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*
Department of Medicine and Division of Rheumatology and Clinical Immunology, University of Florida, Gainesville, FL 32610; and
Department of Medicine and Microbiology/Immunology, University of North Carolina, Chapel Hill, NC 27599
| Abstract |
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| Introduction |
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Previous in vivo experiments have shown that full expression of the lpr phenotype required that the lpr mutation be present in both the T and B cell populations. When a combination of normal and lpr bone marrow was coinfused into an lpr host, only T cells of lpr origin hyperproliferated (9) and only B cells of lpr origin produced autoantibodies (10). In fact, normal derived B cells appeared to be suppressed in their abilities to respond to T cell-dependent Ags (10). In additional experiments, it was shown that lpr T cells were necessary to drive lpr B cells to produce these autoantibodies (11). That is, normal T cells alone in the presence of lpr B cells were insufficient to cause a break in tolerance. In complementary experiments, bone marrow cells of normal origin could largely correct the gld defect, demonstrating that the gld mutation caused a lesion that was extrinsic to the abnormally behaving T and B cells (12, 13). We originally modeled the Fas and FasL interactions as one of interacting molecules, both reciprocally expressed on T and B cells (14). Additional evidence indirectly supporting this model was the observation that lpr mice lacking B cells had decreased lymphadenopathy (15, 16). The paradigm of reciprocal expression was put into question by the later findings that FasL was expressed on T cells, but not B cells, although Fas was found on both populations (17). Support for the critical role of T cell expression of FasL came from additional in vivo functional experiments, in which gld-+ mixed chimeras were constructed and selectively depleted of either normal T or normal B cell populations (18). Autoimmunity was restored only with depletion of the normal T cell population. Finally, lpr mice homozygous for targeted deletion of class II expression had decreased autoantibody production, but not decreased lymphadenopathy (19), while lpr mice lacking expression of class I showed the converse phenotype (20). Taken together, these data suggested that apoptosis of T cells was being regulated by another T cell population with no direct contribution by B cells. In the past few months, the in vitro expression of FasL on activated B cells has been demonstrated (21, 22). However, the functional significance of this finding in vivo remains uncertain.
To test the specific role of lpr B cells in the development of lymphadenopathy in lpr mice, we have constructed lpr-+ mixed chimeras and have selectively eliminated lpr B cells. In these mice, there was a dramatic decrease in the number of lpr-derived T cells, with a corresponding major reduction in the CD4-CD8-B220+ population. The presence of the remaining lpr T cells was insufficient to cause autoantibody production and did not suppress the response of normal derived B cells to a T cell-dependent Ag. These data suggest a fundamental regulatory role for B cells in the maintenance of peripheral tolerance by Fas-mediated apoptosis.
| Materials and Methods |
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C57BL/6 (B6), C57BL/6.Thy-1a Igha
Gpia (B6.TC), and C57BL/6.MRL/lpr
(B6/lpr) mice were originally obtained from The
Jackson Laboratory (Bar Harbor, ME) and maintained in our breeding
colonies at University of North Carolina at Chapel Hill and/or at
University of Florida (Gainesville, FL). C57BL/6.I-E
d
mice were originally obtained from Dr. M. Kimoto (Saga Medical School,
Saga, Japan), and B6.C20 (B6.Igha) from Gayle Bosma
(Philadelphia, PA). B6/lpr.I-E
d and
B6/lpr-Igha mice were produced as previously
described (10, 23). The former strain has decreased lymphadenopathy and
decreased autoantibody titers relative to B6/lpr and
B6/lpr-Igha, but still markedly increased
compared with normal B6, B6.Igha, and B6.TC mice
(23).
Preparation of mAb for in vivo treatment
HB63 (murine IgG2a anti-human IgA) and the cytolytic Ab 14-4-4s (murine IgG2a anti-I-E) were obtained from American Type Culture Collection (Rockville, MD). MmT1 and HB63 were prepared as ascites from hosts, as previously described (11), while the 14-4-4s mAb was prepared in irradiated (450 rad) BALB/c mice. Ascites was concentrated and partially purified as the precipitate of a 40% saturated ammonium sulfate cut, dialyzed against PBS, and stored frozen at 9 mg/ml until used.
