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The Journal of Immunology, 1998, 160: 4994-4999.
Copyright © 1998 by The American Association of Immunologists

Localization and Regulation of IFN-{gamma} Production Within the Granulomas of Murine Schistosomiasis in IL-4-Deficient and Control Mice1

Eva Rakasz{dagger}, Arthur M. Blum*, Ahmed Metwali*, David E. Elliott*, Jie Li*, Zuhair K. Ballas*, Khurram Qadir*, Richard Lynch{dagger} and Joel V. Weinstock2,*

Departments of * Internal Medicine and {dagger} Pathology, Divisions of Gastroenterology-Hepatology and Allergy, University of Iowa, Iowa City, IA 52242


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Schistosome granulomas from normal or IL-4-deficient C57BL/6 mice make little IFN-{gamma} and show no Th1 polarization. This could signify that these granulomas have few cells capable of IFN-{gamma} synthesis or that such cells are under tight control. Granulomas can make IL-10 and TGF-ß, which can regulate IFN-{gamma} synthesis. Using FACS analysis and ELISA, we explored the origin and regulation of IFN-{gamma} in schistosome granulomas from both IL-4-/- and IL-4+/+ mice. FACS analysis of intracytoplasmic IFN-{gamma} staining showed that some granuloma Thy1.2+ T cells (CD8+ and CD4+) express IFN-{gamma}. Granulomas had NK1.1+ cells, but they appeared to produce little or no IFN-{gamma}. Purified granuloma Thy1.2+ cells made IFN-{gamma} in vitro, whereas isolated NK1.1+ lymphocytes secreted little even with rIL-12 stimulation. Culture of granuloma cells with blocking anti-IL-10 or anti-TGF-ß mAb or with rIL-12 substantially increased T cell IFN-{gamma} synthesis, particularly in the IL-4-/- animals. Cultured granuloma cells depleted of Thy1.2+ lymphocytes by Ab and C released no IFN-{gamma}. It is concluded that granuloma IFN-{gamma} comes from T cells, not NK cells. Also, this T cell-derived IFN-{gamma} is subject to IL-10 and TGF-ß regulation, which is particularly evident in IL-4-/- mice. Thus, the Th2 granuloma of schistosomiasis has large numbers of activated Th1 or Th0 lymphocytes that are under tight restraint.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous experiments using C57BL/6 IL-4-/- mice confirmed the importance of IL-4 in various aspects of the granulomatous response in murine schistosomiasis mansoni (1). Contrary to IL-4+/+ littermate controls, these animals made no measurable IgE and little IgG1 within the liver granulomas or systemically. Also, the liver granulomas were smaller, lacked mast cells, and made less IL-5 than comparable lesions from control mice. In contrast to the normal infective state, the granuloma B cells displayed low levels of IL-4-inducible molecules such as CD23 and class II. Thus, IL-4 appears to play a dominant immunoregulatory role in promoting the Th2 phenotype in murine schistosomiasis.

Some studies suggest that IL-4 is critical for preventing Th1 expression during natural infection. For instance, in murine Leishmania major infection, the level of IL-4 at the time of infection can significantly affect the Th cell phenotype and disease outcome (2). IL-4 can oppose Th1 cell development during an immune response (3). Yet, in the absence of IL-4, schistosome liver granulomas make little IFN-{gamma} and lacked features of the Th1 phenotype. This indicated that the production of IL-4 early in the inflammatory process is not the only mechanism limiting the development of a Th1 response in schistosomiasis.

This finding prompted the current experiments, which further explore both the origins and regulation of IFN-{gamma} in the liver granulomas of IL-4-/- and IL-4+/+ animals infected with schistosomiasis. Our detailed analysis showed that granuloma IFN-{gamma} mostly comes from {alpha}ß T cells that are subject to IL-10, TGF-ß, and IL-12 regulation within this Th2-type inflammation. IL-10 and TGF-ß appear to work synergistically. The influence of these immunoregulatory cytokines is more evident in the IL-4-/- mice. Our data provide the first evidence that the strong Th2-type schistosome granuloma in the liver of naturally infected animals contains Th1 or Th0 cells, which are under tight control.


