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Department of Immunology, Max Planck Institute of Infection Biology, Berlin, Germany
| Abstract |
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ß vs 
T lymphocyte populations was examined.
Normal lymphocyte distributions were noted in thymus, spleen, and
blood, whereas mutant mice showed marked alterations in the intestinal
intraepithelial (i-IEL) and lamina propria lymphocytes. Differences in
i-IEL populations were reflected functionally by differential lytic
activities and cytokine productions of i-IEL populations from mutant
mice. Despite these changes within the mucosal immune system of mutant
mice, their resistance against oral infection with L.
monocytogenes was apparently unimpaired. These findings
demonstrate that P-selectin and ICAM-1 are critically involved in the
shaping of lymphocyte populations of the gut but have only a minor
influence on systemic and regional host defense against intracellular
bacteria. | Introduction |
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Our findings demonstrate that the most prominent consequences of a lack of P-selectin and/or ICAM-1 are within the lymphocyte composition of the intestinal immune system. We extend recent observations (12) that, in addition to ICAM-1 and ß2 integrins, P-selectin is involved in the establishment of the normal intestinal immune system. However, despite distinct alterations of the gut lymphoid environment in these KO mice, resistance against intestinal and systemic infection is apparently not impaired.
| Materials and Methods |
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Male and female 6- to 9-wk-old C57BL/6J (B6), C57BL/6J-Icam1tm1Bay (ICAM-/-), C57BL/6J Selptm1Bay (Psel-/-), and C57BL/6J-Icam1tm1Bay x Selptm1Bay (ICAM-/- x Psel-/-) mice were purchased from The Jackson Laboratory (Bar Harbor, ME) and bred under SPF conditions in our animal breeding colony at the bgvv (Berlin, Germany). All experiments were performed with age-matched animals.
Bacteria and bacterial Ags
L. monocytogenes strain EGD Sv1/2a was originally
obtained from G. B. Mackaness and grown in tryptic soy broth
(Difco, Detroit, MI). M. bovis BCG, strain Chicago (American
Type Culture Collection, Rockville, MD; ATCC 27289), was grown in Dubos
Middlebrook Medium (Difco) supplemented with albumin and Tween-80.
Bacterial numbers were determined by plating serial dilutions on
Middlebrook agar plates (Difco). For soluble antigens of L.
monocytogenes, bacteria were cultured for 3 days in an
ultrafiltrate (
10,000 m.w.) of tryptic soy broth. The culture medium
was centrifuged at 10,000 x g, and the supernatant was
concentrated 200-fold (
10,000 m.w.) with an Amicon concentrator
(Amicon, Lexington, MA). The concentrate was dialyzed against PBS,
sterile filtered, and stored at -70°C.
Antibodies
The following hybridomas were used for mAb preparations:
anti-TCR-
ß (H57-597), anti-TCR-
(GL3),
anti-CD8
(YTS 169.4), anti-CD8ß (H35-17.2),
anti-IFN-
(R4-6A2 and AN 18.17.24), and anti-IL-4 (24G2.7
and 11B11). Hybridoma cells were cultured in medium containing 2% FCS,
and supernatants were collected. mAbs were then concentrated by
ammonium sulfate precipitation and purified by affinity chromatography
on protein G-Sepharose (Pharmacia, Freiburg, Germany). Abs were
conjugated with biotin or FITC using conventional methods. Normal
hamster Ig was purchased from Dianova (Hamburg, Germany).
Delayed-type hypersensitivity reactions (DTH)
Listeria-immune mice (days 67) were challenged s.c.
with 30 µl of culture filtrate (
10,000 mol wt) from L.
monocytogenes into the hind footpad. Specificity control of
the DTH reaction was performed by injecting similarly treated tryptic
soy broth. Footpad thickness was measured 24 and 36 h later using
a dial gauge caliper (Kröplin, Schluchtern, Germany).