Production of mixed chimeras
One week before cell transfer, 2- to 3-mo-old
B6/lpr-Igha (Expt. 1) or B6/lpr
(Expt. 2) host mice were housed in autoclaved cages in an isolation
cubicle and placed on either neomycin (0.2% w/v)- or
trimethoprim-sulfamethoxazole (1% v/v; Lemmon Company, Sellerveill,
PA)-treated water. On the day before cell transfer, the mice received
900 rad of
-irradiation in a Gamma-cell 40 137Cs
apparatus (Atomic Energy of Canada, Otawa, Canada). In later
experiments, the mice received two doses of 525 rad of
-radiation
separated by 3 h (24). Pilot experiments showed that the latter
protocol enhanced survival, yet permitted complete engraftment by donor
bone marrow cells. Bone marrow cells were prepared from the femora and
tibiae of age- and sex-matched congenic mice. The procedure was as
previously described, including the use of mAb and complement to
eliminate mature T cells (11). Mice received an equal number of bone
marrow cells from the two donor strains, as indicated in
Results. For each transfer, a total of 107 cells
in 0.5 ml of HBSS was given by tail vein injection.
Beginning 1 wk after cell transfer, mice received twice weekly injections of either 14-4-4s or the irrelevant control mAb HB63. Dose was 1 mg/injection and was continued for the duration of the experiments. Mice were bled at monthly intervals for flow cytometric and/or ELISA analysis.
Immunization with human IgG
Four months after preparation of the chimeras, mice were given
50 µg of human
-globulin (HGG) purified from Cohn Fraction II of
human serum (Sigma Chemical Co., St. Louis, MO). Injections were given
s.c. in CFA and boosted with an additional 50 µg s.c. in CFA 10 days
later. On day 17, the mice were bled by tail vein.
Flow cytometry
Two to three months after initiation of the experiment, mice
were checked routinely for effectiveness of Ab treatment by IgM
allele-specific immunofluorescence on PBMCs. Blood was collected into
heparinized tubes immediately before the next scheduled injection, and
mononuclear cells were isolated on a Lympholyte M (Cedarlane, Ontario,
CA) density gradient. At the completion of each experiment, the mice
were killed and lymph nodes and spleens were collected, weighed, and
placed into single cell suspension in buffered HBSS supplemented with
3% FCS and 0.1% NaN3. RBCs were lysed with
NHCl2, and the total cell number was determined by
hemacytometer or Coulter counter (Coulter Corp., Hialeah, FL).
Immunofluorescence staining was routinely performed in 96-well
round-bottom microtiter plates (Corning Glass Works, Corning, NY). For
cell surface staining of B cells, saturating amounts of fluoresceinated
affinity-purified DS-1 (murine IgG1 anti-IgMa) along
with biotinylated AF6-78.25.2 (murine IgG1 anti-IgMb)
were added as first step. The second step consisted of avidin-coupled
phycoerythrin (Jackson ImmunoResearch Laboratories, West Grove, PA). In
the studies depicted in Figure 1
, biotinylated MmT1 (murine IgG2a
anti-Thy-1b, the generous gift of Dr. Elisabeth
Kremmer, Munich, Germany) was used for two-color immunfluorescence of T
cells. For allele-specific Thy-1 staining of Figure 2
, biotinylated
anti-CD90.1 (Thy-1a) or anti-CD90.2
(Thy-1b) (PharMingen, San Diego, CA) was used along with
the combination of directly fluoresceinated anti-CD4 and
anti-CD8 (PharMingen). For determination of B220+ T
cells, directly fluoresceinated anti-B220 (PharMingen) was
substituted for the combination of anti-CD4 and anti-CD8. On
the last step, the cells were suspended in PBS and fixed with an equal
volume of 2% paraformaldehyde in PBS. Analysis was performed on a
Becton Dickinson FACScan (San Jose, CA) equipped with Cicero software
(Cytomation, Fort Collins, CO) or by collection using B-D software,
followed by analysis with WinMDI version 2.1.4 software (available as
freeware from Dr. Joseph Trotter at http://facs.scripps.edu). The
lymphocyte population was identified by size gating.