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

This study used female C57BL/6 IL-4-/- and littermate controls (IL-4+/+). IL-4-deficient mice were generated as previously described (4). At 7 to 8 wk of age, mice were infected s.c. with 50 cercariae of the Puerto Rican strain of Schistosoma mansoni (5, 6).

Dispersal of granuloma cells and splenocytes, and cell culture

Livers of mice killed during the 8 wk of infection were homogenized for 30 s at low speed in a Waring blender. Granulomas were collected by 1 x g sedimentation and washed three times in RPMI 1640 medium. To prepare a single cell suspension from these granulomas, the intact granulomas were incubated in a shaking water bath at 37°C for 30 min in RPMI 1640 medium containing 0.5% collagenase (type 1 from Clostridium histolyticum, Sigma, St. Louis, MO). The softened granulomas were disrupted further by repeated suction and expulsion through a 1-ml syringe. The dispersed granuloma cell suspensions were passed through a sterile gauze to exclude nondispersed fragments. The cells were collected by centrifugation, washed three times in RPMI 1640 medium, and counted. Cell viability was determined by trypan blue exclusion.

Single cell suspensions of splenocytes were prepared from individual spleens from 8-wk-infected or uninfected mice by gentle teasing in RPMI 1640 medium. The cells were briefly resuspended in distilled water to lyse RBC. The splenocytes then were washed three times in a large volume of RPMI 1640 medium.

Cells were cultured in 96-well microtiter plates with 200 µl of medium (106 cells/well) at 37°C. Some cells were cultured for 18 h to collect supernatant for cytokine measurement by ELISA. Other cells were maintained in culture for either 1 or 18 h before monensin A exposure and intracytoplasmic IFN-{gamma} analysis. The culture medium was RPMI containing 10% FCS, 10 mM HEPES buffer, 2 mM L-glutamine, 100 U/ml penicillin, 5 µg/ml gentamicin, and 100 µg/ml streptomycin (all from Sigma). The cells were cultured alone or in the presence of SEA.3 The SEA was kindly provided by the United Nations Development Programme/World Bank/World Health Organization Special Program for Research and Training in Tropical Diseases. Some cultures also contained blocking IL-10 (SXC-2, American Type Culture Collection, Rockville, MD) and/or blocking TGF-ß (Genentech, San Francisco, CA) mAb or appropriate isotype control. Our cultures received rIL-12 (Genetics Institute, Cambridge, MA). The anti-CD3 (145.2C11, provided by Jeffrey Bluestone, University of Chicago) was used at 1 µg/ml. The culture supernatants were assayed for IFN-{gamma} fresh or briefly stored at -70°C before assay.

T cell deletion

To lyse T cells, splenocytes or granuloma cells (2 x 106/ml) were incubated for 1 h at 4°C in RPMI 1640 medium containing monoclonal anti-Thy1.2 (Accurate, Westbury, NY) at the appropriate concentration. Control cells were treated with comparable dilutions of normal mouse serum (NMS). After incubation, the cells were washed by centrifugation at 4°C, suspended in an equal volume of a 1/10 dilution of Low-Tox-M rabbit C (Accurate), and incubated again for 1 h at 37°C. Next, the cells were again treated with Ab and C as described above. After washing in RPMI 1640 medium, viability was determined with eosin-Y. Anti-Thy1.2 successfully depleted the T cell population as determined by FACS analysis.