Cell preparations
The i-IEL were prepared by modifications of a method previously described (13). Briefly, the small intestines were inverted and placed into a bottle containing complete Click/RPMI 1640 medium, and the bottle was agitated on an orbital shaker at 37°C for 30 min. Supernatants were collected, and the gut tissue was transferred to a 50-ml tube containing 15 ml of medium and shaken vigorously for 15 s. This procedure was repeated three times; the supernatants were collected each time and replaced with fresh medium. Cells were pooled and then passed through a 10-ml syringe column packed loosely with siliconized glass wool to remove cell debris and adherent cells. To enrich for the lymphocyte fraction, discontinuous Percoll density gradients were prepared in 10-ml centrifuge tubes by layering from the bottom cells containing 70% Percoll (1 ml) and then 40% Percoll (2 ml). The tubes were then centrifuged at 20°C for 20 min at 600 x g. The interface between the 70% and the 40% Percoll layers contained lymphocytes with >95% cell viability. Approximately 6 to 9 x 106 cells/mouse were obtained by this method.
CTL assay
CTL activities of i-IEL were measured in a redirected
51Cr release assay using P815 cells as targets as
described previously (14, 15). The i-IEL were incubated with 2 x
103 51Cr-labeled P815 cells for 4 h at
37°C in 7% CO2 at various E:T cell ratios. Assays were
performed in the presence or the absence of 2 µg of anti-CD3,
anti-
ß TCR, anti-
TCR mAb, or normal hamster IgG.
After 4 h, 100 µl of supernatant was removed, and released label
was measured in a gamma counter. The percent specific lysis was
calculated as follows: [(experimental 51Cr release -
spontaneous 51Cr release)/(maximum 51Cr
release - spontaneous 51Cr release)] x
100.
ELISPOT assay for IFN-
and IL-4
We used a modified ELISPOT method described by Taguchi et al.
(16). Briefly, ELISPOT plates (Millipore, Bedford, MA; STHA 09619) were
coated with 1 µg/ml of anti-IFN-
mAb (R4-6A2) or anti-IL-4
mAb (24G2.7) in 0.05 M carbonate buffer, pH 9.6 (100 µl/well), at
4°C overnight. Plates were washed once with PBS and blocked with 1%
BSA/PBS for 2 h at 37°C. After two washes with PBS, appropriate
numbers of i-IEL in RPMI 1640 medium with 10% FCS were added and
incubated for 16 h at 37°C in 5% CO2. The
plates were washed extensively with PBS containing 0.05% Tween-20, and
0.25 µg/ml biotinylated anti-IFN-
mAb (AN-18.17.24) was added.
After incubation at 37°C for 2 h, the plates were washed several
times with washing buffer, and alkaline phosphatase-conjugated
streptavidin was added. After 1 h of incubation at 37°C, plates
were washed eight times with washing buffer and once with alkaline
phosphatase buffer, pH 9.5. Then, 50 µl of freshly prepared substrate
(nitro blue tetrazolium and 5-bromo-4-chloro-3-indolylphosphate in 70%
dimethylformamide) was added. The plates were incubated at 37°C in
the dark for 15 min, and spots were counted under a dissecting
microscope. Results are expressed as the frequency of
cytokine-producing cells per 105 i-IEL.
Immunohistology
Parts of the small intestine were shock-frozen in liquid
nitrogen and subsequently kept at -70°C. For immunostaining,
cryostat frozen sections were cut to 5 to 8 µm, air dried, and then
fixed in acetone for 10 min. After blocking endogenous peroxidase
activity (Dakopatts, Glostrup, Denmark) cryostat sections were
preincubated with normal mouse serum from Dianova and then incubated
with the primary mAb for 60 min before visualizing with horseradish
peroxidase using 3-amino-9-ethylcarbazole (Dakopatts) as substrate. For
primary incubation, the following mAb were applied: anti-TCR-
ß
FITC (H57-597) and anti-TCR-
FITC (GL3). Secondary mAb
incubation was performed with rat anti-FITC peroxidase conjugated
mAb (Boehringer Mannheim, Mannheim, Germany). PBS was used for washing
steps between incubations. Finally, sections were counterstained with
hematoxylin.
Flow cytometry
Single-cell suspensions were stained with FITC-conjugated mAb, phycoerythrin-conjugated mAb, and biotin-conjugated mAb, followed by staining with streptavidin-conjugated Red 670. All incubation steps were performed at 4°C for 30 min, and all washing steps were performed with PBS containing 2% FCS and 0.1% sodium azide. After staining, the cells were analyzed with a FACScan (Becton Dickinson, Sunnyvale, CA) equipped with LYSIS II software. Live cells were gated by forward and side scatter.
| Results |
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FACS analyses of leukocytes from untreated control and KO mice
were performed to assess the relative lymphocyte subset distribution in
different tissues. Deficiency of either adhesion molecule did not lead
to apparent changes in lymphocyte subsets in thymus, spleen, or blood.
