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The Journal of Immunology, 1998, 161: 963-970.
Copyright © 1998 by The American Association of Immunologists

CD4+ T Cells Migrate into Inflamed Skin Only If They Express Ligands for E- and P-Selectin1

Wolfgang Tietz2,*, Yvonne Allemand*, Eric Borges{dagger}, Dorothea von Laer{ddagger}, Ruppert Hallmann§, Dietmar Vestweber{dagger} and Alf Hamann3,*

* Department of Immunology, Medical Clinic, University Hospital Eppendorf, Hamburg, Germany; {dagger} Institute of Cell Biology, University of Münster, Münster, Germany; {ddagger} Heinrich Pette Institute, Hamburg, Germany; and § Institute for Experimental Medicine, University of Erlangen-Nürnberg, Erlangen, Germany A. Hamann, F. Austrup, W. Tietz, and D. Jablonski-Westrich. Activation induces rapid and profound alterations in the trafficking of T cells. Submitted for publication.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous data suggested a role of endothelial selectins in skin homing of lymphocytes. In the current study, we have analyzed the expression and functional role of E-and P-selectin ligands on CD4+ T cells induced in vivo upon skin sensitization, using soluble selectin-Ig chimera and blocking Abs. Only low numbers of CD4+ cells expressing significant levels of E- or P-selectin ligands were present in s.c. lymph nodes of untreated mice (0.5–1.5% and 2–4%, respectively). Induction of a delayed-type hypersensitivity reaction increased the percentage of E-selectin-binding CD4+ cells in the draining lymph nodes up to 6 to 9% and that of P-selectin-binding cells up to 14%. The majority of E- and P-selectin-binding cells displayed an activated phenotype as judged by the increase in IL-2R, CD71, or cell size. The populations of E- and P-selectin-binding cells were largely overlapping; all E-selectin-binding cells also bound to P-selectin, whereas only a subfraction of P-selectin-binding cells reacted with E-selectin. Both E- and P-selectin-binding CD4+ cells, isolated by FACS, efficiently migrated into inflamed, but not normal skin, whereas P- or E-selectin ligand-negative CD4+ T cells did not. Abs against one of the two endothelial selectins partially inhibited the entry of isolated, ligand-positive cells, whereas a combination of Abs against both selectins almost completely abrogated skin homing. These data indicate that the expression of functional ligands for E- and for P-selectin is essential for homing of CD4+ T cells into the inflamed skin.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The migration of leukocytes into tissues is dependent on several steps: tethering and rolling, activation, firm adhesion, and transendothelial migration (1, 2). During this process, selectins are the key mediators of initial transient binding to endothelium (3).

L-selectin is expressed on leukocytes; on naive T cells, it is crucial for recirculation through high endothelial venules (4), while murine CD4+ memory cells, which are L-selectinlow, enter lymph nodes only at low rates (5). In contrast, both E-selectin and P-selectin are expressed on endothelial cells and become up-regulated during inflammation. P-selectin was initially found on activated platelets; its expression on the surface of endothelial cells is induced within a few minutes by appropriate stimuli (6, 7).

A ligand for P-selectin, the P-selectin glycoprotein ligand-1 (PSGL-1),4 was first identified on human and murine myeloid cells (8, 9, 10). It has since been shown that subsets of T cells, notably activated or effector cells, can also bind to P-selectin and express functional PSGL-1 (3, 11, 12, 13, 14). Both PSGL-1 and ESL-1 (E-selectin ligand-1), the major ligands for E-selectin on murine cells (15), are constitutively expressed on T cells, but gain a role as selectin ligands only after appropriate posttranslational modification, presumably glycosylation (14) (see Note added in proof).