IFN-{gamma} ELISA

The IFN-{gamma} concentration in supernatants was measured by two-sandwich ELISA. Plates were coated with mAb HB170 to IFN-{gamma} (American Type Culture Collection) and incubated with supernatant. IFN-{gamma} was detected with polyclonal rabbit anti-IFN-{gamma} followed by biotinylated goat anti-rabbit IgG (Accurate), streptavidin-horseradish peroxidase and ABTS substrate (Zymed, San Francisco, CA). The sensitivity of the ELISA was 30 pg/ml. The IL-4, IL-5, and IL-10 ELISAs were performed as previously described (1). The TGF-ß ELISA used mAbs from R&D Systems (Minneapolis, MN).

Other mAbs

FITC-labeled GK1.5 (anti-CD4), FITC- or Cy5–30-H12 (anti-Thy1.2), FITC-145-2C11 (anti-CD3), PE-GL3 (anti-{gamma}{delta}-TCR), PE-PK136 (anti-NK1.1), and PE-53-6.7 (anti-CD8a) Abs were purchased from PharMingen (San Diego, CA). Unlabeled XMG 1.2 (anti-IFN-{gamma}) Ab was provided by Dr. Jackie Chace (University of Iowa) and cyanilated by Fluorolink Cy5 reactive dye (Biologic Detection Systems, Pittsburgh, PA) according to the recommendations of the manufacturer.

Flow cytometry

For three-color analysis, cells in HBSS containing 10% bovine calf serum, 10 mM HEPES, and 0.02% NaN3 at 107/ml were stained with saturating amounts of labeled Abs (2.5–5 µg/ml) on ice for 30 min in a 50-µl volume in the presence of 2.4G2 mAb to inhibit Fc{gamma}R-mediated binding. Following the incubation step with Abs, the cells were washed three times. To determine the level of nonspecific binding, control cells were incubated with isotype-matched Ab.

For intracellular cytokine staining, the cells were incubated in complete medium in the presence of 10 ng/ml PMA, 1 µM ionomycin, and 2 µM monensin A for 5 h at 37°C, than stained for surface Ags as outlined above. After staining, the samples were fixed overnight at 4°C with 2% paraformaldehyde-PBS solution. Having removed the fixative, the cells were washed in FACS washing buffer and permeabilized with Fix & Perm permeabilization medium (Caltag, San Francisco, CA) for 15 min at room temperature. The cells then were incubated in the presence of 2.5 µg/ml fluorochrome-labeled anti-IFN-{gamma} mAb for 15 min at room temperature and washed three times. To determine nonspecific binding by the anti-IFN-{gamma} Ab, each experiment contained control cell samples that were incubated in the presence of rIFN-{gamma} (Sigma). The range of IFN-{gamma}+ cells after cold IFN-{gamma} blocking was 1.2 to 1.6% of the Thy1.2 population.

Statistical analysis

Statistical analysis was performed using Student’s t test for the paired case.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Origin of IFN-{gamma} in granulomas

It was previously shown that dispersed granuloma cells from normal C57BL/6 mice cultured in vitro will release small amounts of IFN-{gamma} (1). Moreover, IL-4-deficient C57BL/6 mice produce somewhat more IFN-{gamma}. NK cells as well as {gamma}{delta}+ and {alpha}ß+ lymphocytes are potential sources of IFN-{gamma}. Using FACS analysis and ELISA, we explored the origins of IFN-{gamma} in schistosome granulomas from both IL-4-/- and IL-4+/+ mice.

Flow cytometric analysis showed that dispersed granuloma cells from IL-4-/- animals have Thy1.2+ and NK1.1+ lymphocytes (Fig. 1Go). They comprised 30.6 ± 6 and 3.4 ± 0.5% of the total granuloma cell population located in the lymphoid gate (±SE; n = 4). Although the majority of the NK1.1+ cells were CD3- and Thy1.2low/-, a significant number were NK1.1+, CD3+, and Thy1.2+. Analysis of freshly isolated granuloma cells by intracellular staining revealed that 4.2 ± 0.9% (±SE; n = 4) of Thy1.2+ cells were producing IFN-{gamma}. Surprisingly, essentially no NK1.1+ cells or {gamma}{delta}+ T cells stained for intracellular IFN-{gamma} (<1%; n = 3; Fig. 2Go). Granulomas contained CD4+ and CD8+ T cells at a ratio of about 2:1. Also, a substantially higher proportion of CD4+ than CD8+ T cells expressed IFN-{gamma} (Fig. 3Go).



