<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJI</journal-id><journal-title-group><journal-title>Open Journal of Immunology</journal-title></journal-title-group><issn pub-type="epub">2162-450X</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/oji.2021.111001</article-id><article-id pub-id-type="publisher-id">OJI-107691</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  The Glycosylphosphatidylinositol Anchor Regulates T Cell Antigen Receptor Induced IL-2 Production
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Nathalie</surname><given-names>Vacaresse</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Alessandra</surname><given-names>Ferzoco</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dominik</surname><given-names>Filipp</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Yutaka</surname><given-names>Amemiya</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Arun</surname><given-names>Seth</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>David</surname><given-names>Andrews</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Taroh</surname><given-names>Kinoshita</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Michael</surname><given-names>Julius</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib></contrib-group><aff id="aff4"><addr-line>Department of Biochemistry, University of Toronto, Toronto, ON, Canada</addr-line></aff><aff id="aff6"><addr-line>Department of Immunology, University of Toronto, Toronto, ON, Canada</addr-line></aff><aff id="aff1"><addr-line>Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada</addr-line></aff><aff id="aff5"><addr-line>Yabumoto Department of Intractable Disease Research, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan</addr-line></aff><aff id="aff3"><addr-line>Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada</addr-line></aff><aff id="aff2"><addr-line>Institute of Molecular Genetics of the Czech Academy of Sciences, Prague, Czech Republic</addr-line></aff><pub-date pub-type="epub"><day>12</day><month>03</month><year>2021</year></pub-date><volume>11</volume><issue>01</issue><fpage>1</fpage><lpage>24</lpage><history><date date-type="received"><day>20,</day>	<month>January</month>	<year>2021</year></date><date date-type="rev-recd"><day>9,</day>	<month>March</month>	<year>2021</year>	</date><date date-type="accepted"><day>12,</day>	<month>March</month>	<year>2021</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Differential contributions of the glycosylphosphatidylinositol (GPI)-anchor and GPI-anchored proteins (GPI-AP) to signalling remain poorly understood. Here we show that GPI-AP deficient murine clones produce on average 18 and 181-fold more IL-2 mRNA and protein, respectively, upon T cell receptor (TCR) stimulation, in a cell-intrinsic fashion. This phenotype is formally attributed to a mutation within the transferase complex that predicates the initial step in GPI-anchor biosynthesis. Conditional disruption of the transferase complex enabled the generation of primary GPI-AP deficient CD4
  <sup>+</sup> T cells, which produce on average 10- and 23-fold more IL-2 mRNA and protein, respectively, upon TCR stimulation. Conditional disruption of the transamidase complex yields GPI-sufficient, GPI-AP deficient primary CD4
  <sup>+</sup> T cells. TCR stimulation of these cells yields levels of IL-2 mRNA and protein ranging from 1 - 3 and 3-fold, respectively, of controls. These results provide the first evidence of a profound impact of GPI in the regulation of TCR signalling.
 
</p></abstract><kwd-group><kwd>GPI Anchor</kwd><kwd> TCR Regulation</kwd><kwd> IL-2 Production</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The post-translational modification of many proteins with the C-terminal linkage of glycosylphosphatidylinositol (GPI) has been conserved throughout evolution. And while this glycolipid structure has a highly conserved core sequence, the diversity among GPI-anchored proteins (GPI-AP) is consistent with their distinct functions which include transmembrane (TM) signalling, intracellular targeting, cellular adhesion and embryonic development [<xref ref-type="bibr" rid="scirp.107691-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref2">2</xref>].</p><p>GPI-AP mediated TM signalling is predicated by their coordinated interaction with partnering molecules that couple to intracellular second messenger generating systems. Multiple molecular mechanisms underpin these interactions, inclusive of tethering with TM partners through linkage with the protein ectodomain of the GPI-AP; lectin-like interactions with GPI; lipidic interactions of the GPI-AP with other lipid raft constituents; and less well understood interactions with integrins, protein tyrosine kinases, and heterotrimeric GTP-binding proteins [<xref ref-type="bibr" rid="scirp.107691-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref7">7</xref>].</p><p>Whether there are differential, independent or interdependent contributions of the GPI-anchor and the associated protein in supporting GPI-AP signalling remains, in the majority, unclear. There are some notable exceptions that attribute function to the protein moiety, exclusively. Formal proof that the GPI-anchor is dispensable derives from the demonstration that functional integrity is retained in TM forms of the protein [<xref ref-type="bibr" rid="scirp.107691-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref10">10</xref>]. While all GPI-AP share common attributes mediated by GPI, including intracellular trafficking, sorting, transport to plasma membrane [<xref ref-type="bibr" rid="scirp.107691-ref11">11</xref>] and dynamics at the cell surface [<xref ref-type="bibr" rid="scirp.107691-ref12">12</xref>] due to targeting to ordered lipid microdomains [<xref ref-type="bibr" rid="scirp.107691-ref13">13</xref>], there is a paucity of evidence that GPI per se directly impacts cell physiology. A recent paper has established a role for GPI in underpinning an inflammatory response in the generation of a distinct form of paroxysmal nocturnal hemoglobinuria [<xref ref-type="bibr" rid="scirp.107691-ref14">14</xref>].