A ligand for E-selectin on human lymphocytes was identified as an antigenic determinant selectively expressed by the majority of T cells in skin but by only a minor subset of memory/effector cells in the blood (16, 17). Accordingly, the epitope was called the cutaneous lymphocyte-associated antigen (CLA). Recently, it has been shown that the CLA epitope is an E-selectin-binding modification of the protein core of PSGL-1 (18). The striking association between expression and localization of the cells led to the assumption that E-selectin is involved in targeting the CLA+ subpopulation into skin. However, experimental proof for the role of E- as well as P-selectin in the recruitment of T cells into the (inflamed) skin was largely lacking until the generation of E- and P-selectin-deficient mice. Studies in P-selectin-deficient mice showed a significant reduction of CD4+ T cells accumulation into the skin in oxazolone-induced delayed-type contact hypersensitivity (DTH) (19). In contrast to the rather mild phenotypes observed in mice deficient in a single selectin gene (20), those thay were doubly deficient showed a virtual absence of leukocyte rolling and low extravasation at sites of inflammation (21). Whether migration into the normal skin is also affected was not reported. These data supported the hypothesis that E-selectin and P-selectin are functionally redundant in the mouse (19, 20, 21).

The relationship between expression of P-selectin and E-selectin ligands on T cells in vivo, their kinetics during an immune reaction, and their precise functional role have not yet been analyzed. We have recently shown that in vitro-generated Th1-type cells can express ligands for both P- and E-selectin and are recruited into the inflamed skin, but also into the inflamed synovium, by use of both selectins (13). In this study we analyze the development and characteristics of in vivo occurring CD4+ T cells, which express ligands for endothelial selectins. The data indicate that ligands for both P- and E-selectin become transiently expressed on a subset of CD4+ cells in murine lymph nodes after antigenic stimulation. These cells predominantly display an activated phenotype. FACS isolation and reinjection of these cells and the use of blocking Abs provide evidence that both selectins are involved in the entry of CD4+ cells into acutely inflamed sites in the skin.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abs and selectin-IgG chimera

Anti-CD8 (53-6.72 (22)) and anti-Mac-1 (M1/70 (23)) were obtained from the American Type Culture Collection (Manassas, VA). Anti-L-selectin (MEL-14 (4)) was kindly provided by E. C. Butcher (Stanford University, Stanford, CA). The E-selectin-specific mAb UZ4 (24) and the P-selectin-specific mAb RB40.34 (25) were prepared as described. mAbs were purified by affinity chromatography as described (26) or precipitated by ammonium sulfate from serum-free supernatants. Phycoerythrin (PE)- or FITC-labeled anti-human IgG, anti-CD45RB, clone 23G2, anti-IFN-{gamma}, clone R46A2, anti-IL-4, clone 11B11, anti-IL-2R, anti-CD71, and anti-{alpha}4ß7, clone DATK32 were obtained from PharMingen (Hamburg, Germany). Biotin-conjugated anti-CD4 and PE-labeled goat anti-rat Ig (mouse absorbed) were obtained from Medac (Hamburg, Germany); rabbit anti-rat IgG was from Dako (Hamburg, Germany), and PerCP-conjugated streptavidin was from Becton Dickinson (Heidelberg, Germany). The E- and P-selectin-IgG fusion proteins were produced as described (27).

Animals and induction of skin inflammation

Female BALB/c mice, 8 to 16 wk of age, obtained from Harlan-Winkelmann (Borchen, Germany), were used. A cutaneous DTH reaction was induced by skin painting with 0.5% 2,4-dinitrofluorobenzene (DNFB) in aceton-olive oil (4:1) on day -21 and -20 and rechallenged with 0.5% DNFB on day -4 for isolation of P- and E-selectin-binding cells, if not otherwise stated, or on day -1 for homing experiments.

Cells

Lymphocytes from s.c. draining lymph nodes and other organs were prepared by teasing from skin-sensitized and rechallenged or control mice. Lymphocytes from peripheral blood or spleen were isolated by density centrifugation as described (5). Dead cells were removed by centrifugation on 17.0% isotonic Nycodenz (Nyegaard, Oslo, Norway), and the cells were washed twice with PBS. For the isolation of CD4+ T cells, they were incubated at 4°C with an Ab mixture containing anti-CD8 and anti-MAC-1. After incubation, cells were washed and depleted from non-T cells by two subsequent panning steps on petri dishes coated with rabbit anti-rat Ig (100 µg/ml, cross-reacting with mouse IgG) at 4°C. The average purity of the CD4+ cells after panning was >95% as determined by FACS analysis.