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FIGURE 1. Expression pattern of Thy1.2, CD3, and NK1.1 surface Ags on granuloma cells of IL-4-/- mice. Cells were stained with anti-Thy1.2-Cy5, anti-CD3-FITC, and anti-NK1.1-PE Abs. A, Frequencies of Thy1.2+, NK1.1-; Thy1.2+, NK1.1+; and Thy1.2-, NK1.1+ cells. B, Expression of CD3 Ag on NK1.1+ cell populations. Data are representative of four independent experiments. Numbers are the percentage of cells in the lymphoid gate expressing the indicated surface markers. The lymphoid gate contained 15.8% of the isolated granuloma cells.

 


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FIGURE 2. Neither NK nor {gamma}{delta} cells express IFN-{gamma} in the granuloma of IL-4-/- mice. Freshly isolated granuloma cells were incubated in the presence of monensin A for 5 h, then stained for the expression of IFN-{gamma} and Thy1.2 (A), NK1.1 (B), and {gamma}{delta} TCR (C) as described in Materials and Methods. Staining reagents included anti-IFN-{gamma}-Cy5, anti-Thy1.2-FITC, and anti-NK1.1-PE or anti-{gamma}{delta} TCR-PE. Numbers are the percentage of cells in the lymphoid gate expressing the indicated surface markers. Data are representative of four independent experiments.

 


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FIGURE 3. Both CD4+ and CD8+ cells produce IFN-{gamma} in the granulomas of IL-4-/- mice. A, Frequency of CD4 and CD8 positivity among dispersed granuloma cells from IL-4-/- mice. B, Percentage of these CD4+ and CD8+ T cells expressing IFN-{gamma}. The thin line and number represent cells gated for CD8; the thick line and number represent cells gated for CD4 expression. The cells were stained with IFN-{gamma}-Cy5, CD4-FITC, and CD8-PE. The numbers represent the percentage of CD4 or CD8 positive cells within the lymphoid gate.

 
Granuloma cells from IL-4+/+ mice also contained Thy1.2+ cells and NK1.1+ cells in proportions similar to those from IL-4-deficient animals. Once more, FACS analysis revealed intracytoplasmic IFN-{gamma} staining exclusively in the Thy1.2+ T cell subset. In contrast to IL-4-deficient mice, littermate controls had fewer IFN-{gamma}+ cells; 2.0 ± 0.7% of Thy1.2+ cells stained for intracellular IFN-{gamma} (±SE; n = 4; Fig. 4Go).



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FIGURE 4. Compared with IL-4-/- animals, the littermate control mice (IL-4+/+) had a smaller proportion of their granuloma Thy1.2+ cells producing IFN-{gamma}. Granuloma cells were prepared from littermate controls or IL-4-/- mice. After 5 h of incubation at 37°C in the presence of monensin A, the cells were stained with anti-IFN-{gamma}-Cy5, anti-Thy1.2-FITC, and anti-NK1.1-PE Abs. Data are the mean ± SE of four independent experiments (p < 0.05).

 
Control of IFN-{gamma} production

IL-4-/- mice do not form polarized Th1 granulomas. Rather, they produce limited amounts of IFN-{gamma}. The low level of IFN-{gamma} emanating from IL-4-deficient mouse granuloma cells could signify that these granulomas have few cells capable of IFN-{gamma} synthesis or that such cells are under tight control. Granulomas make many cytokines, such as IL-10 and TGF-ß, which can regulate IFN-{gamma} synthesis. We tested whether IL-10 or TGF-ß were restraining IFN-{gamma} production in schistosome granulomas.

