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The Journal of Immunology, 1998, 160: 155-162.
Copyright © 1998 by The American Association of Immunologists

Induction of Granulomatous Experimental Autoimmune Thyroiditis in IL-4 Gene-Disrupted Mice1

Haiwen Tang*,{dagger}, Gordon C. Sharp*,{ddagger}, Karin E. Peterson{dagger} and Helen Braley-Mullen2,*,{dagger}

Departments of * Internal Medicine, {dagger} Molecular Microbiology & Immunology, and {ddagger} Pathology, University of Missouri-Columbia School of Medicine, Columbia, MO 65212


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To study the role of IL-4 in development of granulomatous experimental autoimmune thyroiditis (EAT), IL-4 gene-disrupted mice expressing the EAT-susceptible H-2k haplotype were generated and used for EAT induction. Spleen cells from mouse thyroglobulin (MTg) and LPS-primed IL-4+/+ and IL-4-/- donors could induce severe granulomatous EAT when spleen cells were activated with MTg and anti-IL-2R mAb in the presence of IL-12. Thyroid lesions had extensive follicular cell proliferation, large numbers of histiocytes, polymorphonuclear leukocytes, and multinucleated giant cells, in addition to lymphocytes and other mononuclear cells. Expression of IFN-{gamma} gene mRNA and production of IFN-{gamma} by effector spleen cells stimulated with MTg and IL-12 were similar for both IL-4+/+ and IL-4-/- mice. Although IL-4 was undetectable in IL-4-/- mice, expression of mRNA for IL-5, IL-10, and IL-13 and production of IL-5 by both MTg-activated spleen cells and anti-CD3-activated CD4+ T cells were comparable for cells from IL-4+/+ and IL-4-/- mice, indicating that the absence of IL-4 did not prevent production of other Th2 cytokines. Production of MTg-specific IgG1 was very low or undetectable in IL-4-/- mice. IL-4 gene mRNA and MTg-specific IgG1 could be detected in IL-4+/+ or IL-4-/- recipients only when they received effector cells from IL-4+/+ donor mice, indicating that IL-4- and IgG1-secreting cells are of donor origin. These results demonstrate that IL-4 is not essential for development of granulomatous EAT.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Experimental autoimmune thyroiditis (EAT)3 is a chronic inflammatory autoimmune disease characterized by mononuclear cell infiltration of the thyroid gland and production of anti-mouse thyroglobulin (MTg) autoantibody (1, 2). EAT can be induced in susceptible strains of mice by injection of MTg and adjuvant (1, 2, 3) or by transfer of in vitro activated splenic T cells from MTg-primed donor mice into syngeneic recipients (4). Previous results from our laboratory have shown that recipients of spleen cells from MTg-primed donors activated with MTg in the presence of anti-IL-2R or anti-IFN-{gamma} mAb (5, 6) develop a histologically distinct granulomatous form of EAT in which the thyroid lesions show follicular cell proliferation and infiltration with lymphocytes and other mononuclear cells as well as polymorphonuclear leukocytes (PMN), histiocytes, and multinucleated giant cells. MTg-specific CD4+ T cells are required for induction of both lymphocytic and granulomatous EAT (5). Based on the conditions needed to activate cells that could transfer granulomatous EAT, we previously hypothesized that effector cells for granulomatous EAT might be primarily Th2-like CD4+ T cells (5, 6). More recently, however, we demonstrated that a more severe form of granulomatous EAT can be induced by activation of EAT effector cells in vitro in the presence of IL-12.4 The mechanism by which IL-12 activates effector cells to induce severe granulomatous EAT appears to differ from the mechanism by which blocking the IL-2R results in transfer of granulomatous EAT.4

Granulomatous responses are localized cellular reactions against an inciting agent, which can be either infectious or noninfectious in nature (7). The cellular constituents of granulomas include macrophages, lymphocytes, mast cells, epithelioid cells, and multinucleated giant cells. Recent evidence has shown that polarized Th1 or Th2 reactions can be found in granulomatous lesions of known or unknown etiology. A strong Th2 cytokine pattern has been found in pulmonary granulomas in experimental murine schistosomiasis (8, 9), whereas a Th1 cytokine pattern has been demonstrated in pulmonary granulomas induced by embolization of beads coupled to purified protein derivative of Mycobacterium tuberculosis (10, 11).