Immunofluorescence staining and FACS sorting

For the phenotypical characterization of the CD4+ E- or P-selectin-binding cells, we used a FACScan or FACSCalibur flow cytometer (Becton Dickinson). The cells were labeled with soluble E- or P-selectin chimera containing the Fc part of human IgG at 0.4 to 10 µg/ml in HBSS with Ca2+/Mg2+ for 15 min, biotin-conjugated anti-CD4 mAb, and FITC-conjugated mAbs against various other cell surface markers. Bound selectin constructs were detected with PE- or FITC-labeled anti-human IgG (20 µg/ml), CD4 with PerCP-conjugated streptavidin. Straining was done strictly at 4°C. Cells were analyzed by FACS after fixation with 1% paraformaldehyde. For negative controls, a human CEA-Ig chimeric construct and isotype control mAbs were applied; the myeloid cell line 32Dcl3 served as a positive control for selectin-ligand expression.

For the sorting of E- or P-selectin-binding T cell subsets, isolated CD4+ T cells were labeled with E- or P-selectin as described above and subsequently sorted into positive and negative fractions on a FACS, M.Fl. cell sorter (Cytomation BioInstruments, Ft. Collins, CO).

The isolated populations were >95% pure with respect to CD4 and selectin ligand expression upon reanalysis. To remove the selectin-IgG chimera from the cells, the sorted fractions were treated for 20 min with 5 mM EDTA. Control experiments showed no effect of cell sorting or EDTA treatment on the migration behavior of total lymph node cells.

For FACS analysis of cytokine production, CD4+ T cells were isolated and stimulated with PMA (50 ng/ml) and ionomycin (500 ng/ml) for 3 h and, after addition of brefeldin A (10 µg/ml), for a further 2 h. The cells were labeled with selectin ligands, fixed, permeabilized, and stained with PE-conjugated anti-cytokine mAbs for either Il-4 or IFN-{gamma} production as described (28) and FITC-labeled anti-human Ig for selectin binding. Alternatively, CD4+ cells were triple labeled for selectin binding and intracellular Il-4 and IFN-{gamma} after the PMA/ionomycin stimulation. Control experiments had shown that the stimulation did not significantly alter the expression of the selectin ligands. As a negative control for intracellular cytokine staining, cells were either incubated with a PE-conjugated isotype controls, unlabeled anti-cytokine mAb, or labeled in the presence of an excess of soluble cytokines.

In vivo homing assays

The migration of radioactively labeled lymphocytes was analyzed as described (29, 30). In short, cells were labeled with 20 µCi/ml (750 kBq/ml) sodium [51Cr]chromate for 1 h at 37°C. Blasts were selectively labeled by incorporation of [125I]iododeoxyuridine (1 µCi (37 kBq)/ml) for 2 h. Dead cells were removed by centrifugation on a Nycodenz density cushion. Cells (0.5–2 x 106) resuspended in 0.3 ml PBS were injected with or without added Ab (200 µg mAb per mouse) into the tail vein. Mice were killed 1 or 24 h later, and the distribution of the radioactivity in skin pieces of 2.5 cm2 in size, as well as in various other organs and in the remaining body, was measured. Blood values were computed for a 2-ml volume. Extended counting times and multiple background measurements were used allowing a statistical error below 10% for samples containing down to 0.1% of radioactivity recovered within the animals. The significance of differences between the means were analyzed with Student’s t test. A variety of isotype control mAbs, e.g., nonblocking anti-VCAM-1 IgM mAb (4EE6) and and nonblocking anti-HEV IgG1 mAb (Meca 325) were used, among others, and tested in inflamed or noninflamed tissues with no significant differences compared with controls that did not receive Abs.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The number of E- and P-selectin-binding T cells is low in resting lymph nodes, but increases transiently in draining lymph nodes upon cutaneous inflammation

The expression of ligands for the endothelial selectins was studied on freshly isolated CD4+ cells from s.c. lymph nodes by testing their ability to bind soluble E-selectin- or P-selectin-Ig chimera.