IL-12 is a cytokine that can stimulation IFN-{gamma} production. Therefore, we also determined whether IL-12 could induce IFN-{gamma} in granuloma T and NK cells.

Granuloma cells from IL-4-deficient mice cultured in vitro for as little as 18 h in the presence of neutralizing anti-IL-10 mAb, anti-TGF-ß mAb, or rIL-12 secreted substantially more IFN-{gamma} than cells cultured alone (Table IGo). Isotype control mAbs had no effect. Cells exposed to both anti-IL-10 and anti-TGF-ß mAbs made IFN-{gamma} in amounts similar to cells receiving either treatment alone. Flow cytometric analysis showed that overnight incubation elevated the frequency of the IFN-{gamma}+ cells in the Thy1.2 population 7.0 ± 0.8% (±SE; n = 4). Blockade of either IL-10 or TGF-ß or stimulation with rIL-12 further enhanced the number of cells expressing IFN-{gamma} in the Thy1.2+ lymphocyte subset (Fig. 5Go and Table IIGo). Few NK1.1+ cells (Fig. 5Go) and no {gamma}{delta}+ T cells made IFN-{gamma} even with cytokine blockade or rIL-12 stimulation.


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Table I. IFN-{gamma} production by dispersed granuloma cells1

 


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FIGURE 5. Effect of anti-IL-10 (1 µg/ml), anti-TGF-ß (1 µg/ml), or rIL-12 (5 ng/ml) on the frequency of IFN-{gamma}-producing cells among the Thy1.2+ and NK1.1+ granuloma cell subpopulations in IL-4-/- mice. Granuloma cells (2 x 106/200 µl of medium) were incubated for 18 h in the presence or the absence of the above reagents. A, Granuloma cells without treatment; B, granuloma cells incubated with anti-IL-10 Ab; C, granuloma cells incubated with anti-TGF-ß; D, granuloma cells incubated with rIL-12; E, granuloma cells without treatment, stained with anti-IFN-{gamma}-Cy-5 Ab, that were preincubated with 200 U of rIFN-{gamma}. The thin line and number represent NK1.1+ cells; the thick line and number represent Thy1.2high cells. The numbers are the percentage of NK1.1+ or Thy1.2+ cells within the lymphoid gate staining positively for intracytoplasmic IFN-{gamma}.

 

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Table II. Incubation with anti-IL-10, anti-TGF-ß, or rIL-12 enhances the frequency of the IFN-{gamma}+ granuloma cells1

 
Granuloma cells from IL-4+/+ littermate controls only made somewhat more IFN-{gamma} in response to anti-IL-10 mAb, anti-TGF-ß mAb, or rIL-12 (Table IGo). This more modest response also was evident in the Thy1.2+ T cell subset by flow cytometry (data not shown).

Since culturing granuloma cells with neutralizing anti-IL-10 or -TGF-ß mAb substantially increased IFN-{gamma} production, we determined whether these cells released substantial amounts of these immunoregulatory cytokines. As shown in Table IIIGo, granuloma cells from IL-4-/- and IL-4+/+ controls secreted large amounts of IL-10 and TGF-ß. However, the granuloma cells from IL-4 mutant mice made much more IL-10 than did cells from the wild-type controls.


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Table III. Cytokines released from granuloma cells cultured in vitro1

 
Also examined was the effect of neutralizing anti-IL-10 or -TGF-ß mAb on granuloma IL-4 and IL-5 production in vitro. As measured by ELISA, these mAb had no effect on IL-4 or IL-5 release from granuloma cells cultured for 18 h (data not shown).