</p><p>Here, we formally generalize a role for mature GPI-anchors independent of GPI-AP function to attenuate TCR signalling as measured by induced IL-2 production and DNA synthesis.</p></sec><sec id="s2"><title>2. Material and Methods</title><sec id="s2_1"><title>2.1. Antibodies and Reagents</title><p>The mAbs specific for Thy-1/CD90 (clone 30H12), CD48 (clone OX78), TCRCβ (clone H57-597), CD4 (clone GK1.5), CD8 (clone 53-5.8), CD3ε (clone 2C11), IL-2 (S4B6) and anti-IL-2 isotype control (rat IgG2) were affinity-purified from their respective hybridoma cultures and coupled or not to fluorophores or biotin at the Sunnybrook Research Institute Antibody Facility. The fluorophore-labeled mAb specific for Sca-1/Ly-6A/E (clone D7) was purchased from BD Pharmingen, the mAb specific for IgM (clone 1B4B1) and the PE-conjugated rat IgG2a isotype control for PD-L1 (clone eBR2a) were purchased from eBiosciences. PE-conjugated rat anti-mouse PD-L1 (clone MIH5), hamster anti mouse PD-1 (clone J43) and hamster IgG2κ isotype control for PD-1 were purchased from BD Biosciences. The T5 mAb against anti-T.gondii GPI anchor (clone T5-4E10) was obtained through BEI Resources, Manassas, VA [<xref ref-type="bibr" rid="scirp.107691-ref15">15</xref>].</p><p>PD-L1-Fc [<xref ref-type="bibr" rid="scirp.107691-ref16">16</xref>] was purchased from R&amp;D Systems and its isotype control, ChromPure Human IgG was bought from Jackson ImmunoResearch. PD-L1.HIS and CEA.N.HIS were a generous gift from Drs. Jean Gariepy and Aaron Prodeus at the Sunnybrook Research Institute. CEA-N.HIS was expressed and purified as reported previously [<xref ref-type="bibr" rid="scirp.107691-ref17">17</xref>] and used as the control for PD-L1.HIS as they both contain an IgV N-terminal domain and are of similar size. PD-L1.HIS was generated by cloning the extracellular domain of murine PD-L1 into pET30b (Novagen) in frame with a N-terminal histidine tag. After E. coli (BL21 strain, Invitrogen) transformation with this construct, protein expression was induced with 1 mM IPTG for 4 hrs at 37˚C, the cells were lysed and inclusion bodies collected by centrifugation. Pellets were lysed in a buffer containing 8 M urea, 50 mM Tris pH8.0, 250 mM NaCl and 10 mM β-mercaptoethanol and the solution was passed through a NI-NTA column. The histidine-tagged protein was eluted in 250 mM imidazole and refolded by dialysis against Tris buffer saline pH8.0 at 4˚C. The purity of the final recombinant protein was confirmed by SDS-PAGE.</p></sec><sec id="s2_2"><title>2.2. Cell Culture</title><p>Clone 2.10 is an IL-2-dependent, CD4<sup>−</sup> murine T cell clone, specific for ovalbumin (OVA) peptide residues 143 - 157 in the context of I-A<sup>b</sup>. Clone 2.10 was cultured in serum-free Iscove’s Modified Dulbecco’s Media (IMDM) base supplemented with 3 ng/ml recombinant murine IL-2 and 0.1% L-α-Phosphatidylcholine (soybean lecithin) (Sigma-Aldrich) as previously described [<xref ref-type="bibr" rid="scirp.107691-ref18">18</xref>]. The 2.10 GPI<sup>−</sup> variant was isolated from the total 2.10 population based on the loss of CD90 expression. The 2.10 MIEV-0 and MIEV-Pigp variants were obtained by infection of 2.10 GPI<sup>−</sup> clones with the GFP-expressing, bicistronic pMIEV retroviral vector containing or not the Pigp cDNA. Infected GFP<sup>+</sup> cells were then sorted for CD90 expression (MIEV-Pigp) or not (MIEV-0) to obtained stable infectant populations.</p></sec><sec id="s2_3"><title>2.3. Mice</title><p>The Piga<sup>flox</sup> mice were acquired from Dr. Taroh Kinoshita [<xref ref-type="bibr" rid="scirp.107691-ref19">19</xref>] and bred with mice transgenic for the Cre recombinase driven by the T cell-specific Lck proximal promoter (Jackson Laboratories, stock #003802) for the generation of Lck-Cre/Piga<sup>flox</sup>mice. F2 progeny generated T lymphocyte-specific Piga disruption and are referred to as Piga<sup>−/−</sup>. Mice lacking Cre expression, yet positive for loxP maintained the expression of GPI-AP and are used as littermate control mice, and referred to here as Piga<sup>+/+</sup>.</p><p>Heterozygous mice of strain C57BL/6NTac-PigU<sup>tm1a(</sup><sup>EUCOMM)Hmgu</sup>/lcsOrl were acquired from the European Mouse Mutant Archive (EMMA) and bred with the FLP strain C57BL/6NTac-Gt(ROSA)26Sor<sup>tm2(CAG-flpo,-EYFP)Ics</sup>/Ics at the TAAM (Transg&#233;n&#232;se et Archivage d’Animaux Mod&#232;les, CNRS, France) to obtain mice bearing the conditional allele Tm1c. To establish the strain on a C57BL/6J background, the Tm1c mice were subsequently backcrossed with C57BL/6J mice expressing the Lck driven-Cre recombinase (Jackson Laboratories, stock #003802) for 5, 8 and 10 generations. The progeny of each of these backcrosses were intercrossed to generate mice with conditional GPI-AP deficiency exclusively on T cells and used in the presented experiments and referred to here as Pigu<sup>−/−</sup>. Importantly, no differences in experimental results were noted using intercrossed mice at each of these backcross generations. Mice lacking Cre expression, yet positive for loxP maintained the expression of GPI-AP and were used as littermate control mice, and referred to here as Pigu<sup>+/+</sup>. Genotyping was performed using primers and cycling conditions recommended by EMMA. Backcross 10 C57BL/6J Pigu floxed mice are available at The Jackson Laboratory as stock #034291.