In this paper, we demonstrate that T cells are markedly expanded by IL-21 in synergy with IL-15 or IL-7, and that this expansion is most potent for CD8
+ T cells. IL-15 and/or high doses of IL-7 are known to be required for memory (CD44
high) CD8
+ T cell survival and proliferation (
8). Our results indicate that both memory-phenotype and naive-phenotype CD8
+ T cells are expanded by IL-21 + IL-15 and that IL-21 is necessary for an optimal CD8
+ T cell response to antigen. Kasaian et al. reported an enhancement of the antigen-driven CD8
+ T cell response by IL-21 but surprisingly found no effect of IL-21 on IL-15–mediated, TCR-independent T cell expansion (
5), which differs from our results. The concentration of IL-21 in their paper is not defined in nanograms per milliliter as they used conditioned medium from transfected COS cells as a source of IL-21 and, thus, we speculate that the amount of IL-21 used in their work may not have been sufficient to achieve the synergistic effect that we observed. At higher levels of IL-15, we observed marked synergy even with 10 ng/ml of IL-21, and importantly this synergistic effect of IL-15 and IL-21 on expansion in vitro of purified CD8
+ T cells is consistent with the effect that we observe in vivo.
How do IL-15 and IL-21 regulate CD8 T cell expansion and effector functions? Our results indicate that IL-15 and IL-21 together accelerate cell division of isolated CD8+ T cells. Although more work is needed to clarify which genes mediate the synergistic actions of IL-15 and IL-21, it is interesting that granzyme B, which plays an important role for cytotoxicity, and c-Jun, which is important for optimal proliferation, are both preferentially induced by the combination of IL-15 and IL-21.
Homeostatic control of CD8
+ T cells is essential for defense against infectious pathogens. IL-15 is known to be a critical regulator of memory CD8
+ T cell homeostasis and might also contribute to naive CD8
+ T cell survival. IL-7 is required for naive CD8
+ T cell survival and homeostatic proliferation but also contributes to memory CD8
+ T cell homeostasis. We have now identified IL-21 as a new regulator of these cells, suggesting that it is yet another γ
c-dependent cytokine that critically regulates T cell homeostasis. Although IL-21 alone showed little effect on CD8
+ T cells, it synergistically promoted the proliferation and survival of both memory and naive CD8
+ T cells. Our data are consistent with a cooperative effect of IL-15 and IL-21 on the generation and expansion of cytotoxic T cells, as would occur, for example, after viral infection. Although IL-15 was previously shown to cooperate with IL-21 in preventing the establishment of a murine lymphoma, our data demonstrate that synergistic actions of IL-15 and IL-21 can result in complete regression of large established B16 melanomas, with an associated expansion of tumor-specific CD8
+ T cells. This supports the previously suggested role of IL-15 as an antitumor agent (
26). A recent paper suggested that IL-21 contributed to the homeostatic expansion of T cells, but that it could not support their survival (
27). Our experiments collectively indicate that IL-21 has both proliferative and cell survival effects for CD8
+ T cells and that its effects on expansion are greatly augmented when IL-15 is also added. Although CD8
+ T cells expanded in vitro using IL-2 or IL-15 can be reintroduced in vivo to augment the killing of tumor cells (
28,
29), our results indicate that the combination of IL-21 with IL-15 may be a more powerful method for expanding CD8
+ T cells, both in vitro and in vivo, and enhancing CD8
+ T cell function.