IL-4 is known to play an important role in development of Th2 cells and humoral immune responses (12, 13). IL-4 alone, or IL-4 and IL-10 have been shown to down-regulate inflammatory Th1 and cell-mediated immune responses induced by IL-12 and characterized by IFN-{gamma} production (13, 14, 15, 16). The role of IL-4 in autoimmune pathogenesis is still unclear. Although IL-4 has been shown to suppress experimental allergic encephalomyelitis (EAE) (17) and spontaneous diabetes in NOD mice (18), administration of IL-4 was shown to exacerbate experimental autoimmune uveoretinitis (19) and adjuvant-induced arthritis (20). In adoptive EAT, recipients of MTg-primed spleen cells activated with MTg in the presence of IL-4 had a lower level of MTg-specific autoantibody, but EAT severity was similar to that of control mice (21). To examine the role of IL-4 in the regulation of granulomatous EAT, we generated IL-4 gene-disrupted mice on an EAT-susceptible H-2k background. MTg-sensitized spleen cells from both IL-4+/+ and IL-4-/- mice induced severe granulomatous EAT after in vitro activation with MTg and IL-12. These results indicate that IL-4 is not required for development of the granulomatous form of EAT.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

Female B10.BR mice (H-2k), 6 to 8 wk old, were obtained from The Jackson Laboratory (Bar Harbor, ME). An IL-4-/- 129Sv (H-2b) male mouse was obtained through Dr. Leonard Schultz, The Jackson Laboratory. B10.BRxIL-4-/- F2 mice that were homozygous for H-2k and for either the IL-4-negative or IL-4-positive genes were selected and backcrossed five generations to obtain H-2k homozygous mice that were either IL-4-/- or IL-4+/+ and expressed the black coat color of the B10.BR parent. Typing for expression of H-2b and H-2k was done by flow-cytometric analysis of peripheral blood, and PCR analysis of tail DNA was used to distinguish the mutant and wild-type IL-4 genes. The primer sequences were provided by Dr. Peter Schweitzer (The Jackson Laboratory) and were synthesized by the DNA Core Facility at University of Missouri (Columbia, MO). The DNA product from the uninterrupted (+/+) allele is 378 bp, and the product from the interrupted (-/-) allele is 430 bp. The B10.BR strain was selected for crossing with 129Sv IL-4-/- to attempt to minimize differences in background genes (particularly minor lymphocyte-stimulating genes) that could potentially interfere with successful transfer of EAT by transferred cells. Although B10.BR mice express the H-2k allele associated with susceptibility to EAT, we find that they develop much less severe EAT than do other H-2k strains such as AKR and CBA/J. This was also true for the IL-4 H-2k mice used for these experiments. All mice were maintained under specific-pathogen-free conditions in barrier facilities at University of Missouri. For the experiments described in this work, IL-4-/- H-2k mice were compared with age- and sex-matched IL-4+/+ H-2k mice from the same backcross generations. Mice were generally 6 to 10 wk old at the time of use.

EAT induction

EAT was induced as previously described (5). Briefly, mice were injected i.v. twice at 10-day intervals with 150 µg MTg, prepared as previously described (4), and 15 µg LPS (Escherichia coli 011:B4; Sigma Chemical Co., St. Louis, MO). Seven days later, donor spleen cells were cultured at 1 x 107/ml for 72 h at 37°C in RPMI 1640 containing 25 mM HEPES buffer (Cell and Immunobiology Core Facility, University of Missouri), 5% FCS (Sigma Chemical Co.), sodium pyruvate, glutamine, nonessential amino acids, vitamins (all from Fisher Scientific, St. Louis, MO), and 5 x 10-5 M 2-ME. To induce granulomatous EAT, donor spleen cells were restimulated with 25 µg/ml MTg in the presence of 5% final concentration of culture supernatant containing anti-IL-2R mAb (M7/20) (5) and 5 ng/ml IL-12 (R&D Systems, Minneapolis, MN).4 Cells were harvested and washed twice with balanced salt solution, and 4 to 5 x 107 cells were transferred i.v. into 600 R irradiated syngeneic recipients. Recipient thyroids were collected for histologic evaluation of EAT 19 to 21 days later, the time of maximal EAT severity (5).4

Evaluation of EAT

Thyroids were scored quantitatively for EAT severity (defined as the extent of thyroid follicle destruction) using a scale of 1+ to 5+, as described previously (5, 6). 1+ thyroiditis is defined as an infiltrate of at least 125 cells in one or several foci; 2+ is 10 to 20 foci of cellular infiltration involving up to one-fourth of the gland; 3+ indicates that one-fourth to one-half of the gland is infiltrated; 4+ indicates that greater than one-half of the gland is destroyed; and 5+ indicates virtually complete destruction of the gland with few or no remaining follicles. Thyroid lesions were also evaluated qualitatively. The thyroid inflammatory infiltrate in conventional lymphocytic EAT consists primarily of mononuclear cells with relatively few PMN. Thyroids of most mice in this study had granulomatous inflammatory lesions graded 2 to 4+ in terms of the extent of destruction of thyroid follicles. These thyroids had proliferation and enlargement of thyroid follicular cells with granulomas containing lymphocytes and other mononuclear cells, modest to moderate numbers of PMN, and large numbers of histiocytes (5). The more severely destroyed (4–5+) thyroids had more extensive granulomatous changes with more PMN, microabscess formation, necrosis, multinucleated giant cells, and large numbers of histiocytes predominating over the follicular cell proliferative changes and mononuclear infiltrates.