In untreated mice, the number of E-selectin-binding CD4+ T cells was very low, amounting to only 0.5 to 1.5% of total CD4+ cells in the cutaneous lymph nodes. The percentage of P-selectin-binding T cells was slightly higher, in the range of 2 to 4% of total CD4+ T cells (Figs. 1Go, a and b, and 3d). Similar numbers of these cells were found in the spleen (not shown).



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FIGURE 1. Flow cytometry analysis of total CD4+ T cells from pooled cutaneous (axillary, brachial, and inguinal) lymph nodes of 3 to 10 untreated (a and b) and DNFB-treated mice at day 4 after rechallenge (c–f) for expression of E-selectin ligands (left) or P-selectin ligands (right). The cells were stained with E-selectin-Ig and P-selectin-Ig chimerae (solid lines) or a control chimeric protein (dotted line). The broken vertical lines indicate the position of gates used to distinguish negative (or low) vs positive (intermediate to high) populations; the numbers indicate the percentage of positive cells. e, Staining of isolated P-selectin binding cells (P-L+) for E-selectin ligands; f, staining of isolated E-selectin binding cells (E-L+) for P-selectin ligands. Representative example of more than three experiments.

 
Previous studies had shown that ligands for endothelial selectins are associated with the memory-activated phenotype (31, 32) and become expressed in vitro upon activation and differentiation into Th1 effector cells (13). We therefore analyzed the development of CD4+ cells expressing selectin ligands upon induction of an immune response in the skin. Mice were treated with DNFB on day 1 and 2 and challenged on day 15. Cells from cutaneous lymph nodes were removed both before and at different time points after treatment to analyze the kinetics of the E- and P-selectin-binding CD4+ T cells. After induction of the DTH response, the number of both E-selectin ligand- and P-selectin ligand-expressing cells was strongly increased. The level of expression of selectin ligands was generally found to be very heterogeneous within all populations. In this study, only T cells with an intermediate to high level of ligand expression were considered positive (Fig. 1Go, a–d).

Analysis of cells sorted from draining lymph nodes in skin-sensitized animals showed that all isolated E-selectin-binding CD4+ T cells also expressed P-selectin ligands, whereas 70% of the P-selectin-binding CD4+ T cells also bound E-selectin (Fig. 1Go, e and f).

Figure 2Go shows the kinetics of E-selectin ligand expression of two separate experiments and P-selectin ligand expression. The percentage of the E-selectin-binding T cells increased to 4% on day 4 after the second priming; the percentage of the P-selectin-binding CD4+ T cells increased to 10%. After challenge, the percentage of E-selectin-binding CD4+ T cells increased to 6 to 9% and that of the P-selectin-binding CD4+ T cells to 14% (Fig. 1Go, c and d). Similar ranges were found after challenge in repeated experiments. At late time points after antigenic stimulation, the levels of selectin-binding cells had dropped to values approaching those of unchallenged mice. Older mice without stimulation contained levels of selectin-binding CD4+ cells in the same range as young mice (data not shown).



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FIGURE 2. Kinetics of the expression of E- and P-selectin ligand on T cells in the draining lymph nodes after induction of a skin DTH. The mice were treated with DNFB on day 1 and 2 and rechallenged on day 15. Cells from pooled cutaneous lymph nodes (two animals) were removed before and at different time points after treatment to analyze the expression of the E- and P-selectin ligands on CD4+ T cells with FACS. The development of the percentage of the selectin ligand-positive CD4+ T cells of the total CD4+ T cells within 36 days is shown. Data are from two independent experiments.

 
The expression of E- and P-selectin ligands followed a similar kinetic, but the increase in P-selectin-binding CD4+ T cells seemed to be of shorter duration and did not display the weak depression found for E-selectin-binding cells within the lymph nodes shortly after rechallenge (which might be due to trapping of the ligand-positive cells within the acutely inflamed skin). The results show a strong correlation between antigenic challenge and occurrence of CD4+ cells expressing ligands for selectins and suggest that these epitopes become expressed only transiently during an effector cell stage.