Ag-induced IFN-{gamma} production

When granuloma cells from IL-4-/- or IL-4+/+ mice were incubated with SEA (5 µg/ml) for 18 h in vitro, they secreted more IFN-{gamma} (Table IGo). This increase in IFN-{gamma} production was not evident by flow cytometric analysis. FACS data did not show an increase in the frequency of IFN-{gamma}-producing Thy1.2+ T cells (data not shown). NK cells and {gamma}{delta}+ T cells again did not stain.

Granuloma NK cells do not release IFN-{gamma}

Since dispersed granuloma cells contained few NK1.1+ cells, it is possible that small numbers of granuloma NK1.1+ cells did make IFN-{gamma}, but were not seen because of a limitation in the sensitivity of FACS analysis of intracytoplasmic cytokines. Therefore, we isolated granuloma NK cells (NK1.1+) to 99% homogeneity by FACS sorting. These isolated cells then were cultured in vitro for up to 48 h in the presence or the absence of rIL-12 or adherent anti-CD3. No IFN-{gamma} was detected in culture supernatants of FACS-purified granuloma NK cells. Thy1.2+ T cells isolated similarly made IFN-{gamma} constitutively and in a greater amount in response to rIL-12 or adherent anti-CD3 (Table IVGo). Splenic NK cells from normal mice responded to rIL-12.


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Table IV. IFN-{gamma} release during in vitro cultivation of FACS-purified THY+, THY- or NK 1.1+ granuloma cells1

 
Granuloma IFN-{gamma} secretion is T cell dependent

Granuloma T cells from IL-4-deficient mice were depleted by immune lysis with anti-Thy1.2 and rabbit C to further characterize the importance of T cells in granuloma IFN-{gamma} production. Flow cytometry confirmed that such treatment depleted about 95% of the Thy1.2+ lymphocytes. As expected, granuloma cells treated with NMS and C and cultured in vitro for 18 h still released IFN-{gamma} constitutively. IFN-{gamma} production remained highly responsive to rIL-12 and anti-IL-10 mAb treatment. However, granuloma cells treated with anti-Thy1.2 and C failed to release IFN-{gamma} constitutively and responded only weakly to rIL-12 or to IL-10 blockade. This suggested that most granuloma IFN-{gamma} production was dependent upon the presence of T cells (Fig. 6Go).



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FIGURE 6. Granuloma cells depleted of Thy1.2+ lymphocytes do not release IFN-{gamma} constitutively and respond only weakly to rIL-12 or to IL-10 or TGF-ß blockade. Granuloma cells from either IL-4-/- (A) or IL-4+/+ (B) animals were treated with anti-Thy1.2 and C to lyse T cells or with NMS and C as the control. The cells (2 x 106/200 µl of medium) then were incubated for 18 h in the presence or the absence of anti-IL-10 (1 µg/ml) or rIL-12 (5 ng/ml). After the incubation, the culture supernatants were assayed for IFN-{gamma} by ELISA. Data are the mean ± SE of three separate experiments (nanograms per milliliter).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The liver granulomas of murine schistosomiasis are strong Th2-type responses producing large amounts of IL-4 and IL-5, but little IFN-{gamma}. The C57BL/6 IL-4-/- mouse confirmed the importance of IL-4. Yet, in the IL-4-/- animals, schistosome granulomas forming in the liver during natural infection do not produce much IFN-{gamma} and fail to show features of Th1-type inflammation (1). This project had two objectives. The first was to determine the origin of IFN-{gamma} within these schistosome granulomas, and the second was to ascertain why there was little IFN-{gamma} emanating from these lesions.

CD4+ T lymphocytes, CD8+ T lymphocytes, and NK cells probably are the major sources of IFN-{gamma} at sites of inflammation. The granulomas of the IL-4-/- and IL-4+/+ animals had all these cell types, although CD4+ T cells were the most numerous subset. Intracytoplasmic staining for IFN-{gamma} suggested that CD4+ and CD8+ T cells were the sources of IFN-{gamma} within the granulomas of either animal. Both positive and negative cell selection experiments also indicated that T cells, not NK cells, were the origin of IFN-{gamma}. Granuloma cells from IL-4-/- animals secrete somewhat more IFN-{gamma} than cells from littermate controls. Flow cytometric analysis also supported this observation by showing that a larger percentage of the granuloma T cells from IL-4 mutant mice made IFN-{gamma}. The granulomas also had {gamma}{delta} T cells that were CD4- CD8- (1). These cells did not appear to make IFN-{gamma}.