ELISA assay

Serum levels of MTg-specific IgG autoantibodies in individual donor or recipient mice were determined by ELISA, as previously described (5). The contribution of various IgG subclasses to the total IgG autoantibody response was assessed using alkaline phosphatase-conjugated Abs specific for IgG1, IgG2a, and IgG2b. Dilutions of the conjugated subclass-specific Abs (1/6000 to 1/8000) were determined in preliminary titrations to detect optimal Ab activity of serum on MTg-coated plates while giving minimal activity (OD < 0.05) on plates coated with an irrelevant protein (OVA) or with normal mouse serum (1/100 dilution) on MTg-coated plates. Levels of IFN-{gamma} produced by cells during the 72-h culture with MTg or MTg and IL-12, or 48 h after activation with anti-CD3 mAb 145-2C11 (ATCC CRL-1975) were evaluated by double-sandwich ELISA using mAb R46A2 as the capture Ab, biotinylated XMG1.2 as the detection Ab, and murine rIFN-{gamma} (Biosource International, Camarillo, CA) as a standard. IL-2, IL-4, and IL-5 were assayed using ELISA kits purchased from Endogen (Cambridge, MA).

CD4+ T cell purification and anti-CD3 stimulation

CD4+ T cells were isolated from spleen cells as previously described (22). CD4+ T cells were cultured at 2 x 106 cells/well (1 ml) in flat-bottom 24-well culture plates and stimulated with solid-phase-coupled anti-CD3 mAb 145-2C11 (20 µg/ml). Supernatants and cells were harvested after 48 h. Supernatants were stored at -20°C, and cells were snap frozen in liquid nitrogen and stored at -70°C until used.

Reverse-transcription PCR (RT-PCR) amplification

Total RNA was isolated from 5 x 106 spleen cells, 1 x 106 anti-CD3-activated CD4+ T cells, or single thyroid lobes using TRIZOL (Life Technologies, Gaithersburg, MD), according to the manufacturer’s instructions. The dried RNA pellet was dissolved in 10 µl of sterile diethyl pyrocarbonate-treated water. Total mRNA was converted to cDNA by murine leukemia virus reverse transcriptase (Perkin-Elmer Cetus, Branchburg, NJ) and oligo(dT)12–18 primers, according to the manufacturer’s instructions. To determine the relative initial amounts of target cDNA, each cDNA sample was serially diluted 1/5, 1/25, and 1/125, and each dilution was amplified with cytokine-specific primers. Hypoxanthine-guanine phosphoribosyltransferase (HPRT) was used as a housekeeping gene to verify that the equivalent amounts of RNA were amplified. Most cytokine gene primers used in this study were described previously (22). Primer sequences for IL-5 were: sense, ATG ACT GTG CCT CTG TGC CTG GAG C; antisense, CTG TTT TTC CTG GAG TAA ACT GGG G. Primer sequences for IL-13 were: sense, GAA GTG GAT CCT GAG GAC AGA TAC G; antisense, GAC CAT GGG CCA TGA GGA ACA TTC. To compare relative levels of mRNA transcripts between different samples, samples were reverse transcribed and amplified at the same time using aliquots of reagent from the same master mix.

PCR amplification was performed as previously described (22). Final PCR products were separated by electrophoresis in 3% agarose gels and visualized by UV light following ethidium bromide staining. Densitometry analysis was performed using an IS-1000 Digital Imaging System (San Leandro, CA). Dilutions of samples within the linear relationship (usually 1/25 dilution) were used for analysis, and the densitometric units for each cytokine band were normalized to those obtained for the corresponding HPRT band.