A twofold increase in the percentage of neutrophils was found in spleen
and blood of Psel-/- and ICAM-/- mice,
and a threefold increase was found in double deficient animals (data
not shown). Pronounced changes, however, were observed in the i-IEL
compartment of KO mice. While Psel-/- mice showed
20
to 30% higher proportions of
ß T cells and a concomitant decrease
in 
T cells, ICAM-/- and ICAM-/- x
Psel-/- animals exhibited consistently increased
proportions of 
T cells together with a lowered proportion of the
TCR-
ß i-IEL. In accordance with and in extension of recent work by
Lefrancois (12), we found that in ICAM-/- mice and to an
even greater degree in ICAM-/- x Psel-/-
mice,
ß T cells bearing the heterodimeric CD8
ß molecule were
preferentially reduced (Table I
).
Interestingly, despite the inverse distribution pattern of
ß and

T cells in Psel-/- and ICAM-/-
single KO mice, the combined deficiency of both adhesion molecules in
ICAM-/- x Psel-/- double KO mice lead to a
phenotype resembling that of ICAM-/- mice. These findings
emphasize 1) that P-selectin and ICAM-1 are both important for
physiologic lymphocyte homeostasis in the gut; 2) that P-selectin and
ICAM-1 exert differential effects; and 3) that in double deficiencies,
the ICAM-/- phenotype dominates over the
Psel-/- phenotype. Further, immunohistologic analysis of
the small intestines of mutant mice revealed that the distribution of
LPL was affected by the lack of the adhesion molecules in a manner
similar to that of i-IEL. Increased numbers of TCR-
LPL were
found in ICAM-1-/- and ICAM-1-/- x
Psel-/- mice, whereas TCR-
ß LPL were elevated in
Psel-/- mice (Fig. 1
).
|
|
Next, we investigated whether the lack of adhesion molecules had
any influence on cytolytic activities of i-IEL as measured in a
redirected lysis assay using mAb. The
ß and the 
i-IEL
populations of mice kept under conventional housing conditions express
spontaneous killer activity upon TCR engagement (17, 18, 19). The i-IEL
from control and KO mice exhibited a clear, but strain-dependent,
cytolytic activity against P815 target cells in the presence of
anti-CD3, anti-TCR-
ß, and anti-TCR-
mAb. Figure 2
A shows that
anti-TCR-
ß mAb-induced lytic activity was decreased
approximately 10-fold in ICAM-/- x Psel-/-
mice and 3- to 5-fold in ICAM-/- mice. In contrast, i-IEL
of Psel-/- mice exhibited slightly increased lytic
activity. Furthermore, when i-IEL were stimulated via
anti-TCR-
mAb (Fig. 2
B),
ICAM-/- and ICAM-/- x
Psel-/- mice lysed P815 cells more efficiently than
C57BL/6 controls, while Psel-/- mice exhibited greatly
reduced CTL activity. This difference probably reflects the increased
proportion of TCR-
i-IEL in ICAM-/- mutants and
double deficient animals, while this population is markedly decreased
in Psel-/- mice. Oral infection of mutant mice with
L. monocytogenes did not influence the lytic activities of
i-IEL (data not shown).
|

vs
TCR-
ß i-IEL (12, 20). We therefore investigated whether a similar
dichotomy in signal transduction could be seen in Psel-/-
and Psel-/- x ICAM-/- mice.
ICAM-/- and Psel-/- x
ICAM-/- mice exhibited normal cytolytic activity after
ligation of TCR-
, yet CD3-mediated signaling was greatly reduced
in these mutant mice (Fig. 2
T cells within the intestine. Thus, the lytic activity of
TCR-
ß i-IEL in mice with reduced numbers of 
T cells
(Psel-/-) could be equally induced by anti-TCR-
ß
and anti-CD3 mAb. In contrast, the cytolytic potential of 
i-IEL from mice with diminished
ß T cells (ICAM-/-
and ICAM-/- x Psel-/-) could be induced by
mAb against TCR-
, but was drastically reduced by mAb against
CD3.