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The protocols used for measurement of allotype-specific serum total IgM, IgM anti-IgG2b rheumatoid factor, IgG2a antichromatin, and IgG2a anti-HGG have been described in detail (10). The only modification is that the concentration of serum total IgM is now reported in equivalent dilution factors of standardized reference B6/lpr and B6/lpr-Igha sera. This is defined by the formula: equivalent dilution factor = (dilution of standard reference sera, which gives the equivalent OD of the test serum) x 106.
| Results |
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Previous experiments had documented the crucial role of
lpr T cells in the development of lymphadenopathy. To
determine the role of lpr B cells, lpr-+ mixed
chimeras were prepared using B6/lpr-Igha host
mice and lpr-derived B cells selectively eliminated. In the
first set of experiments (data not shown), elimination of
lpr B cells was attempted with b
allotype-specific anti-IgM (AF6-78.25). However, probably due to
the presence of competing circulating IgM in the host (also
b allotype) and the less effective complement-fixing
properties of an IgG1 mAb (25, 26), depletion was incomplete. To
circumvent this problem, B6 and B6/lpr mice expressing the
I-E
transgene were utilized as donors, and B cells were eliminated
with the IgG2a anti-I-E mAb 14-4-4s. As shown in Figure 1
, this treatment was highly effective in
eliminating b allotype B cells of either normal
(C) or lpr
(G) origin. Moreover, with the elimination of
lpr B cells, there was a marked decrease in percentage of
CD4-CD8- Thy-1+ T cells
(F vs H) to levels comparable with
mice given only normal bone marrow (B and
D). Not only were the percentages of
CD4-CD8- T cells decreased, but
lymphadenopathy was reduced such that total lymphocyte count from lymph
nodes and spleen was again comparable with mice receiving only normal
bone marrow (Table I
).
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Although the experiment described in the paragraph above
demonstrated that lpr B cells were crucial to the full
development of lymphadenopathy, it could not be determined whether the
remaining T cells were of lpr or +/+ origin. Accordingly,
additional bone marrow reconstitution experiments were performed in
which both lpr and +/+ T and B cells were differentially
marked by allele-specific cell surface Ags. To accomplish this, the
B6.TC (Thy-1a, Igha) strain was used as normal
bone marrow donor. In control-treatedlpr-+ mixed chimeras,
very few CD90.1 (Thy-1a) T cells of normal origin were
found 5 mo later (Fig. 2
C). This contrasted
somewhat with our findings published earlier using donors with
single-congenic strain differences, which showed marked but incomplete
skewing toward the lpr donor (9, 10, 11). The poor
representation of normal derived T and B cells using the B6.TC strain
is consistent with our previous experience in gld-+ mixed
chimeras, suggesting that the additional congenic loci placed the B6.TC
strain at a competitive disadvantage relative to single congenic
strains (18). Despite this disadvantage, elimination of lpr
B cells from these mixed chimeras resulted in development of
appropriate numbers of normal B cells (Fig. 2
B). More
surprisingly, the T cells were now of both lpr and normal
origin, and in comparable numbers (Fig. 2
, D vs
F, upper quadrants). Again, few
CD4-CD8-B220+ T cells were
present in mice depleted of lpr B compared with
control-treated mice (Fig. 2
E, upper
right quadrant), but those that were
present were of lpr origin (Fig. 2
, D vs
F, upper right quadrant). A summary of the
results for all mice studied in both experiments is given in Table I
.