In some experiments, expression of mRNA for IL-5, IFN-{gamma}, and HPRT was determined using PCR mimics made using a PCR mimic construction kit from Clontech Laboratories (Palo Alto, CA), according to the manufacturer’s instructions.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Induction of granulomatous EAT in IL-4+/+ and IL-4-/- mice

Preliminary experiments indicated that cells from MTg/LPS-immunized IL-4+/+ or IL-4-/- donor mice activated with MTg alone or with MTg and anti-IL-2R mAb induced minimal or no EAT after transfer to either IL-4+/+ or IL-4-/- recipient mice (data not shown). MTg-primed cells activated with MTg and M7/20 in the presence of IL-12 induce a much more severe form of granulomatous EAT.4 To determine whether granulomatous EAT can be induced in IL-4 gene-negative mice, spleen cells from MTg/LPS-immunized IL-4+/+ and IL-4-/- donor mice were cultured for 72 h with MTg together with the anti-IL-2R mAb M7/20 and 5 ng/ml of IL-12. Cells were transferred to 600-rad irradiated IL-4+/+ or IL-4-/- recipients. The results of four representative experiments are shown in Table IGo. Cells from both IL-4+/+ and IL-4-/- donors induced granulomatous EAT in recipient mice. Thyroid lesions in most recipient mice had extensive follicular cell proliferation, large numbers of histiocytes, lymphocytes, mononuclear cells, PMN, and multinucleated giant cells. The more severe (4–5+ severity) lesions also had microabscess formation and focal fibrosis, and the inflammation frequently extended beyond the thyroid into adjacent muscle and connective tissue. Thyroids of recipients of cells from both IL-4+/+ and IL-4-/- donors had qualitatively similar granulomatous histopathologic features in these and several other experiments (Fig. 1Go). These results indicate that IL-4 is not necessary for development of the granulomatous form of EAT induced by cells activated with MTg together with anti-IL-2R mAb and IL-12. However, IL-4 may augment the intensity of the granulomatous inflammatory response since six recipients of IL-4+/+ cells in experiments 1 and 3 developed very severe (5+) EAT, while none of the recipients of IL-4-/- cells had 5+ lesions (Table IGo).


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Table I. IL-4 is not required for development of granulomatous EAT

 


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FIGURE 1. Thyroid histopathology in IL-4+/+ and IL-4-/- mice. Hematoxylin and eosin (H&E)-stained thyroid sections from recipients of IL-4+/+ (A–C) or IL-4-/- (D–F) cells cultured with MTg, M7/20, and IL-12. A and D, H&E x 100; B and E, H&E x 200; C and F, H&E x 400. EAT severity is 5+ for the IL-4+/+ thyroid (A–C) and 4+ for the IL-4-/- thyroid.

 
MTg-specific autoantibody responses in IL-4+/+and IL-4-/- mice

After immunization with MTg/LPS, IL-4+/+ and IL-4-/- donors and recipients of cells from either IL-4+/+ or IL-4-/- donors produced anti-MTg IgG autoantibody (Table IGo). MTg-specific IgG levels were lower for IL-4-/- mice in some experiments, although in other experiments, IL-4+/+ and IL-4-/- donors and recipients had comparable levels of MTg-specific IgG (Table IGo). Since IL-4 is known to be critical for production of IgG1 (23), the subclass distribution of the anti-MTg IgG autoantibody was also determined. In a typical experiment, IL-4+/+ donor mice produced primarily IgG1 and IgG2b anti-MTg and relatively low amounts of IgG2a (Fig. 2GoA). IL-4-/- donors produced amounts of MTg-specific IgG2a and IgG2b comparable with those observed for IL-4+/+ mice, but MTg-specific IgG1 was very low and in many sera was undetectable, indicating that IL-4 is required for production of MTg-specific IgG1 autoantibody. Similar results were obtained with serum from recipient mice (Fig. 2GoB). Recipients of cells from either IL-4+/+ or IL-4-/- donors produced similar amounts of MTg-specific IgG2a and IgG2b. Whereas IgG1 autoantibody was produced in recipients of IL-4+/+ cells, recipients of IL-4-/- donor cells produced very low amounts of MTg-specific IgG1 autoantibody even when they were transferred into IL-4+/+ recipients (Fig. 2GoB). This latter observation demonstrates that most, if not all, of the anti-MTg autoantibody produced by recipient mice is of donor origin. Morever, the presence or absence of MTg-specific IgG1 autoantibody apparently has little, if any, influence on EAT development or severity.



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FIGURE 2. IgG subclass distribution of anti-MTg autoantibody. EAT was induced as described in Table IGo. A, Donor sera were collected 7 days after the second immunization with MTg/LPS. B, Recipient sera were collected 19 days after cell transfer. Cells from IL-4+/+ or IL-4-/- donors were transferred into IL-4+/+ or IL-4-/- recipients, as indicated. Results are expressed as mean OD410 ± SEM of 1/200 (donors), or 1/400 (recipients) dilutions of serum from four to five individual mice/group.