</p><p>All mice were housed and bred within specific pathogen-free conditions and all animal procedures were approved by Sunnybrook Research Institute Animal Care Committee, following guidelines of the Canadian Council on Animal Care.</p></sec><sec id="s2_4"><title>2.4. CD4<sup>+</sup>/CD8<sup>+</sup> T Cell Purification</title><p>Primary CD4<sup>+</sup> or CD8<sup>+</sup> T cells were purified from the spleens of 6 - 12 weeks old mice using the EasySep<sup>TM</sup> CD4<sup>+</sup> or CD8<sup>+</sup> T cell isolation kit (STEMCELL Technologies). For the purification of GPI<sup>−</sup> primary T cells, the selection cocktail was supplemented with biotinylated anti-CD90. T cell preparations were consistently found to be &gt;92% - 95% CD4<sup>+</sup>TCRαβ<sup>+</sup>CD90<sup>+</sup> for GPI-AP<sup>+</sup> cells and &gt;90% - 95% CD4<sup>+</sup>TCRαβ<sup>+</sup>CD90<sup>−</sup> for GPI-AP<sup>−</sup> cells as assessed flow cytometrically.</p></sec><sec id="s2_5"><title>2.5. Flow Cytometry</title><p>Flow cytometric analysis was performed following labelling of 1 &#215; 10<sup>5</sup> cells in 100 μl of PBS+3%FCS with the indicated fluorochrome-labelled antibodies at concentrations recommended by the manufacturer/in-house facility. After incubation for 10 minutes at 4˚C, the cells were washed using PBS+3%FCS, and resuspended in PBS+3%FCS with the addition of propidium iodide as a viability marker. Flow cytometric analyses were performed on either a FACS Calibur or LSRII (BD Biosciences) and data files were analyzed with FlowJo software (Tree Star). Viable cells were gated using forward/side scatter and exclusion of propidium iodide-positive cells.</p></sec><sec id="s2_6"><title>2.6. Proliferation Assays</title><p>For antigen-induced proliferation, 2.5 &#215; 10<sup>4</sup> 2.10 T cells were cultured with 5 μg/ml OVA<sup>143-157</sup> peptide (Canpeptide), and 5 &#215; 10<sup>5</sup> irradiated splenocytes isolated from 6 - 10 week old C57BL/6 mice (Jackson Laboratories) in 96-well (Corning Costar) plates. For mAb-mediated proliferation, 2 &#215; 10<sup>4</sup> 2.10 T cells, or 4 &#215; 10<sup>4</sup> primary T cells were cultured in 96-well plates pre-coated overnight at 4˚C with the indicated concentrations of anti-TCRCβ or anti-CD3ε. Triplicate cultures were pulsed with 1μCi <sup>3</sup>H-TdR, harvested 6 hours later on Unifilter plates (PerkinElmer), and thymidine uptake was assessed using a TopCount NXT<sup>TM</sup> Microplate Scintillation and Luminescence Counter (Packard).</p></sec><sec id="s2_7"><title>2.7. IL-2 ELISA</title><p>IL-2 concentrations in culture supernatants were determined using a mouse IL-2-specific ELISA kit (eBioscience) according to the manufacturer’s protocol. Absorbances at 450 and 570 nm were read using the BioTek Eon spectrophotometer and the BioTek Gen5 software and IL-2 concentrations determined.</p></sec><sec id="s2_8"><title>2.8. Quantification of IL-2 mRNA by Digital Droplet PCR (ddPCR)</title><p>2 &#215; 10<sup>4</sup> GPI<sup>+/−</sup> 2.10 variants or 4 &#215; 10<sup>4</sup> primary CD4<sup>+</sup> GPI<sup>+/−</sup> T cells were stimulated in 96 well plates precoated with either 9 μg/ml of anti-TCRCβ for the clonal variants or 3 μg/ml of anti-CD3ε for primary T cells. At the indicated time points, 12 replicate wells of each of the four populations were harvested and lysed in Tri Reagent<sup>&#174;</sup> (Sigma Aldrich) according to the manufacturer’s protocol. The RNA was extracted, quantified and assessed for purity using a NanoDrop spectrophotometer or a Qubit 3 Fluorometer (Thermo Scientific). 0.5 - 1 μg of RNA was used to prepare cDNA using reagents and protocol from Life Technologies. The ddPCR was performed in a 20 μl volume containing cDNA template derived from 10 ng of RNA in RNase/DNase-free water, 100 nM each of forward (AACCTGAAACTCCCCAGGAT) and reverse (CGCAGAGGTCCAAGTTCAT) IL-2 primers and 10 μl of 2&#215; QX200 ddPCR EvaGreen supermix (Bio-Rad). The assay mixtures were loaded into a disposable droplet generator cartridge (Bio-Rad), followed by the addition of 70 μl of droplet generation oil (Bio-Rad) into each of the eight oil wells. The cartridge was then placed inside the QX200 droplet generator (Bio-Rad). When droplet generation was completed, the droplets were transferred to a 96-well PCR plate (Eppendorf) using a multichannel pipette. The plate was heat-sealed with foil using the PX1 PCR Plate Sealer and placed in C1000 Touch Thermal Cycler (Bio-Rad). Thermal cycling conditions were as follows: 95˚C for 5 minutes, then 44 cycles of 95˚C for 30 seconds and 60˚C for 1 minute, and 4˚C for 5 minutes, 90˚C for 5 minutes, and a 4˚C indefinite hold. EvaGreen fluorescent signal, labelling the IL-2 RNA sequence in each droplet was counted by QX200 digital droplet reader and analyzed by QuantaSoft analysis software ver.1.7.4.0917 (Bio-Rad).</p></sec><sec id="s2_9"><title>2.9. PD-1/PD-L1-Fc Inhibition Assays</title><p>The mAb S4B6 renders IL-2 incapable of binding its high affinity receptor, CD25, thereby antagonizing IL-2 cellular function. When added at 1 μg/ml in cultures of anti-CD3ε stimulated GPI<sup>−</sup> variants, the level of functional IL-2 measured by ELISA in these supernatants was reduced approximately to the level observed in GPI<sup>+</sup> cultures (data not shown). Note that the IL-2 ELISA kit from eBioscience uses a capture antibody that binds both IL-2 and IL-2-S4B6-complexes whereas the detection antibody reveals only free IL-2 [<xref ref-type="bibr" rid="scirp.107691-ref20">20</xref>], enabling the empirical estimate of the required amount S4B6 to neutralize IL-2 concentrations in GPI<sup>−</sup> culture supernatants such that they match those in GPI<sup>+</sup> culture supernatants.