Elimination of b allotype B cells of either normal orlpr origin was effective in reducing b allotype serum total IgM and IgG2a
Flow cytometric analysis of peripheral blood and spleen cells
demonstrated effective depletion of targeted B cells. The effectiveness
of treatment was also reflected serologically by allotype-specific
total IgM and IgG2a ELISA. Control-treated mice given only normal bone
marrow showed relatively greater production of a allotype
IgM (Fig. 3
A) and
especially IgG2a (Fig. 3
B). This was consistent with
our original studies, which showed skewing of donor-derived Ig
production toward the allotype that matched the host (10). It is also
possible that Ig production of b allotype was further
disadvantaged by I-E expression on the donor B cells, a class II allele
that was not shared by the host. When a combination of +/+
a and lpr b bone marrow was infused
and control mAb given, lpr-derived IgM and especially IgG2a
dominated, also consistent with our previous results (10) and
demonstrating that lack of functional Fas on B cells could overcome the
disadvantages of mismatch of allotype and I-E expression with the host.
Treatment with anti-I-E mAb resulted in a sharp reduction of
b allotype IgM (Fig. 3
A) and IgG2a (Fig. 3
B) and a relative increase in a allotype,
normal-derived Ig, regardless of whether the B cells were of normal or
lpr origin.
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Earlier experiments demonstrated that Fas-deficient lpr
B cells had an enormous competitive advantage in production of
autoantibodies in direct comparison with normal derived B cells (10).
However, this did not formally exclude the possibility that, in the
absence of lpr B cells, normal B cells would be stimulated
by lpr T cells to produce autoantibodies. Accordingly, in
mixed chimeric mice depleted of B cells, allotype-specific IgM
anti-IgG2b rheumatoid factor (Fig. 4
A) and IgG2a
antichromatin (Fig. 4
B) ELISAs were performed. In
mice given only normal bone marrow, autoantibody titers were low, as
expected and in keeping with previous experience (10). Control-treated
mice given a mixture of normal and lpr bone marrow produced
high titers of autoantibodies, all of lpr donor-derived
b allotype. The lack of a allotype autoantibody
production in either of the control-treated groups suggested that there
was little recovery of a allotype host-derived
lpr B cells in these chimeras. Interestingly, even in the
absence of competing lpr B cells and despite the presence of
lpr-derived T cells, B cells of normal origin failed to
produce autoantibodies. However, these B cells were present and
producing IgG2a (Fig. 3
).
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It had been observed previously that in lpr-+ mixed
chimeras, normal derived B cells failed to respond to immunization with
T cell-dependent foreign Ags (10). To determine whether lpr
T cells alone would be sufficient to suppress a normal B cell response,
we immunized control- and anti-I-E-treated chimeras with HGG, a
potent T cell-dependent Ag. In the absence of lpr B cells,
normal B cells responded vigorously to immunization (Fig. 5
). In fact, titers were equal to or
greater than found in mice given only normal bone marrow. Thus, the
functional suppression by lpr-derived donor cells required
the presence of lpr B cells.
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| Discussion |
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To test the specific role of lpr B cells explicitly, we have constructed lpr-+ mixed chimeras such that lpr-derived, but not normal derived cells expressed I-E. We then selectively depleted lpr B cells using a mAb to I-E. By allotype-specific flow cytometric analysis and by total IgM and IgG2a ELISA, b allotype B cells were eliminated effectively from the chimeras. With this elimination, there were a number of dramatic changes. First, there was a marked decrease in lymphadenopathy with both an absolute and relative decrease in CD4-CD8-B220+ T cells. Second, normal derived T cells, which comprised less than 1% of the lymphocyte population in control-treated chimeras, accumulated in numbers similar to those for lpr-derived T cells. What CD4-CD8- T cells that did persist were still of lpr origin. Third, normal derived B cells, which also accumulated in low numbers in control-treated mixed chimeras, were present in percentages comparable with mice receiving only normal bone marrow. Fourth, even in the presence of lpr-derived T cells, normal derived B cells did not produce significant quantities of autoantibodies. Fifth, even in the presence of lpr-derived T cells, normal derived B cells could be stimulated to produce a strong IgG response to a conventional T-dependent Ag.