 
Cytokine mRNA expression and cytokine production by spleen cells from donor mice

To determine whether IL-4 is necessary for the generation of Th2 cytokines in vivo, cytokine gene mRNA expression by MTg-primed spleen cells activated 72 h with MTg, M7/20, and IL-12 was analyzed by RT-PCR, as described in Materials and Methods. As expected, IL-4 mRNA was undetectable in cells of IL-4-/- mice (Fig. 3Go). Expression of mRNA for IL-2, IL-5, IL-10, IL-13, IFN-{gamma}, and TNF-{alpha} was almost equivalent in MTg-stimulated spleen cells from both IL-4+/+ and IL-4-/- mice in this and other experiments. Cells cultured without MTg expressed no detectable IL-2, IL-4, or IL-13, and only weak bands for TNF-{alpha}, IL-10, and IL-5 were detected using a 1/5 cDNA dilution. IFN-{gamma} bands were equally detected in cells cultured with or without MTg in the presence of IL-12 (data not shown). These results suggest that the absence of IL-4 did not prevent activation of cells capable of producing other cytokines, including those normally considered to be produced by Th2 cells (IL-13, IL-5, and IL-10).



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FIGURE 3. Cytokine gene mRNA expression by MTg-activated spleen cells. Seven days after the second immunization with MTg and LPS, donor spleen cells were cultured 72 h with MTg, M7/20, and IL-12. RNA was isolated, converted to cDNA using oligo(dT), and amplified with HPRT or cytokine-specific primers. All samples compared for a particular cytokine:HPRT ratio (e.g., IL-4:HPRT) were amplified at the same time. PCR products were separated in 3% agarose gel and visualized by ethidium bromide staining. Results are expressed as the ratio of cytokines to HPRT mRNA densitometric units (1/25 dilutions), as determined by the IS-1000 Digital Imaging System. Data shown are representative results from three independent experiments.

 
Since IL-4 is thought to be essential for inducing differentiation of CD4+ T cells to Th2 cells (24, 25), it was important to determine whether the Th2 cytokines, IL-5, IL-10, and IL-13, were produced by CD4+ T cells or other cell types. To address this issue, CD4+ T cells were isolated and stimulated with anti-CD3 mAb for 48 h, and cytokine mRNA expression was examined by RT-PCR. As shown in Figure 4GoA, IFN-{gamma} and IL-2 mRNA were slightly up-regulated in CD4+ T cells of IL-4-/- compared with IL-4+/+ mice, whereas similar levels of IL-5 and IL-10 were detected in both IL-4+/+ and IL-4-/- CD4+ T cells. Although IL-13 mRNA was readily detected in CD4+ T cells of IL-4-/- mice, these cells generally expressed lower levels of IL-13 mRNA than IL-4+/+ CD4+ T cells.



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FIGURE 4. Cytokine gene mRNA expression in anti-CD3-stimulated CD4+ T cells from IL-4+/+ and IL-4-/- mice. CD4+ T cells were purified from MTg/LPS-primed IL-4+/+ and IL-4-/- mice using magnetic beads, and cells were activated with anti-CD3 for 48 h, as described in Materials and Methods. A, Cytokine gene expression was examined by RT-PCR, as described in Figure 3Go. Lanes 1 to 3 represent cDNA from IL-4+/+ mice diluted 1/5, 1/25, and 1/125, respectively. Lanes 4 to 6 represent cDNA from IL-4-/- mice diluted 1/5, 1/25, and 1/125, respectively. Data are representative results from three independent experiments. B, Analysis of IFN-{gamma}, IL-5, and HPRT gene mRNA expression in CD4+ T cells using a PCR mimic. Constant amounts of cDNA samples were amplified in the presence of serial twofold dilutions of gene mimic. Competitor construct (mimic) and gene-specific products were separated in an agarose gel and visualized by ethidium bromide staining. Results are representative of two separate experiments.

 
Competitive PCR was used to semiquantitatively analyze the expression of IL-5 and IFN-{gamma} genes in CD4+ T cells from IL-4+/+ and IL-4-/- mice. HPRT, IL-5, and IFN-{gamma} gene mimics were prepared, and constant amounts of cDNA samples were amplified in the presence of serial twofold dilutions of specific gene mimics. As shown in a representative experiment in Figure 4GoB, HPRT mRNA expression was similar (2.5 x 10-4 attomole/µl) for both samples. IFN-{gamma} mRNA expression was higher in IL-4-/- cells (5 x 10-3 attomole/µl) compared with IL-4+/+ cells (6.25 x 10-4 attomole/µl). IL-5 mRNA expression was similar (2.5 x 10-3 attomole/µl) for anti-CD3 mAb-stimulated CD4+ T cells from both IL-4+/+ and IL-4-/- mice immunized with MTg/LPS. These results further confirmed that CD4+ T cells from both IL-4-/- and IL-4+/+ mice expressed similar levels of mRNA for the Th2 cytokine IL-5.

