ T-cell lines. The results showed that the T-cell epitopes were scattered throughout the sequence of MPB70, but some peptides were recognized more frequently than others. The peptides that were frequently recognized by PBMC in both proliferation and IFN-γ assays were p5 (aa 61 to 85), p6 (aa 76 to 100), p8 (aa 106 to 130), p12 (aa 166 to 190), and p13 (aa 181 to 193). Interestingly, peptides p8, p12, and p13 were also frequently recognized in both the assay systems (proliferation and IFN-γ secretion) by the antigen-specific CD4⁺ T-cell lines. The frequent recognition of these peptides by PBMC and by antigen-specific T-cell lines described in this study demonstrated that the corresponding epitopes are not cryptic but are relevant to natural processing and presentation of the MPB70 antigen to CD4⁺ Th1 cells. Such knowledge is required for application of synthetic peptides in vaccine design.

We used both proliferation and IFN-γ assays to obtain readouts for antigen-specific responses of PBMC and the T-cell lines. The importance of the Th1 cytokine IFN-γ as the primary mediator of protective immunity to mycobacterial infections has been well demonstrated in animal models (8, 45, 52). In addition, the strong IFN-γ responses in PPD-positive healthy subjects and TB patients with minimal disease (3, 11, 48, 54, 59) compared to the weak responses in TB patients with advanced disease (11, 54, 59) suggest that IFN-γ plays an important role in mediating protective immunity in humans. This is further emphasized by the observation that the growth of mycobacteria was inhibited in macrophages (blood-derived as well as lung macrophages) stimulated with IFN-γ (12, 13). The fact that there were peptide-specific Th1 cell responses, as judged by IFN-γ secretion, allowed us to suggest that the corresponding MPB70 peptides are relevant to protective immune responses in humans.

Although MPB70 has previously been tested for responses in TB patients and healthy donors (49), this is the first study in which the T-cell epitopes of MPB70 recognized by humans were mapped. However, MPB70 has been extensively studied for T-cell epitope mapping in cattle (16, 47, 56, 57). Like our results obtained with a population that is heterogeneous with respect to HLA, previous results obtained with PBMC from experimentally infected cattle of three different breeds showed the immunodominance of the MPB70 peptides at aa 88 to 105 and aa 144 to 163 (47), which overlap peptide p8 and peptides p12 and p13 used in this study. Pollock et al. (47) showed that these peptides were not recognized by noninfected control animals but showed reactivity with PBMC from field animals that responded to intradermal tuberculin testing, suggesting that they had been exposed to mycobacteria. This was further confirmed by Lightbody et al. (16), who observed strong T-cell responses to peptides overlapping peptides p12 and p13 in both immunized cattle and cattle experimentally infected with M. bovis. Recently, it has also been shown that the C-terminal end of MPB70 is highly immunogenic and induces production of a high level of IFN-γ by spleen cells of mice immunized with MPB70 DNA (53a). The frequent T-cell recognition of similar MPB70 peptides in humans, cattle, and mice might have benefits for development of a common vaccine.

Recognition of mycobacterial antigens and peptides by CD4⁺ T cells circulating in peripheral blood is mostly restricted by HLA-DR molecules (22-25, 27, 29, 37-40, 42). Therefore, during development of a universally efficacious vaccine against TB in humans, the antigens and peptides selected as vaccine candidates should have Th1 cell epitopes recognized in association with multiple allelic products of HLA-DR. HLA-DR typing of the donors showed that MPB70 and its immunodominant peptides were recognized by T cells obtained from donors having various HLA backgrounds. These results are encouraging and suggest that within a human population there are genetically promiscuous MPB70 epitopes recognized by a high proportion of donors. This observation supports the conclusion that MPB70 or some of its peptides should be included as candidate antigens in experimental subunit vaccines.

In addition to IFN-γ secretion, we also tested the T-cell lines for cytotoxic activity against antigen- and peptide-pulsed monocytes. Usually, CD4⁺ T cells are considered to be helper cells; however, it has been shown that the Th1 subset of CD4⁺ T cells also has cytotoxic activity that may play a role in killing intracellular pathogens directly (5, 33, 51), as well as enhancing the effector function of the classical CD8⁺ cytotoxic T cells (50). Our results demonstrate that IFN-γ secretion by antigen-specific T-cell lines in response to MPB70 and its peptides is associated with cytotoxic activity. Thus, the antigen- and peptide-specific Th1 cells may provide protection through direct killing mechanisms, as well as activation of macrophages through IFN-γ secretion (12, 13).

This study was supported by KFAS grant 97-07-05 and by Kuwait University Research Administration grant MI 114.

The supply of buffy coats by the Central Blood Bank, Kuwait, is gratefully acknowledged.