</p><p>2 &#215; 10<sup>4</sup> clonal T cells or 4 &#215; 10<sup>4</sup> primary T cells were seeded per well, in triplicate, on 96 well plates pre-coated with 3 μg/ml of anti-CD3ε alone, or with a titration of PD-L1-Fc or its isotype control. When indicated, S4B6 or its isotype control, rat IgG2a, was added at 1 μg/ml to all cultures containing PD-L1-Fc or PD-L1. HIS or their respective controls. Cultures were pulsed with 1 μCi <sup>3</sup>H-TdR at the indicated time points, harvested 6 hours later on Unifilter plates (PerkinElmer) and thymidine uptake was assessed by scintillation spectroscopy. The inhibitory effect of PD-L1-Fc or PD-L1.HIS is presented as % control: the ratio of cpm from cultures containing anti-CD3ε plus PD-L1-Fc, PD-L1.HIS or their respective controls versus those containing anti-CD3ε alone, which was set to 100%.</p></sec><sec id="s2_10"><title>2.10. Statistical Analysis</title><p>Results represent the mean &#177; standard error calculated based on triplicate cultures from representative experiments. Experiments were repeated a minimum of 3 times. P values among experimental groups were determined by the unpaired Student’s t-test.</p></sec></sec><sec id="s3"><title>3. Results and Discussion</title><sec id="s3_1"><title>3.1. Enhanced IL-2 Production and Signalling Sequelae Imparted by GPI-AP Deficiency</title><p>The initial observation supporting a role for GPI-AP in the regulation of T cell activation and growth was established in GPI-AP deficient variants of the IL-2-dependent, CD4<sup>−</sup>, I-A<sup>b</sup> restricted, OVA<sup>143-157</sup> specific, T cell clone 2.10 [<xref ref-type="bibr" rid="scirp.107691-ref18">18</xref>]. The deficiency in the 2.10 GPI<sup>−</sup> variants is due to an autosomal mutation within a gene encoding one of seven components of the transferase complex termed Pigp [<xref ref-type="bibr" rid="scirp.107691-ref21">21</xref>]. The functional transferase complex predicates the initial step in GPI biosynthesis. The establishment of stable infectants of 2.10 GPI-AP<sup>−</sup> variants demonstrates the causal role of Pigp deficiency (<xref ref-type="fig" rid="fig1">Figure 1</xref>). Insight was derived from the differential kinetics of response of 2.10 GPI<sup>+/−</sup> variants to antigen.</p><p>While both the GPI-AP<sup>+</sup> and GPI-AP<sup>−</sup> 2.10 clonal variants exhibit comparable initial responses, GPI-AP<sup>−</sup> variants exhibit prolonged <sup>3</sup>H-TdR uptake, which was reversed with the rescue of GPI-AP expression mediated by Pigp infection (<xref ref-type="fig" rid="fig1">Figure 1</xref>(B)). The potential role of antigen presenting cells in supporting differential responsiveness was excluded by assessing the responses of 2.10 GPI-AP<sup>+/−</sup> variants to plate bound anti-TCRCβ which reveals that the differential kinetics of responsiveness to TCR ligation in GPI-AP<sup>+/−</sup> variants is cell intrinsic (<xref ref-type="fig" rid="fig1">Figure 1</xref>(C)).</p><p>2.10 clonal variants are IL-2 dependent, and cell death in the absence of IL-2</p><p>ensues through the intrinsic apoptotic pathway [<xref ref-type="bibr" rid="scirp.107691-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref23">23</xref>]. Sustained growth of 2.10 is maintained through either the addition of exogenous IL-2, or TCR-induced production of endogenous IL-2. The differential responses of GPI-AP<sup>+/−</sup> 2.10 variants to TCR ligation is not due to impaired function of IL-2R (<xref ref-type="fig" rid="fig2">Figure 2</xref>(A) and <xref ref-type="fig" rid="fig2">Figure 2</xref>(B)), rather, to differential anti-TCR induced de novo IL-2 mRNA and protein synthesis. While the kinetics of IL-2 mRNA induction</p><p>in GPI-AP<sup>+/−</sup> variants is comparable, the fold induction of IL-2 mRNA is significantly higher in the GPI<sup>−</sup> stimulated cells at each time point assayed. Specifically, the peak of anti-TCRCβ induced IL-2 mRNA induction is at day 1 for both GPI-AP<sup>+/−</sup> variants, but 3.4-fold higher in GPI-AP<sup>−</sup> variants. The levels of IL-2 mRNA in GPI-AP<sup>+/−</sup> variants declined in parallel with their respective <sup>3</sup>H-TdR uptake responses, but levels of IL-2 mRNA remain up to 30-fold higher in GPI-AP<sup>−</sup> variants over the time course assessed (<xref ref-type="fig" rid="fig1">Figure 1</xref>(D)). The role of GPI-AP in the regulation of anti-TCRCβ induced IL-2 mRNA is formally demonstrated using Pigp infectants of 2.10 GPI-AP<sup>−</sup> variants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(E)). Specifically, anti-TCRCβ induced IL-2 mRNA in Pigp infectants approach levels observed in GPI-AP<sup>+</sup> variants assessed at the earliest time points but consistently rose to levels approaching GPI-AP<sup>−</sup> variants at the later time points (<xref ref-type="fig" rid="fig1">Figure 1</xref>(E)) which, notwithstanding, did not translate into increased levels of IL-2 detected in culture supernatants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(F)), as will be discussed below. Levels of anti-TCRCβ induced IL-2 mRNA in MIEV-0 infectants remain within 2-fold of those observed in GPI-AP<sup>−</sup> variants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(G)).