Production of selected cytokines in the supernatants from CD4+ T cells and spleen cells stimulated with anti-CD3 mAb and MTg was also determined by ELISA. As shown in Table IIGo, CD4+ T cells or spleen cells from IL-4+/+ and IL-4-/- mice produced comparable amounts of IL-5 and IFN-{gamma} after stimulation with anti-CD3 mAb, while IL-2 production was increased in CD4+ T cells, but not in spleen cells from IL-4-/- mice. IL-4 was produced by anti-CD3-stimulated T cells of IL-4+/+ mice (Table IIGo), but was not detected in MTg-activated IL-4+/+ T cells (data not shown). Spleen cells from both IL-4+/+ and IL-4-/- mice produced similar, but very low, amounts of IL-2 and IL-5 after activation by MTg, M7/20, and IL-12 (data not shown). IFN-{gamma} production was also similar for both IL-4+/+ and IL-4-/- cells (data not shown). Together, these results indicate that IL-4-/- mice are capable of producing Th2-associated cytokines after immunization with MTg/LPS. Production of Th1 cytokines is either unchanged or slightly up-regulated in IL-4-/- mice compared with IL-4+/+ mice.


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Table II. Cytokine production by anti-CD3 mAb-stimulated CD4+ T cells and spleen cells from IL-4+/+ and IL-4-/- micea

 
Intrathyroidal cytokine gene mRNA expression in IL-4-/- and IL-4+/+ recipients

After receiving MTg- and IL-12-activated spleen cells, both IL-4+/+ and IL-4-/- mice developed granulomatous EAT. To determine whether cytokine gene expression in the target organ might differ in IL-4+/+ and IL-4-/- mice, expression of cytokine gene mRNA in individual thyroid lobes of recipient mice was determined by RT-PCR 19 days after cell transfer. Since the total amount of RNA differs for thyroids with 1+ EAT compared with the larger thyroids with 4+ EAT, cytokine gene mRNA expression was expressed as a relative value to a housekeeping gene HPRT. As expected, IL-4 mRNA was undetectable in thyroids of IL-4-/- mice even using 50 cycles of amplification (Fig. 5Go). However, mRNA for other Th2 cytokines such as IL-5, IL-10, and IL-13 was present in the thyroid infiltrates of both IL-4+/+ and IL-4-/- mice. Th1 cytokines IFN-{gamma} and IL-2 and TNF-{alpha} were also expressed in the thyroids from both IL-4+/+ and IL-4-/- mice. Although the levels of cytokine gene expression in IL-4+/+ and IL-4-/- mice varied in different experiments, levels of cytokine gene mRNA expression generally correlated with the severity of disease, i.e., thyroids graded 1+ expressed less mRNA for all cytokines than did thyroids graded 3 to 4+. Thyroids from normal mice or mice with no EAT expressed mRNA for HPRT, but not for any cytokines (data not shown). Taken together, these findings indicated that the intrinsic absence of IL-4 did not alter the relative expression of mRNA for either Th1 or Th2 cytokines in thyroid infiltrates of mice with granulomatous EAT. IL-4 mRNA was expressed in thyroids only when donors were IL-4+/+. IL-4 was not detected in thyroids of IL-4+/+ recipients when they received cells from IL-4-/- donors (data not shown), indicating that intrathyroidal IL-4-secreting cells are of donor origin.