Classical NK cells, which display NK1.1 Ag, do not express TCR and can produce high levels of IFN-{gamma}. There also is a novel T cell population expressing the NK1.1 molecule. They can produce large amounts of IL-4 and possibly IFN-{gamma}. Most granuloma NK1.1+ cells were CD3- and Thy1.2low/-, suggesting that many were conventional NK cells. Yet, there was a sizable number of NK T cells, as evidenced by expression of CD3. IL-12, IL-2, and signaling via the NKR-P1 receptor (7) can induce IFN-{gamma} release from both NK cells and NK1.1+ T cells. The mechanism limiting IFN-{gamma} production from granuloma NK cells remains unknown.

Schistosomiasis is a parasitic disease in which ova deposit in the liver, intestines, and, at times, other organs. Dispersed granuloma cells from livers of naturally infected C57BL/6 mice constitutively secrete the Th2 cytokines IL-4, IL-5, and IL-10. Thus, it was an unsuspected finding that granuloma cells of IL-4+/+ mice contained T cells that made IFN-{gamma} constitutively.

In murine schistosomiasis, experiments using purified CD8+ or CD4+ splenic T cell subsets showed that CD8+ T cells can be a major source of IFN-{gamma} when incubated with rIL-2 or rIL-4 and plate-adherent anti-CD3. These data suggested that schistosomiasis promotes the development of a strong type 1 CD8+ T cell response (8). It also is postulated that type 1 CD8+ T cells have an important role in down-modulating strong Th2 responses. In fact, other studies that used a pulmonary model in which schistosome eggs are embolized to the lungs of mice provided evidence that CD8+ T cells can regulate Th2 cell-mediated secondary granulomatous hypersensitivity (9). However, our data revealed that the liver granulomas of naturally infected IL-4+/+ and IL-4-/- mice contain about twofold more CD4+ than CD8+ T cells. Moreover, about 8% of the CD4+ cells vs 1.5% of the CD8+ cells were making IFN-{gamma}. This suggests that the CD4+, not the CD8+, T cells are the major source of IFN-{gamma} within the granuloma. The development of normal-appearing liver granulomas in ß2m-deficient animals (10) and in CD8{alpha} gene knockout mice (11) also implies that CD8+ T cells are not critical for granuloma formation, at least in the early stage of natural infection.

IL-4 can play an important role in helping to differentially polarize the immune response toward Th2 by opposing IFN-{gamma} expression (12). Indeed, in the face of IL-4 deficiency, schistosome granulomas did make somewhat more IFN-{gamma}. This was evident from both the flow cytometry and ELISA data. Yet, in the absence of IL-4, the natural granulomatous response to schistosome eggs still made little IFN-{gamma} and failed to display other features of Th1-type inflammation (1). This suggests that there are other mechanisms restraining Th1 expression in schistosomiasis.

The low levels of IFN-{gamma} emanating from the schistosome granulomas of IL-4-/- mice could have signified that the lesions contained few cells capable of IFN-{gamma} synthesis. As revealed here, this clearly was not the case. An alternative explanation was that the inflammation contained cytokine immunoregulatory circuitry independent of IL-4 that prevented full IFN-{gamma} production.

Several inflammatory mediators can regulate IFN-{gamma} expression. Among these are IL-10, TGF-ß, and IL-12. Our experiments suggest that ongoing IFN-{gamma} production in the schistosome granuloma of both IL-4+/+ and IL-4-/- animals is at least partly subject to regulation by these molecules. Also, the data show that the granuloma cells particularly of IL-4-/- mice had substantial reserve IFN-{gamma} secretory capacity.