E- and P-selectin-binding T cells predominantly display the phenotype of activated cells

To analyze this question further, the phenotypic profile of CD4+ cells expressing ligands for E- and P-selectin was determined, especially with respect to their activation and differentiation stage.

Figure 3Goa shows the expression of several activation/differentiation markers on the E- or P-selectin-binding CD4+ T cells isolated from draining lymph nodes at day 4 after rechallenge. In these stimulated lymph nodes, a significant fraction of the total CD4+ cells is in an activated stage. Among P- and E-selectin-binding cells, the percentage of activated cells is much higher: roughly 75% of the E-selectin-binding CD4+ T cells were found to carry the IL-2R and expressed the transferrin receptor (CD71, not shown). The percentage of P-selectin-binding CD4+ T cells that express activation markers was found to be slightly lower, with between 50 and 70% carrying the above markers. Similar ranges were found in repeated experiments. Half of both populations also expressed the early activation marker CD69 (data not shown). It has not yet been possible to determine whether these activation markers are expressed, for the most part, on the same subfraction of cells or whether they delineate only partially overlapping subsets.



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FIGURE 3. Phenotype of E- or P-selectin-binding CD4+ T cells from draining lymph nodes (a); from Peyer’s patches, spleen, and blood of skin-sensitized mice (day 4 after challenge) (b); and from cutaneous lymph nodes of untreated (d) or skin-sensitized (day 21 after challenge) (e) mice. c, Forward scatter and CD45RB expression of total E- and P-selectin binding (E-L+, P-L+) CD4+ cells from draining lymph nodes of skin-sensitized mice (day 4 after challenge). Cells were stained for E- and P-selectin ligands (E-L, P-L) with soluble selectin chimera followed by FITC-coupled anti-Ig, and for other markers with directly conjugated mAbs. Irrelevant mAbs or control chimeric molecules (CEA-Ig) served as control. Representative analyses of two to five experiments are shown. Cells were prepared from pooled organs of three to five animals. The position of gates used to quantify negative/low vs positive/high populations is given.

 
Less stringent was the association of selectin-binding and markers delineating a memory phenotype; L-selectin-negative as well as CD45RBlow cells were moderately enriched within the selectin-binding subsets. Interestingly, the subsets of cells expressing selectin ligands also clearly contained a resting cell population that was small, CD45RBhigh and L-selectinhigh (Fig. 3Goc).

In the human, the expression of CLA, a ligand for E-selectin, has been shown to be inversely correlated with expression of the mucosal homing receptor {alpha}4ß7. We did not observe this correlation in the mouse (Fig. 3Go). Selectin-binding cells were also observed in other organs such as Peyer’s patches, spleen, or peripheral blood (Fig. 3Gob), and also in contralateral lymph nodes (not shown), albeit in lower numbers (corresponding to the lower numbers of activated cells found in these compartments after stimulation via a skin site). High numbers of selectin-binding cells were also found in the lamina propria and other noncutaneous sites in a model of intestinal inflammation (33).

E- and P-selectin-binding T cells isolated from untreated mice (Fig. 3God) or from mice several weeks after a sensitization cycle (Fig. 3Goe) displayed a similar, largely activated phenotype. Also, in this setting, no evidence was found that the selectin-binding cells were enriched in the subset of memory cells.

In conclusion, CD4+ cells expressing ligands for endothelial selectins are found in increased numbers only in stimulated mice. This cell population is heterogeneous with respect to activation markers, with a bias for activated cell stages. In the smaller subset expressing ligands for E-selectin, the activation is more pronounced.