Elimination of lpr B cells might have been predicted to have a minimal effect on lymphadenopathy and a more pronounced salutary effect on glomerulonephritis. One study of B6/lpr mice treated with rabbit anti-mouse IgM showed a twofold reduction in splenomegaly and a fourfold reduction in lymphadenopathy compared with the control-treated group (15). The anti-IgM group clearly had increased lymphocyte numbers compared with control-treated normal C57BL/6 mice, and the residual lymphadenopathy was still due predominantly to double-negative T cells. A brief report in a second paper confirmed these findings (39). More recently, gene knockout therapy has been used to examine F2 progeny of a cross between mice carrying a homozygous deletion of Jh (and therefore lacking B cells) and the MRL/lpr strain (16). At about 5 to 6 mo of age, there was an eightfold reduction of total lymph node cell number in lpr mice without B cells, although again the numbers were greater than seen in non-lpr littermates. A similar reduction was seen in spleen cell number. At most, there was only a modest decrease in the percentage of CD4-CD8- T cells, although there was a marked reduction in total number. Interestingly, there was no consistent decrease in CD4+ T cells.
Taking all of the above studies together, the magnitude of effect of anti-I-E Ab treatment on lymphadenopathy in our chimeric mice was greater than might have been predicted based on depletion of B cells alone. It is unlikely that this is due to nonspecific toxicity. The anti-I-E-treated mice appeared as healthy as the control group, which also received an isotype-matched mouse mAb. Moreover, the lpr-B cell-depleted mice were able to mount vigorous Ab response to exogenous T cell-dependent Ag. It is possible that some of the differences with the literature are due to strain differences. Much of the cited work was on the MRL background, a strain that, even in the absence of the lpr or gld mutation, develops autoimmunity (1).
Another major difference between our study and previously reported
lpr-B cell-depletion studies is that we constructed our
chimeras in such a way that normal B cells were allowed to develop,
thus permitting lpr T normal B cell interactions. It may be
that the normal B cells were able to provide down-regulatory signals
not available in the total absence of B cells. It has been shown
recently that infusion of normal B cells could down-modulate some of
the B cell abnormalities in autoimmune (NZB x NZW)F1
mice (40). However, a more likely possibility is that the anti-I-E
treatment affected APC other than B cells. In the original description
of the B6.I-E
d transgenic mouse, adherent cells obtained
from the peritoneal cavity demonstrated constitutive expression of I-E
(41). Staining for I-E in peripheral blood and spleen was negative in
our anti-I-E-treated chimeras (data not shown), suggesting that
lpr donor-derived cells of monocyte and dendritic cell
origin were also being depleted. Experiments with fully allogeneic
chimeras have demonstrated that within a few weeks of reconstitution,
most macrophages are of donor origin (42, 43). Whether
lpr-derived macrophages are more radioresistant is unknown.
However, in vivo data also indicated that MRL/lpr
macrophages have an intrinsic defect (44). Moreover, in vitro data have
shown that Th1 cells can delete activated macrophages by the Fas
pathway (45), suggesting that the intrinsic defect in
MRL/lpr macrophages is due to the lpr mutation
rather than to the MRL background. Conversely, it also has been shown
that dendritic cells cannot only kill CD4+ T cells by
Fas/FasL interactions (37), but can also express Fas (46). Thus, these
additional interactions involving Fas-deficient macrophages and
dendritic cells may be lacking in our anti-I-E-treated
lpr-+ mixed chimeras. Attempts to evaluate the relative
presence of donor-derived Fas-deficient monocytes/macrophages in the
spleen proved inconclusive. In two chimeras receiving a combination of
B6.TC and B6/lpr.I-E bone marrow without Ab treatment,
approximately 30 to 40% of the spleen cells identified as being of the
monocyte/macrophage lineage (by F4/80 expression) coexpressed I-E and
I-A 5 mo after reconstitution, and were therefore of lpr
donor origin (data not shown). However, no marker was present that
could distinguish whether the remaining cells were of normal donor or
lpr host origin. This same limitation would be expected to
restrict any evaluation of dendritic cells. Nevertheless, the fact that
lymphadenopathy can be greatly reduced by so many interventions,
including CD4 T cell depletion (47), CD8 T cell depletion (47), or B
cell depletion (16), strongly suggests that full manifestation of
lpr disease requires participation of all subsets in
defective activation-induced cell death.