IL-10, TGF-ß, and IL-12 all appeared to act predominantly on the granuloma Thy1.2+ T cell subset. The NK1.1 cell component showed little responsiveness. It was particularly surprising that IL-12, a molecule noteworthy for its strong stimulatory effects on NK cells, caused few NK cells to produce IFN-{gamma}. The ratio of granuloma T cells to NK1.1+ cells expressing IFN-{gamma} after rIL-12 stimulation was at least 30:1.

There is substantial evidence that IL-10 and TGF-ß have important immunoregulatory roles in schistosomiasis or other forms of chronic granulomatous inflammation. Macrophages from schistosome granulomas are at least one source of IL-10, that can inhibit APC function (13). IL-10 can limit IFN-{gamma} responses to SEA in the lung, regional lymph nodes, and spleen (14, 15). Administration of exogenous IL-10 to mice substantially diminishes schistosome egg-induced granuloma formation in lung and liver (16). Less well defined is the role of TGF-ß in the granulomatous response of schistosomiasis (17). TGF-ß is produced widely and can modulate several aspects of inflammatory responses (18). It is essential for maintaining normal immune function (19). It is well appreciated that TGF-ß inhibits IFN-{gamma} expression. TGF-ß may be particularly important for controlling IFN-{gamma} production at mucosal surfaces and limiting intestinal inflammation (20). Excess TGF-ß production may increase susceptibility to Leishmania and mycobacterial infections (21, 22).

As reported here, it was interesting that blockade of either endogenous IL-10 or TGF-ß activity in dispersed granuloma cell cultures resulted in near maximal IFN-{gamma} secretion, whereas simultaneous blockade of both molecules had no significant additive effect. This implied that IL-10 and TGF-ß act synergistically within the schistosome egg-induced inflammation to control IFN-{gamma} production.

Precisely how schistosome ova prevent Th1 cell activation and rapidly promote Th2 is incompletely understood. IL-10 appears to partly mediate the process. Activation of the innate immune response by molecules other than peptide Ags may be the initial critical factor. A carbohydrate, lacto-N-fucopentaose III in schistosome ova can stimulate B220+ B cells to produce IL-10 and PGE2, which are both molecules that can down-modulate Th1 expression (23). B-1 B cells are particularly responsive (24). Others suggest that selective activation of chemokines is an important factor (25).

There are several major new observations presented in this paper. It was shown that granulomas have NK1.1+ cells, some of which bear CD3. Yet, T cells, not NK or NK T cells, produce IFN-{gamma} within the granulomas of naturally infected mice. This IFN-{gamma} production is subject to IL-10, TGF-ß, and IL-12 regulation at the site of inflammation. Moreover, the IL-4-/- mice have substantial reserve IFN-{gamma}-generating capacity, which is restricted by these cytokine immunoregulatory molecules.

Only uncommitted and Th1 cells express functional receptors for IL-12 (26, 27). There are many IFN-{gamma}-producing T cells responsive to IL-12 within the liver granulomas of schistosomiasis. This suggests that these inflammatory lesions, which are strong Th2 responses, actually contain substantial numbers of Th1 or Th0 cells.


    Footnotes
 
1 This work was supported by the National Institutes of Health (Grants DK38327, DK02428, and DK25295), the Crohn’s and Colitis Foundation of America, Inc., and the Veterans Administration. Back

2 Address correspondence and reprint requests to Dr. Joel V. Weinstock, Department of Internal Medicine, 4607 JCP, University of Iowa, Iowa City, IA 52242. Back

3 Abbreviations used in this paper: SEA, soluble egg antigen; NMS, normal mouse serum; PE, phycoerythrin. Back

Received for publication July 10, 1997. Accepted for publication January 9, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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