Influence of P-selectin and ICAM-1 on secretion of IFN-
and IL-4
by i-IEL
To assess whether the frequency of IFN-
and IL-4 producers
among i-IEL exhibits a similar strain dependency as the cytolytic
activity, we determined the frequencies of cytokine-producing cells by
ELISPOT assay. Anti-CD3 mAb, anti-TCR-
ß mAb, or
anti-TCR-
mAb was used for stimulation of i-IEL. While
TCR-
ß i-IEL were the main source of intestinal IFN-
secretion
(Table II
), low IL-4 secretion was
observed in TCR-
ß and TCR-
i-IEL (Table III
). Mutations in P-selectin and/or
ICAM-1 had only a marginal influence on the intestinal cytokine
profile; Psel-/- mice exhibited slightly increased
numbers of IFN-
- and IL-4-secreting cells in the uninfected gut.
Intestinal listeriosis increased the frequencies of IFN-
-secreting
cells in mutant animals by a factor of 2 to 4, leading to comparable
numbers of IFN-
-secreting cells in all strains (Table II
). IL-4
production by i-IEL although above background was still low in all
animals (Table III
).
|
|
Bacterial counts in mutant mice (Psel-/-,
ICAM-/-, and Psel-/- x
ICAM-/-) and controls systemically infected with L.
monocytogenes (5 x 103 CFU) were performed at
different time points to evaluate early (neutrophils, monocytes, and NK
cells) and late (specific T cells) resistance mechanisms. Figure 3
shows that bacterial counts in livers,
but not in spleens, of Psel-/- mice and
Psel-/- x ICAM-/- mice were slightly
increased 3 days after infection. At all other time points bacterial
numbers in spleen and liver were comparable between mutant and control
mice. Next, we determined whether the observed alterations in
lymphocyte subsets of mutant mice influenced resistance against
intestinal infection with L. monocytogenes. Interestingly,
spread of listeriae from the gut to the spleen and the liver was
comparable in all animals after oral infection with 6 x
107 CFU (Fig. 4
). Similar
results were obtained with higher oral infection doses of L.
monocytogenes (2 x 108 CFU; data not shown).
Thus, alterations in i-IEL distribution in mutant mice did not have an
apparent influence on regional defense. To further examine resistance
mechanisms against a chronic bacterial infection, mutant and control
mice were infected i.v. with M. bovis BCG (5 x
106 CFU). Deficiency of P-selectin and/or ICAM-1 did not
impair immunity against chronic mycobacterial infection (Fig. 5
).
|
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To obtain further information about the roles of P-selectin and
ICAM-1 in T cell functions in vivo, we compared
Listeria-specific T cell-mediated DTH reactions and
Listeria-specific memory T cell responses of control and
mutant mice. DTH reactions were tested in day 6
Listeria-immune mice by challenge with a culture filtrate of
L. monocytogenes. Figure 6
shows that footpad swelling was similarly pronounced in KO and control
mice. The capacity of mounting a functional T cell memory was tested in
Listeria-immune mice that were challenged with an otherwise
lethal dose of L. monocytogenes (2 x 105
CFU) 5 wk later. Figure 7
illustrates
that lack of P-selectin and/or ICAM-1 did not impair the formation of a
memory T cell response against secondary infection with L.
monocytogenes.
|
|
| Discussion |
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|
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|---|
ß i-IEL, lack of ICAM-1
or of both adhesion molecules increased the proportion of i-IEL bearing
TCR-
. Interestingly, T cell effector functions against acute or
chronic infections caused by the intracellular bacteria, L.
monocytogenes and M. bovis BCG, respectively, were not
influenced dramatically by the lack of ICAM-1, P-selectin, or both
adhesion molecules.
Lymphocytes of the gut can be divided at least into three distinct
populations according to their localization. These are lymphocytes that
reside within the epithelial layer of the gut, in the lamina propria or
in specialized lymphoid organs, the Peyers patches. The function of
i-IEL is still obscure because these cells differ in many aspects from
T cells in central lymphoid organs (21, 22, 23). Murine i-IEL can be almost
equally divided into TCR-
ß and TCR-
cells, most of which
expresses the CD8 coreceptor. In contrast to the peripheral T cell
populations expressing the CD8
ß heterodimer, the majority of the
TCR-
ß i-IEL population expresses a CD8
homodimer, and all
TCR-
i-IEL express the CD8
homodimer. Generally, it is
accepted that the TCR-
i-IEL and all TCR-
ß CD8
i-IEL
develop in the gut independently from the thymus (24, 25).