A large percentage of selectin-binding CD4+ cells are cytokine-producing effector cells

Previously, we have shown that in vitro-generated Th1 cells, but not Th2 cells, express ligands especially for P-selectin (13, 14). It was therefore of interest to determine whether the expression of selectin ligands on cells differentiated in vivo correlates with an effector cell stage characterized by the production of distinct cytokines. Figure 4Go shows that slightly more than half of the IFN-{gamma}-producing Th1 cells are found in the P-selectin binding fraction, and high producers are enriched in this fraction (mean fluorescence in the IFN-{gamma} channel: 1.8 x that of the P-selectin-negative cells). In the DTH model used, very few IL-4-producing Th2 cells are found in the draining lymph nodes; among these, however, both selectin-binding and non-binding cells were found. Ligands for E-selectin are expressed only on a smaller percentage of cytokine-producing Th1 cells. In conclusion, approximately half of the cytokine producers express ligands for P-selectin, while less of them express ligands for E-selectin; thus, activated effector cells are enriched in the selectin-binding fraction of CD4+ cells. The close association between cytokine phenotype and expression of selectin ligands is, however, not found in this model of in vivo activation of T cells.



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FIGURE 4. Correlation between expression of selectin ligands and intracellular cytokine production. CD4+ cells isolated from draining lymph nodes of sensitized mice were restimulated with PMA/ionomycin and stained for intracellular cytokine production and selectin binding. Control experiments had shown that the restimulation did not significantly affect the expression of selectin ligands. The percentages of CD4+ cells within the quadrants are given, together with the mean fluorescence intensity values in the cytokine channel for the respective populations. This analysis is representative of three experiments.

 
Only selectin-binding CD4+ T cells are able to enter inflamed skin

The use of soluble selectin-Ig chimeras that bind reversibly, in a Ca2+-dependent manner, to their ligands allowed us to isolate CD4+ subsets expressing the functional ligands in a native state, to analyze their migratory properties in vivo.

CD4+ T cells were labeled with the E- or P-selectin-Ig construct and a secondary Ab, then sorted in positive and negative fractions on a FACS. The resulting populations of the E- or P-selectin-binding fraction were 95% positive (Fig. 5Go, c and d). The negative fraction contained 1% or less of selectin-binding cells (Fig. 5Go, a and b). After removal of the selectin-Ab complexes by washing in EDTA, cells were labeled with sodium [51Cr]chromate and [125I]iododeoxyuridine and injected i.v. Control experiments showed that neither cell sorting nor EDTA treatment had an effect on the migration behavior of lymph node cells (data not shown).



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FIGURE 5. Purification of selectin-binding cells by FACS. Isolated CD4+ cells of draining lymph nodes were stained with E-selectin (left) or P-selectin (right) Ig, respectively, and sorted in the FACS. The negative (upper panel) and positive fractions (lower panel) were restained with E- and P-selectin-Ig, respectively (solid lines), or a control chimeric protein (dotted line) after washing with EDTA. The broken vertical line indicates the position of gates used to sort either negative populations (a and b) or positive populations (c and d). This is a representative example of more than three experiments.

 
As shown in Figure 6Goa, the E-selectin-binding CD4+ T cells entered the inflamed skin to a much higher extent within the first hour after i.v. injection, compared with the total fraction of negative cells or to [125I]iododeoxyuridine-labeled blasts present in the negative fraction. CD4+ cells of memory phenotype, not enriched for selectin-binding subsets, also lack a significant capacity to enter the inflamed skin (34). Similar results were obtained with P-selectin-binding CD4+ T cells (Fig. 7Goa). Twenty-four hours after injection, the percentage of E-selectin-binding cells within the inflamed skin has increased further (Fig. 6Goc).



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FIGURE 6. Trafficking of E-selectin binding CD4+ T cells (E-L+) in comparison with nonbinding (E-L-) T cells and E-L- blasts from draining lymph nodes. E-L+ and E-L- T cells were isolated by cell sorting as described in Materials and Methods and labeled by [51Cr]chromate; the fraction of blasts contained within the E-L- population was additionally labeled by [125I]iododeoxyuridine. The accumulation of cellular radioactivity in the inflamed (DTH-skin) and control skin (c-skin) (a and c, respectively), and various other organs (b and d) is given. Animals were killed 1 h (a and b) or 24 h (c and d) after injection of the cells into the tail vein. Bars, SD (n = 4); **, difference compared with control is significant with p < 0.01. Note the different scales on the various parts of the figure. Data were reproduced one or more times.

 


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FIGURE 7. Trafficking of P-selectin binding (P-L+) and non-binding (P-L-) CD4+ T cells or blasts. Other details were the same as in Figure 6Go, a and b.