One of the most striking features of our mixed chimeras was the unexpected finding that elimination of lpr B cells allowed normal B cells to develop and function. We had expected that the lpr T cells, which have been shown to express high levels of FasL constitutively (38), would have continued to eliminate or suppress normal B cells following activation by Ag (48). The lack of down-regulation raises several interesting possibilities regarding cellular interactions in our mixed chimeras. One possibility is that, in the absence of lpr B cells, lpr T cells were not abnormally stimulated, and thus failed to excessively up-regulate FasL or other surface Ags and/or cytokines. As mentioned above, other lpr-derived APCs might contribute to abnormal activation of lpr T cells, and these would probably have been affected by our anti-I-E treatment. Our experiments demonstrate the importance of Fas expression on APCs. However, they do not show directly which cell population is regulating peripheral tolerance. It might be that there is T-B-T cross-talk such that the T cells mediating apoptosis of other T cells interact through a common B cell intermediary.
A second, perhaps more intriguing possibility is that suppression of a normal derived B cell response was mediated through B cell/B cell interactions. There is a literature suggesting a role for such interactions in the genesis of both an autoimmune (49) and a normal immune response (50, 51, 52), although the basis has been unclear. In the past few years, however, a greatly enhanced understanding of germinal center formation and regulation has emerged (53). CD40/CD40 ligand (CD40L) interactions are crucial for the development of germinal centers (54, 55) and, until recently, it had been thought that CD40L expression was limited to T cells. However, it is known that T cells are absent from the germinal center dark zone, where B cell proliferation and protection from apoptosis occurs when the B cell receptor is engaged by Ag (56). Recent data demonstrate that CD40L can be expressed on activated B cells (56), as can FasL (21, 61). In normal germinal centers, Fas is expressed on B cells, but is not required for apoptotic regulation of the immune response (57). However, when stimulated through CD40, B cells can become sensitive to cross-linking of Fas (58). Thus, it might be that, in the germinal centers of the mixed chimeras, activated lpr B cells with up-regulated FasL expression engaged activated normal B cells sensitized by CD40 engagement to undergo Fas-mediated apoptosis. Preliminary experiments by flow cytometric analysis have suggested FasL expression on a small population of splenic B cells in both lpr and normal mice (data not shown), but additional experiments by independent techniques will be required to confirm this. Alternatively, normal derived B cells may be at a competititve disadvantage for a limited supply of follicular niches (59), although it is less clear why this should be so for an Ag that is not self reactive. This latter hypothesis might predict that normal B cells, in a mixed chimera, would not be down-regulated in response to a T cell-independent Ag.
In summary, our data illustrate the unexpected finding that abnormal stimulation by Fas-deficient B cells (and possibly other professional APCs) is crucial for the full development of lpr disease, both for lymphoproliferation and autoantibody production, and that T cell abnormalities alone do not suffice. Moreover, presence of the abnormal B cells is required for suppression of normal, nonautoimmune B cells. The pathways causing these profound effects are under active investigation.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Eric S. Sobel, University of Florida, P.O. Box 100221, Gainesville, FL 32610. ![]()
3 Current address: Specialty Laboratories, Santa Monica, CA 90404-0300. ![]()
4 Current address: University of Pennsylvania, 909 Stellar Chance, 422 Curie, Philadelphia, PA 19104-6100. ![]()
5 Abbreviations used in this paper: FasL, Fas ligand; CD40L, CD40 ligand; HGG, human
-globulin. ![]()
Received for publication February 13, 1997. Accepted for publication October 14, 1997.
| References |
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ß+ and abnormal lpr and gld cell populations. J. Exp. Med. 170:1869.
d gene in C57BL/6 transgenic mice. Nature 316:67.[Medline]
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