</p><p>The enhanced and prolonged anti-TCRCβ induced IL-2 mRNA production in GPI-AP<sup>−</sup> variants correlates with enhanced amounts of IL-2 detected in culture supernatants of the same cell populations over the time course tested. While levels of IL-2 in supernatants of both GPI<sup>+/−</sup> variants declined over time, supernatants of GPI-AP<sup>−</sup> variants contained from 15-188-fold more IL-2 than those from GPI-AP<sup>+</sup> variants at the same time points (<xref ref-type="fig" rid="fig1">Figure 1</xref>(F)). And further, as observed for increases in mRNA induction, IL-2 levels in supernatants of anti-TCRCβ stimulated Pigp infectants of GPI-AP<sup>−</sup> variants approach levels observed in GPI-AP<sup>+</sup> variants, with greater effect at later time points (<xref ref-type="fig" rid="fig1">Figure 1</xref>(G)). Levels of IL-2 in culture supernatants in MIEV-0 infectants remain either identical to those observed in GPI-AP<sup>−</sup> variants, or enhanced 2-5-fold (<xref ref-type="fig" rid="fig1">Figure 1</xref>(G)).</p><p>Convergent evidence for the role of GPI-AP in regulating TCR induced IL-2 production derives from the analysis of the differential effects of PD1 mediated inhibition of TCR signalling in GPI-AP<sup>+/−</sup> variants. PD1-mediated effects are mitigated by exogenous IL-2. Specifically, the exogenous IL-2 sensitive sequelae induced upon PD1 ligation [<xref ref-type="bibr" rid="scirp.107691-ref24">24</xref>] include attenuation of TCR-mediated clonal expansion [<xref ref-type="bibr" rid="scirp.107691-ref16">16</xref>] and dramatic decreases in IL-2 production [<xref ref-type="bibr" rid="scirp.107691-ref25">25</xref>].</p><p>PD1, and its agonistic ligand, PD-L1 are expressed at comparable levels on both GPI-AP<sup>+/−</sup> variants propagated in IL-2 (<xref ref-type="fig" rid="fig2">Figure 2</xref>(C)). Further, PD1 expression is materially upregulated and PD-L1 less so, upon anti-CD3ε stimulation in both GPI-AP<sup>+/−</sup> variants (<xref ref-type="fig" rid="fig2">Figure 2</xref>(C)).</p><p>PD1/PD-L1-mediated attenuation of TCR signalling was assessed by stimulating GPI-AP<sup>+/−</sup> variants with anti-CD3ε in the presence of increasing concentrations of PD-L1-Fc using a recombinant human B7-H1/PD-L1-Fc chimera [<xref ref-type="bibr" rid="scirp.107691-ref16">16</xref>]. Increasing concentrations of PD-L1-Fc suppress anti-CD3ε induced <sup>3</sup>H-TdR uptake by the GPI-AP<sup>+</sup> clonal variants, exclusively (<xref ref-type="fig" rid="fig1">Figure 1</xref>(H)). The formal demonstration of the role of GPI-AP in mediating this differential inhibition is demonstrated by rescuing PD-L1-mediated inhibition of anti-CD3ε induced DNA synthesis in GPI-AP<sup>−</sup>Pigp infectants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(I)).</p><p>However, as illustrated in <xref ref-type="fig" rid="fig1">Figure 1</xref>(J), the efficacy of PD1 mediated inhibition of IL-2 concentrations in culture supernatants of anti-CD3ε stimulated GPI-AP<sup>+/−</sup> variants is comparable, ranging from 50-100-fold. This reveals the potential molecular basis of differential PD-LI-Fc mediated inhibition of induced <sup>3</sup>H-TdR uptake in GPI<sup>+</sup> and GPI<sup>−</sup> clonal variants.</p><p>Specifically, the amount of IL-2 detected in culture supernatants of GPI-AP<sup>−</sup> variants stimulated with anti-CD3ε and 9 μg/ml of PD-L1-Fc, while reduced 30-80-fold relative to controls, was on average 10-50-fold higher compared to levels observed in supernatants of GPI<sup>+</sup> variants stimulated in the same conditions. Thus, while the fold reduction of IL-2 detected is comparable in the GPI-AP sufficient and deficient variants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(J)), the higher concentration of IL-2 in culture supernatants of GPI-AP<sup>−</sup> variants may be sufficient to mitigate the inhibitory effects of PD1 ligation. The prediction follows that reduction of available IL-2 in culture supernatants of anti-CD3ε stimulated GPI<sup>−</sup> clonal variants will render them susceptible to PD-L1-Fc mediated inhibition. This was tested through the addition of an IL-2 neutralizing mAb to reduce levels of IL-2 in supernatants of cultures of GPI<sup>−</sup> variants stimulated with anti-CD3ε in the presence of 9 μg/ml of PD-L1-Fc, to those approximating IL-2 levels observed in the supernatants of the GPI<sup>+</sup> variants stimulated in the same conditions. As illustrated in <xref ref-type="fig" rid="fig1">Figure 1</xref>(K), addition of neutralizing anti-IL-2, but not isotype control, rescued 70% inhibition of the anti-CD3ε induced response of GPI<sup>−</sup> variants in a PD-L1 specific fashion.</p><p>Taken together these results support the conclusion that GPI-AP regulate TCR induced IL-2 production and posits their role in attenuating TCR signalling.</p></sec><sec id="s3_2"><title>3.2. The TCR Induced Signalling Sequelae Observed in GPI-AP<sup>−</sup> Clones Is Recapitulated in GPI-AP<sup>−</sup> Primary CD4<sup>+</sup> T Cells</title><p>Initial results assessing TCR signalling in GPI-AP deficient primary T cells are mixed. The conditional disruption of the Piga gene that encodes one of the seven components of the tranferase complex predicating the initial step in GPI-anchor biosynthesis revealed no significant impact on TCR signalling [<xref ref-type="bibr" rid="scirp.107691-ref19">19</xref>]. However, subsequent analyses of splenocytes from these animals revealed a 2-3-fold enhanced responsiveness to mitogen, and a 3-fold increased response of CD4<sup>+</sup> T cells to allogeneic stimulation, both assessed by <sup>3</sup>H-TdR uptake [<xref ref-type="bibr" rid="scirp.107691-ref26">26</xref>]. Further, the response of an OVA specific T cell clone derived from these mice to mitogen, but not to antigen, was enhanced 3-fold. Importantly this enhancement was reversed upon retroviral infection of the clone with Piga, restoring GPI-AP expression [<xref ref-type="bibr" rid="scirp.107691-ref26">26</xref>]. These results were based on <sup>3</sup>H-TdR uptake, exclusively, notably IL-2 production was not measured. Here we reassess responsiveness of purified GPI-AP<sup>−</sup> CD4<sup>+</sup> T cells derived from these mice [<xref ref-type="bibr" rid="scirp.107691-ref19">19</xref>] and demonstrate that they recapitulate the IL-2 phenotype observed in the GPI-AP<sup>−</sup> clonal variants.