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FIGURE 5. Expression of both Th1 and Th2 cytokine gene mRNA in thyroids from IL-4+/+ and IL-4-/- mice with granulomatous EAT. Individual thyroid lobes were obtained from four IL-4+/+ mice with 4+ EAT, and four IL-4-/- mice with 3+ EAT. Cytokine gene expression was examined by RT-PCR, as described in Figure 3Go.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Granulomatous EAT can be induced by cells activated with MTg and anti-IL-2R or anti-IFN-{gamma} mAb (5, 6). Since activation of granulomatous EAT effector cells is promoted when IL-2 or IFN-{gamma} is neutralized or when IL-2-induced cell growth is blocked, we initially suggested that these effector cells may be primarily Th2-like CD4+ T cells (5, 6). Since IL-4 is critical for development and differentiation of Th2 cells (12, 13, 24), this hypothesis would predict that IL-4-/- mice would be unable to develop Th2 responses, and therefore would not develop granulomatous EAT. IL-4 gene knockout mice expressing the EAT-susceptible H-2k haplotype on the B10.BR background were generated to address the potential role of IL-4 in granulomatous EAT. Since these IL-4+/+ and IL-4-/- mice were relatively EAT resistant compared with other H-2k strains used in our previous studies (5, 6), it was necessary to activate MTg-primed donor cells with MTg in the presence of IL-12, which strongly promotes activation of CD4+ T cells to induce granulomatous EAT.4 In these experiments, both IL-4+/+ and IL-4-/- donor cells induced granulomatous EAT when effector cells were activated with MTg, anti-IL-2R mAb, and IL-12 (Table IGo). IL-4-/- donors and either IL-4+/+ or IL-4-/- recipients of cells from IL-4-/- donors produced little, if any, detectable MTg-specific IgG1 Ab (Fig. 2Go), consistent with previous studies demonstrating that IL-4 is critical for generation of IgG1 responses (23). These results indicate that neither IL-4 nor IgG1 autoantibody is essential for development of the granulomatous form of EAT.

Although the thyroids of IL-4+/+ and IL-4-/- mice had similar granulomatous histopathologic features (Fig. 1Go), none of the recipients of cells from IL-4-/- donors had thyroid follicle destruction graded 5+ in severity (Table IGo). This suggests that IL-4 might potentiate the intensity of granulomatous EAT, as shown recently for both Th2 and Th1 granulomas (26). In addition, since the mechanism by which IL-12 activates effector cells for severe granulomatous differs from that by which blocking the IL-2R results in granulomatous EAT,4 IL-4 might have a more profound role if granulomatous EAT were induced in the absence of IL-12. We are currently generating IL-4-/- mice on a more EAT-susceptible background to address this issue.

While cells from IL-4-/- mice expressed no detectable mRNA for IL-4 even after activation with anti-CD3, these cells did express mRNA for other cytokines normally produced by Th2 cells, i.e., IL-5, IL-10, and IL-13 (Figs. 3Go and 4GoA). These Th2 cytokines were also expressed by anti-CD3-activated CD4+ T cells (Fig. 4GoA), and similar amounts of IL-5 were produced by both spleen cells and CD4+ T cells of IL-4+/+ and IL-4-/- donors (Table IIGo). IL-5, IL-10, and IL-13, as well as Th1 cytokines such as IL-2, IFN-{gamma}, and TNF-{alpha} were present in the thyroid infiltrates of both IL-4+/+ and IL-4-/- mice (Fig. 5Go). Quantitation of IL-5 and IFN-{gamma} expression by competitive PCR indicated that IL-5 mRNA was expressed at similar levels in anti-CD3-stimulated CD4+ T cells of both IL-4+/+ and IL-4-/- mice, while CD4+ T cells of IL-4-/- mice expressed more IFN-{gamma} than CD4+ T cells of IL-4+/+ mice (Fig. 5Go). Since the absence of IL-4 did not prevent development of CD4+ T cells expressing other Th2 cytokines, these results do not exclude the possibility that CD4+ T cells producing non-IL-4 Th2 cytokines might have a role in development of granulomatous EAT.

IL-4 is considered to play a key role in the differentiation of Th2 cells from naive CD4+ T cells (12, 13, 14, 15, 24, 25). Initial studies showed that CD4+ T cells of IL-4-/- mice produced low or undetectable amounts of Th2 cytokines such as IL-5 and IL-10 (27), and had low IgG1 and IgE responses to Nippostrongylus brasiliensis (28). CD4+ T cells of IL-4-deficient mice infected with Leishmania major or Brugia malayi also had a reduced ability to produce the Th2-associated cytokines IL-5, IL-10, and IL-13 (29, 30). In contrast, our results indicated that mRNA for IL-5, IL-10, and IL-13 was expressed in spleen cells, CD4+ T cells, and thyroid infiltrates of IL-4-/- mice. These results are consistent with those of von der Weid et al., who showed that mRNA for IL-5, IL-6, and IL-10 was expressed at comparable levels in both IL-4+/+ and IL-4-/- mice at the later stages of Plasmodium chabaudi infection, and Th1 function was sustained (31). Th1 (IL-2 and IFN-{gamma}) and Th2 (IL-5 and IL-10) cytokine transcripts were also comparable in granulomatous livers from IL-4+/+ and IL-4-/- mice infected with schistosome eggs (32). The production of IL-5 in IL-4 gene-disrupted mice was also reported in several other studies (33, 34). The reasons for these apparent discrepancies are unknown, but may be due to differences in stimulation protocols, or adjuvants (34) and mouse strains used. Taken together, these data suggest the existence of an IL-4-independent pathway for the generation of Th2-like CD4+ T cell responses.