Here we show that the establishment of a normal intestinal immune system requires the expression of ICAM-1 and P-selectin. Interestingly, proportions of lymphocyte subsets in thymus, spleen, and blood were apparently normal in mutant mice (data not shown). This is in contrast to earlier experiments showing that addition of anti-ICAM-1 mAb to fetal organ culture blocked thymocyte maturation from the double-negative CD4- CD8- to the double-positive CD4+ CD8+ stage (26). Although we cannot exclude that the ICAM-/- mice used here show only a partial functional deletion (27), recent reports employing another mutant ICAM-1 strain (28) also observed unimpaired T cell development.
Disruption of ICAM-1 or ß2 integrins leads to partial
loss of Thy1+ TCR-
ß CD8
ß lymphocytes within the
intestinal epithelium and lamina propria (12). Elegant studies with
bone marrow chimeras from the same group further indicate that
activation and expansion of TCR-
ß i-IEL are dependent on bone
marrow-derived ICAM-1+ cells, most likely dendritic cells
(12, 29). Our data are consistent with and further extend these
findings, in that we observed an inverse proportion of TCR-
ß and
TCR-
i-IEL between Psel-/- and
ICAM-/- mice. While lack of P-selectin resulted in a
significant increase in TCR-
ß i-IEL and a concomitant decrease in
TCR-
i-IEL, lack of ICAM-1 and ICAM-1 x P-selectin showed
the opposite effect. The fact that double KO mice lacking both adhesion
molecules exhibited an even more pronounced phenotype than
ICAM-/- mice could be explained by the assumption that
the establishment of a normal gut mucosal immune system requires
P-selectin and ICAM-1 sequentially, with a dominance of the latter
adhesion molecule. Interestingly, the effects of these adhesion
molecules are not restricted to the i-IEL compartment but also
encompass lymphocyte distribution within the lamina propria. Whether
P-selectin and ICAM-1 are involved in lymphocyte migration from the
bloodstream into the mucosa or in the development of intestinal T
cells, or mediate selective regional expansion of i-IEL and LPL cannot
be decided as yet.
The i-IEL from normal mice exhibit strong cytolytic activities and
produce IFN-
either spontaneously or after TCR cross-linking (30).
Intestinal infection with L. monocytogenes did not increase
the lytic activity of i-IEL, but up-regulated the frequency of
IFN-
-producing i-IEL, suggesting that these lymphocytes contribute
to regional protection (31). To date, the role of ICAM-1 in T cell
activation remains controversial (28, 32), and in vivo data concerning
the requirement for ICAM-1 and/or P-selectin in regional defense
against intestinal infection do not exist.
We observed that bacterial transmigration from the intestinal lumen to
the liver and spleen was comparable in KO strains and controls
regardless of the expression of ICAM-1 and P-selectin. The cytolytic
potential as well as IFN-
secretion of TCR-
i-IEL were
genetically controlled (13). Since all the mouse strains tested here
are of a genetic responder background (C57BL/6), the influence of
adhesion molecules on effector functions of TCR-
ß and TCR-
i-IEL was examined. Results of Ab-mediated cytotoxicity and IFN-
secretion do not support direct involvement of P-selectin and ICAM-1 in
triggering i-IEL effector functions. Rather, the differences observed
are most likely due to the numerical increase in TCR-
ß or
TCR-
i-IEL in Psel-/- or ICAM-/-
mice. However, in accordance with previous findings (16, 12), we
observed that triggering of TCR-
i-IEL is different from that of
TCR-
ß i-IEL. While the lytic activity of the latter population was
similarly stimulated by CD3 and TCR-
ß ligation, the TCR-
i-IEL responded to TCR-
, but less well to CD3 cross-linking. The
reason for this difference is unclear, but could be due to the fact
that the Fc
R1
-chain is engaged in the CD3 complex of TCR-
i-IEL, but not in that of TCR-
ß i-IEL (20).