</p><p>As previously described, conditional disruption of Piga in these mice yields a T cell specific loss of GPI-AP expression, and enables the isolation of &gt;95% pure populations of CD4<sup>+</sup>GPI-AP<sup>−</sup> T cells (<xref ref-type="fig" rid="fig3">Figure 3</xref>(A)). Anti-CD3ε mediated stimulation of GPI-AP<sup>−</sup> cells results in a 3-7.5 -fold enhancement in <sup>3</sup>H-TdR uptake compared to CD4<sup>+</sup>GPI-AP<sup>+</sup> control T cells, over the time course assessed (<xref ref-type="fig" rid="fig3">Figure 3</xref>(B)). In contrast to the precipitous waning of the anti-TCRCβ induced stimulation of the IL-2-dependent GPI-AP<sup>+</sup> clonal variants (<xref ref-type="fig" rid="fig1">Figure 1</xref>(B) and <xref ref-type="fig" rid="fig1">Figure 1</xref>(C)), as expected the kinetics of anti-CD3ε induced <sup>3</sup>H-TdR uptake in primary GPI-AP<sup>+/−</sup> CD4<sup>+</sup> T cells is not materially exacerbated by IL-2-regulated apoptosis over the time course assessed (<xref ref-type="fig" rid="fig3">Figure 3</xref>(B)). Notwithstanding, the concordant observation is that differential TCR induced IL-2 mRNA and protein levels observed in cultures of GPI<sup>+/−</sup> primary T cells recapitulate those observed in the GPI-AP<sup>+/−</sup> clonal variants.</p><p>Specifically, levels of anti-CD3ε induced IL-2 mRNA in GPI-AP<sup>−</sup> primary T cells range from 3-5-fold higher over the time course assayed (<xref ref-type="fig" rid="fig3">Figure 3</xref>(C)). This differential was paralleled by an increase in IL-2 concentrations in supernatants of the anti-CD3ε stimulated GPI-AP<sup>−</sup> T cells which are up to 20-fold higher at peak (<xref ref-type="fig" rid="fig3">Figure 3</xref>(D)). Further, the IL-2-dependent differential susceptibility of GPI-AP<sup>+/−</sup> primary CD4<sup>+</sup> T cells to PD1 mediated inhibition of anti-CD3ε induced <sup>3</sup>H-TdR uptake recapitulated the observations in GPI-AP<sup>+/− </sup>clonal variants.</p><p>Specifically, increasing concentrations of PD-L1-Fc inhibits <sup>3</sup>H-TdR uptake by GPI-AP<sup>+</sup> CD4<sup>+</sup> primary T cells from 10 to 150-fold, at days 2 and 4, respectively, while no inhibition was observed in GPI-AP<sup>−</sup> CD4<sup>+</sup> primary T cells (<xref ref-type="fig" rid="fig4">Figure 4</xref>(A)). However, PD-L1-Fc did inhibit anti-CD3ε induced IL-2 concentrations observed in supernatants of both GPI-AP<sup>+/−</sup> primary T cells by at least 10-fold at both days 2 and 4 (<xref ref-type="fig" rid="fig4">Figure 4</xref>(B)). Importantly, both basal and anti-CD3ε induced upregulated expression of PD1 and PD-L1 levels are comparable in GPI-AP<sup>+</sup> and GPI-AP<sup>−</sup> CD4<sup>+</sup> primary T cells (<xref ref-type="fig" rid="fig4">Figure 4</xref>(C)).</p><p>To determine whether the 20-100-fold higher concentrations of IL-2 in supernatants of anti-CD3ε stimulated GPI-AP<sup>−</sup> primary T cells at days 2 and 4, respectively (<xref ref-type="fig" rid="fig4">Figure 4</xref>(B)), mitigate PD-L1-Fc-mediated inhibition, the impact of mAb mediated neutralization of IL-2 levels in supernatants of the GPI-AP<sup>−</sup> CD4<sup>+ </sup>primary T cells to levels observed in supernatants of GPI-AP<sup>+</sup> variants was assessed. As illustrated in <xref ref-type="fig" rid="fig4">Figure 4</xref>(D), mAb mediated neutralization of IL-2 rescues PD-L1-Fc mediated inhibition of anti-CD3ε induced <sup>3</sup>H-TdR uptake by GPI-AP<sup>−</sup> variants to 40% and 85% of control responses, at days 2 and 4, respectively.</p><p>It is of note that analyses of CD8<sup>+</sup> primary T cells did not follow suit. Specifically, levels of <sup>3</sup>H-TdR uptake induced by anti-CD3ε in both GPI-AP<sup>+</sup> and GPI-AP<sup>− </sup>CD8<sup>+</sup> primary T cells was robust and comparable to those observed in GPI-AP<sup>+</sup> CD4<sup>+</sup> primary T cells, over the same dose range of anti-CD3ε kinetics. However, levels attained by the GPI-AP<sup>+</sup> CD8<sup>+</sup> were as high as or exceeded those</p><p>observed in the GPI-AP<sup>−</sup> CD8<sup>+</sup> populations. Further, levels of IL-2 observed in supernatants of both GPI-AP<sup>+</sup> and GPI-AP<sup>−</sup> cultures were below levels of detection (data not shown).</p></sec><sec id="s3_3"><title>3.3. A Regulatory Role for the GPI-Anchor in TCR Induced IL-2 Production</title><p>To address the potential differential role of GPI and GPI-AP in the attenuation of anti-CD3ε induced IL-2 production, GPI<sup>+</sup>, GPI-AP<sup>−</sup> CD4<sup>+</sup> primary T cells were generated. This was achieved through the conditional disruption of one of the five components that comprise the transamidase complex within the GPI-biosynthetic pathway, which mediates the transfer of protein containing the appropriate C-terminal signal sequence, to a mature GPI-anchor [<xref ref-type="bibr" rid="scirp.107691-ref27">27</xref>]. The conditional disruption of the Pigu gene was selected for this purpose as floxed-Pigu containing embryos were available at the European Mouse Mutant Archive (EMMA) Repository (<xref ref-type="fig" rid="fig5">Figure 5</xref>(A)). Embryos heterozygous for floxed exon 2 of Pigu, were implanted into pseudo pregnant females and offspring were bred and rearedin the specific pathogen free environment at the Sunnybrook Research Institute for preparation of the conditional Pigu deficient strain.