Recent evidence indicates that polarized Th1 or Th2 reactions can be found in granulomatous lesions caused by known or unknown etiology. For example, pulmonary sarcoidosis is characterized by a dominant Th1 immune response associated with enhanced production of IL-12 by lung macrophages (35). In animal models, a predominant Th1 cytokine pattern was demonstrated in pulmonary granulomas induced by embolization of beads coupled to purified protein derivative of Mycobacterium tuberculosis (10, 11), while a strong Th2 cytokine pattern was found in pulmonary granulomas in experimental murine schistosomiasis (8, 9). The role of IL-4 in schistosome egg-induced granulomas is still controversial, since there were no significant differences in granuloma formation between IL-4+/+ and IL-4-/- mice (32), while IL-4 adenovirus-transfected mice had increased granulomatous lesions after schistosome egg infection (26).

Granulomatous EAT can be induced in certain strains of mice by immunization with MTg and CFA (36, 37). The mechanism involved in this granuloma formation is unknown, although MTg-specific CD4+ T cells are essential for development of granulomatous EAT (5). Activation of granulomatous EAT effector cells in the IL-4+/+ and IL-4-/- mice used in this study required restimulation with MTg together with IL-12, a cytokine known to promote IFN-{gamma} production and activation of Th1 cells (24). While this may suggest that Th1-like cells are likely to be the primary effector cells for granulomatous EAT, IL-12 did not promote obvious differentiation of MTg-sensitized cells to a Th1 phenotype, since cells restimulated with MTg and IL-12 produced both Th1 and Th2 cytokines (Fig. 3Go). A mixed Th1 and Th2 cytokine profile was also present in thyroid infiltrates (Fig. 5Go), and in other strains of mice such as CBA/J, the ratio of Th1 to Th2 cytokines in granulomatous thyroid infiltrates is similar whether donor cells are activated in the presence or absence of IL-12 (Tang and Braley-Mullen, in preparation). These observations all suggest that both Th1 and Th2 cells may contribute to the pathogenesis of granulomatous EAT. Although it is possible that either Th1 or Th2 cells alone could be sufficient for inducing granulomatous EAT, we have been unable to generate MTg-specific Th1 or Th2 clones that would be needed to directly address this possibility. Alternatively, analysis of cytokine gene expression during earlier stages of thyroid infiltration may be more informative for understanding the mechanisms involved in development of granulomatous EAT. These studies are currently in progress.

In conclusion, these studies demonstrate that IL-4 is not essential for induction of granulomatous EAT induced by donor cells activated in the presence of IL-12. Granulomatous inflammatory lesions are a major pathologic feature of several human diseases, such as Wegener’s granulomatosis, allergic granulomatosis, giant cell arteritis, and sarcoidosis. Since the precise mechanisms involved in induction of these lesions are poorly understood, studies of the mechanisms by which specific cells and cytokines regulate the development of granulomatous lesions in animal models may ultimately provide important information for development of strategies for treatment of these human diseases.


    Acknowledgments
 
The authors thank Patti Mierzwa for excellent technical assistance, Louise Burnett for help with flow cytometry analysis, Spencer Leigh for assistance with the PCR analysis of tail DNA, and Dr. Leonard Schultz and Dr. Peter Schweitzer of The Jackson Laboratory for providing the IL-4-/- founder mouse and the PCR primer sequences and amplification protocol. We also thank Sondra Schultz for assistance in preparation of the manuscript.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant DK 35527. H.T. is supported by a Postdoctoral Fellowship from Arthritis Foundation, Eastern Missouri Chapter, and K.E.P. was supported by National Institutes of Health Training Grant T32 AI27276. Back

2 Address correspondence and reprint requests to Dr. Helen Braley-Mullen, Division of Immunology, Department of Medicine, M450 Medical Sciences, University of Missouri, Columbia, MO 65212. Back

3 Abbreviations used in this paper: EAT, experimental autoimmune thyroiditis; EAE, experimental allergic encephalomyelitis; HPRT, hypoxanthine-guanine phosphoribosyltransferase; MTg, mouse thyroglobulin; PMN, polymorphonuclear leukocytes; RT-PCR, reverse-transcription polymerase chain reaction. Back

4 H. Braley-Mullen, G. C. Sharp, H. Tang, M. Kyriakos, and J. T. Bickel. 1997. IL-12 promotes activation of effector cells that induce a severe destructive granulomatous form of experimental autoimmune thyroiditis. Submitted for publication. Back

Received for publication July 7, 1997. Accepted for publication September 22, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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