In uninfected animals, TCR-
ß i-IEL represent the majority of
IFN-
-secreting lymphocytes, whereas during intestinal listeriosis,
TCR-
i-IEL are also primed for IFN-
secretion (33). The high
frequency of IFN-
-producing cells in Psel-/- and
ICAM-/- mice emphasizes the importance of IFN-
as an
essential regulator of the intestinal immune response. Less information
is available about the synthesis of the Th2 cytokine, IL-4, by i-IEL. A
very low frequency of IL-4-secreting i-IEL residing equally within the
TCR-
ß and TCR-
populations was detected in all strains.
However, in comparison with the high frequency of IFN-
-producing
cells, we consider the observed differences in IL-4-secreting cells in
mutant and control mice to be of minor biologic significance. Thus, a
Th1 cytokine milieu predominates in normal and infected gut that is not
significantly disturbed by the lack of ICAM-1 and/or P-selectin.
In all mutant mice, bacterial clearance of L. monocytogenes and M. bovis BCG was virtually normal. Only animals lacking P-selectin exhibited transiently elevated listerial titers in the liver but not in the spleen. This can be explained by the observations that 1) early resistance to L. monocytogenes in the liver, but not in the spleen, is mainly neutrophil dependent (1); and 2) neutrophil extravasation from the bloodstream is controlled by P-selectin (6). T cells are pivotal for acquired immunity against L. monocytogenes and M. bovis BCG, and they mediate granuloma formation and DTH reactions. Granulomas represent complex tissue reactions involving activation and recruitment of monocytes and T cells to the sites of microbial replication. Granulomas promote containment of bacilli to discrete tissue sites and in this way contribute to protection against chronic infections. Accordingly, granuloma formation is critical for control of M. bovis BCG (34). In contrast, it is of little if any importance in defense against L. monocytogenes because these bacteria are so rapidly eradicated that highly structured granulomas do not develop (35, 36). DTH reactions develop in response to soluble Ags and are mainly mediated by emigrant CD4 T cells and monocytes. Since bacterial numbers as well as DTH and memory T cell responses were normal in mutant mice, we suggest that T cell activation and migration in response to these infections are not critically dependent on P-selectin and/or ICAM-1, most likely because other adhesion molecules compensate for their activities.
Analogous to the Th1 immune response during intracellular bacterial infection, chemically induced inflammation results in migration of Th1, but not Th2, cells into sensitized tissue sites (37). Despite the lack of P-selectin and/or ICAM-1, we observed normal bacterial Ag-specific DTH responses as measured by footpad swelling. Previous experiments using radiolabeled cells have shown that Psel-/- mice exhibit a reduced cellular infiltration into sites of chemical sensitization (7, 38). However, parallel experiments using ear-swelling measurements revealed no differences in ear thickness between wild-type and Psel-/- mice (7). This observation conforms with our data. In an attempt to explain this discrepancy the authors assume that despite reduced numbers of mononuclear cells and neutrophils in Psel-/- mice, either the number of phagocytes was still sufficiently high to cause vascular leakage (i.e., ear swelling) or, alternatively, cellular infiltration and vascular leakage are controlled by separate mechanisms, differentially dependent on the expression of P-selectin.
The results presented here indicate that lack of P-selectin and/or ICAM-1 does not dramatically influence antimicrobial T cell functions, as measured by clearance of bacterial pathogens, formation of Ag-specific DTH reactions, and T cell memory. However, the establishment of the intestinal T cell system requires both P-selectin and ICAM-1, thus emphasizing its uniqueness from other lymphoid compartments. Additional experiments will more clearly characterize the roles of these adhesion molecules in the development, migration, and activation of defined T cell population within the intestine.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Abbreviations used in this paper: BCG, Calmette-Guérin bacillus; KO mice, knockout mice; DTH, delayed-type hypersensitivity reaction; i-IEL, intraepethelial lymphocytes; ELISPOT, enzyme-linked immunospot; LPL, lamina propria lymphocytes; Psel-/-, P-selectin knockout; ICAM-/-, intercellular adhesion molecule-1 knockout; Psel-/- x ICAM-/-, P-selectin x intercellular adhesion molecule-1 double knockout. ![]()
Received for publication November 13, 1997. Accepted for publication February 19, 1998.
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interferon-dependent T cell-phagocyte interactions in murine listeriosis: dissociation on the basis of phagocyte adhesion mechanisms. Infect. Immun. 60:1875.This article has been cited by other articles:
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