</p><p>A breeding program analogous to that employed for the generation and maintenance of the Piga conditional mutants was implemented [<xref ref-type="bibr" rid="scirp.107691-ref19">19</xref>] with the specific modification to accommodate the fact that Pigu is autosomal. Specifically, floxed-Pigu heterozygous mice were bred with mice transgenic for Cre recombinase under the control of the proximal Lck promoter (Lck-Cre). As for the generation of Piga deficient peripheral T cells, the switch of Lck promoters from the predominate use of the proximal promoter intra-thymically to the predominate use of the distal promoter in peripheral T cells [<xref ref-type="bibr" rid="scirp.107691-ref28">28</xref>], ensures not only that T cells emigrating from the thymus are Pigu deficient, it also safeguards against unwanted Cre-expression in peripheral T cells of these animals. The F<sub>1</sub> progeny [Lck-Cre/Pigu<sup>flox</sup>] were then intercrossed yielding some F<sub>2</sub>Lck-Cre/Pigu<sup>flox</sup> mice bearing the disruption of Pigu on both alleles. The expression of Pigu in progeny tail clippings, B cells and T cells demonstrates the selective absence of Pigu exon-2 in T cells, exclusively (<xref ref-type="fig" rid="fig5">Figure 5</xref>(B)). Flow cytometric analyses of splenocytes from Pigu deficient animals confirm the presence of GPI-AP deficient cells in a T cell specific fashion, and enabled the isolation of &gt;95% pure populations of Pigu deficient, GPI-AP<sup>−</sup>, CD4<sup>+</sup> primary T cells (<xref ref-type="fig" rid="fig5">Figure 5</xref>(C)).</p><p>Formal proof that mature GPI-anchor expression is retained on Pigudeficient CD4<sup>+ </sup>T cells is demonstrated by staining with a mAb specific for unlinked GPIs expressing an N-acetylgalactosamine side chain [<xref ref-type="bibr" rid="scirp.107691-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref29">29</xref>]. As expected, this mAb does not stain CD4<sup>+</sup> primary T cells from either Piga or Pigu sufficient CD4<sup>+</sup> T cells, as the side chain is blocked through the addition of GPI-associated proteins; nor does it stain Piga-deficient CD4<sup>+</sup> T cells, which lack both the GPI-anchor and therefore GPI-AP (<xref ref-type="fig" rid="fig5">Figure 5</xref>(D)). Only Pigu deficient CD4<sup>+</sup> T cells express the ligand for the T5 mAb, and staining is in the majority PI-PLC sensitive, confirming the GPI-linkage (<xref ref-type="fig" rid="fig5">Figure 5</xref>(D)).</p><p>Comparative assessment of anti-CD3ε induced <sup>3</sup>H-TdR uptake, induction of IL-2 specific mRNA and levels of IL-2 in culture supernatants of Pigu<sup>+/+</sup> and Pigu<sup>−/−</sup> primary CD4<sup>+</sup> T cells demonstrates fundamental differences in the</p><p>phenotype of Pigu and Piga deficiency. Specifically, as illustrated in <xref ref-type="fig" rid="fig6">Figure 6</xref>(A), levels of anti-CD3ε induced <sup>3</sup>H-TdR uptake by Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells was comparable to or exceeded those by Pigu<sup>−/−</sup> CD4<sup>+</sup> T cells. Anti-CD3ε induced IL-2</p><p>mRNA in Pigu<sup>−/−</sup> CD4<sup>+</sup> T cells ranged within 0.5-3.8-fold of those levels in Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="fig6">Figure 6</xref>(B)); and IL-2 levels in culture supernatants of Pigu<sup>−/−</sup> CD4<sup>+</sup> T cells ranged from 1-4-fold of those in culture supernatants of Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="fig6">Figure 6</xref>(C)).</p><p>Thus, the differential of anti-CD3ε induced IL-2 mRNA and IL-2 observed in Pigu<sup>−/−</sup> versus Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells is 10-50-fold less relative to that observed in Piga<sup>+</sup> versus Piga<sup>−</sup> CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="fig3">Figure 3</xref>, <xref ref-type="fig" rid="fig4">Figure 4</xref> and <xref ref-type="fig" rid="fig6">Figure 6</xref>).</p><p>Notwithstanding, even a 2-4-fold increment of IL-2 in the surround was sufficient to impact PD-L1 mediated inhibition of anti-CD3ε induced <sup>3</sup>H-TdR uptake by in Pigu<sup>−/−</sup> CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="fig6">Figure 6</xref>(E)). Importantly, both basal and anti-CD3ε induced levels of expression of PD1 and PD-L1 are comparable in Pigu<sup>−/−</sup> and Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="fig6">Figure 6</xref>(D)). Further, and as for PD-L1 mediated inhibition of IL-2 in culture supernatants of anti-CD3ε stimulated Piga<sup>−</sup> and Piga<sup>+</sup> CD4<sup>+</sup>T cells (<xref ref-type="fig" rid="fig4">Figure 4</xref>(B)), PD-L1 inhibits levels of IL-2 observed in supernatants of anti-CD3ε induced Pigu<sup>−/−</sup> and Pigu<sup>+/+</sup> CD4<sup>+</sup> T cells, comparably (<xref ref-type="fig" rid="fig6">Figure 6</xref>(F)).</p><p>In sum, the striking differential effects in the regulation of TCR induced DNA synthesis and IL-2 production in primary Pigaand Pigu deficient primary CD4<sup>+ </sup>T cells provide the first evidence that expression of free GPI functions to profoundly attenuate TCR signalling.</p></sec></sec><sec id="s4"><title>4. Concluding Remarks</title><p>The key resolve of this study is the formal demonstration that regulation of TCR induced DNA synthesis and IL-2 production in primary Pigaand Pigu deficient primary CD4<sup>+</sup> T cells provide the first evidence that expression of free GPI functions to profoundly attenuate TCR signalling. In this regard, it is of note that TCR stimulation of GPI-AP<sup>−</sup> primary CD4<sup>+</sup> T cells results in 5-7-fold increases in IL-4 and IFN-γ levels as well (not shown). However, neither is likely relevant to the phenotype described. The central role of IL-2 is underscored with the demonstration that mAb mediated inhibition of IL-2 reverses PD-L1 insensitivity.</p><p>The novel regulatory role of GPI could be central to mechanisms governing T cell homeostasis. We propose that an underpinning mechanism is governed by the imbalance of phosphoinositide (PtdIns) metabolism upon ablation of the GPI biosynthetic pathway. Phosphoinositides play a central and governing role in cell physiology; controlling membrane-cytosol interfaces [<xref ref-type="bibr" rid="scirp.107691-ref30">30</xref>] and regulation of cellular physiology [<xref ref-type="bibr" rid="scirp.107691-ref31">31</xref>]; generating metabolites that directly tether with cellular signalling machinery that regulates survival and metabolism [<xref ref-type="bibr" rid="scirp.107691-ref32">32</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref33">33</xref>]; and regulating downstream TCR signalling machinery and the de novo induction of IL-2 [<xref ref-type="bibr" rid="scirp.107691-ref34">34</xref>]. The potential role of PI in regulating IL-2 production is modelled in <xref ref-type="fig" rid="fig7">Figure 7</xref>.</p><p>Previous reports demonstrate that GPI are expressed in the absence of a functional transamidase complex [<xref ref-type="bibr" rid="scirp.107691-ref15">15</xref>], and confirmed herein in primary T cells. A recent report demonstrates a role for ER-associated degradation in negative regulation of mature GPI anchor levels in the absence of a functional transamidase complex [<xref ref-type="bibr" rid="scirp.107691-ref35">35</xref>]. In contrast, it is unknown how ablation of GPI biosynthesis through disruption of the transferase complex impacts intracellular stores of PI and PtdIns. It is plausible that in the absence of a functional transferase complex, intracellular stores of PI metabolites re-equilibrate. The proposed subsequent impact on TCR induced signalling sequalae can be directly tethered to the signals emanating from the TCR that culminate in IL-2 production (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p><p>The proposed mechanism of PI-dependent enhanced growth/survival and differential growth factor production may be generalizable to the maintenance of cellular homeostasis of cell types other than lymphocytes; and the regulation of</p><p>cytokines, other than IL-2, which is not without precedent [<xref ref-type="bibr" rid="scirp.107691-ref36">36</xref>]. Insight into the potential relevance of this hypothetical is derived from studies focused on characterizing mechanism(s) underpinning establishment of clonal dominance in paroxysmal nocturnal hemoglobinuria (PNH) [<xref ref-type="bibr" rid="scirp.107691-ref37">37</xref>]. This acquired hematopoietic stem cell disorder correlates with preferential expansion and/or survival advantage leading to clonal dominance. Both intrinsic [<xref ref-type="bibr" rid="scirp.107691-ref38">38</xref>] and extrinsic [<xref ref-type="bibr" rid="scirp.107691-ref39">39</xref>] mechanism(s) have been postulated; neither have been formally proven as the exclusive mechanism. However, a pre-clinical study does formally demonstrate that the Piga lesion alone is not sufficient to support hematopoietic stem cell clonal dominance, rather, other genetic modifications are required [<xref ref-type="bibr" rid="scirp.107691-ref40">40</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref41">41</xref>]. Further, the same multifactorial requirements apply to the high correlation of PNH patients developing AML, ALL, and CLL, many of which, although not exclusively, are derived from the Piga deficient hematopoietic stem cell clone [<xref ref-type="bibr" rid="scirp.107691-ref42">42</xref>]; and represent a frequency of incidence 80-fold higher than in the general population [<xref ref-type="bibr" rid="scirp.107691-ref43">43</xref>] [<xref ref-type="bibr" rid="scirp.107691-ref44">44</xref>].</p><p>We speculate that PI metabolism and the effects of GPI-AP deficiencies on cellular physiology reported herein provide a new molecular lens to assess mechanisms governing the maintenance of cellular homeostasis and the onset of GPI-deficient non-neoplastic proliferative disease states as well as a potential contributor to the development of GPI-deficient neoplasms.</p></sec><sec id="s5"><title>Acknowledgements</title><p>This work was supported by grants from the Medical Research Council of Canada #MT-9735 and the Sunnybrook Research Institute #SRI-VPR-2.</p><p>We would like to thank Drs. Jean Gariepy and Aaron Proteus at the Sunnybrook Research Institute for providing PD-L1.HIS and CEA-N.HIS; Kirishanthy Kathirkamathamby at the Sunnybrook Research Institute Antibody Facility for antibody purification and conjugation expertise; and the assistance of Gisele Knowles, Courtney McIntosh, Dr. Geneve Among and Paul Oleynik in flow cytometric analyses and cell sorting.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Vacaresse, N., Ferzoco, A., Filipp, D., Amemiya, Y., Seth, A., Andrews, D., Kinoshita, T. and Julius, M. (2021) The Glycosylphosphatidylinositol Anchor Regulates T Cell Antigen Receptor Induced IL-2 Production. Open Journal of Immunology, 11, 1-24. https://doi.org/10.4236/oji.2021.111001</p></sec><sec id="s8"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.107691-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Isoda, A., Ogawa, Y., Matsumoto, M. and Sawamura, M. (2009) Coexistence of Paroxysmal Nocturnal Hemoglobinuria (PNH) and Acute Lymphoblastic Leukemia (ALL): Is PNH a Prodrome of ALL? Leukemia Research, 33, e3-e5. https://doi.org/10.1016/j.leukres.2008.05.016</mixed-citation></ref><ref id="scirp.107691-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Harris, J.W., Koscick, R., Lazarus, H.M., Eshleman, J.R. and Medof, M.E. (1999) Leukemia Arising Out of Paroxysmal Nocturnal Hemoglobinuria. 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