 
In contrast, the migration of selectin-binding cells into noninflamed control skin was very low at 1 h as well as at 24 h after injection. This also applies to experiments in untreated mice, in which the total skin was counted to increase the detection limit (data not shown). Thus, expression of selectin ligands on CD4+ T cells predicts a high capacity to enter the inflamed skin, but does not predict skin homing in general.

As shown in Figure 6Gob, the migration of the E-selectin-binding CD4+ T cells into mesenteric lymph nodes and spleen was strongly reduced and a high localization within the lung was observed. Similar results were obtained for the P-selectin-binding CD4+ T cells (Fig. 7Gob). With this population, a slightly increased accumulation in the liver was observed in several experiments. These trafficking preferences contrast to that of resting CD4+ cells and correspond, for the most part, to that of those CD4+ blasts not expressing selectin ligands. Indeed, a reduced migration into lymphoid tissues and a high affinity to lung and liver is characteristic of activated lymphocytes in general (35).5 It is not due to selectin-mediated interactions, as Abs against E- and P-selectin were without effect on the distribution of the selectin-binding cells among noninflamed tissues (data not shown).

Both E- and P-selectin are involved in the recruitment of T cells into the inflamed skin

The exclusive capacity of CD4+ cells expressing ligands for endothelial selectins to migrate into inflamed skin strongly suggests, but does not prove, a crucial role of these epitopes for homing into the inflamed skin. The capacity of isolated E- or P-selectin-binding CD4+ T cells to migrate into sites of cutaneous inflammation was tested, therefore, in the presence of mAbs blocking either E-selectin or P-selectin.

Figure 8Go shows that the migration of E-selectin- and P-selectin-binding CD4+ T cells depends on both selectins. E-selectin- or P-selectin-binding CD4+ T cells show a partial reduction in migration into the inflamed skin by mAb against either E- or P-selectin. An additive effect was observed when both Abs were combined, resulting in almost complete inhibition.



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FIGURE 8. Effects of Abs (mAb) against the endothelial selectins on the immigration of P-L+ CD4+ T cells (left) and E-L+ CD4+ T cells (right) into inflamed skin (DTH-skin) and control skin (c-skin). The cells were purified by sorting on the FACS after a panning step, labeled with[51Cr]chromate, and injected into the tail vein either together with, or without, 200 µg mAb against P-selectin (RB40) and/or E-selectin (UZ4). The percentage of labeled cells in the skin 1 h after injection is shown. Various control mAbs are without effect on the distribution of cells (not shown). Bars, SD (n = 4); **, difference compared with control is significant with p < 0.01. Data were reproduced one or more times.

 
Significant effects of the Abs on the migration into other compartments such as lymph nodes, blood, intestine, spleen, lung, and liver were not observed. Control experiments with various isotype control mAbs recognizing normal or inflamed endothelium had no effect on the migration (not shown).

These results clearly show that the two selectins together play a crucial role in migration into inflamed skin, but their function largely overlaps under the conditions tested.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we have analyzed the occurrence and role of ligands for the endothelial selectins on murine CD4+ T cells. By using soluble receptor reagents, the minor T cell populations carrying epitopes binding to either P- or E-selectin could be characterized and isolated for functional experiments. In untreated mice, the percentage of E- or P-selectin-binding CD4+ T cells in cutaneous lymph nodes was found to be very low. It increased in the draining lymph nodes after induction of a DTH, especially after rechallenge, but with time, it decreased again, suggesting that the occurrence of such cells is dependent on an active immune reaction.

Indeed, the majority of E- and P-selectin-binding CD4+ T cells was found to express activation markers such as the Il-2R or CD71, although a distinct fraction of small, phenotypically naive/resting cells could also be distinguished among them. L-selectin and CD45RB, which are low on activated as well as on memory T cells (34), were less strongly associated with the selectin-binding cell subset. A slightly increased cell size. especially of the E-selectin binding cells, as indicated by the scatter values, would argue against these cells being true resting memory cells. This phenotype is compatible with the previous characterization of human T cells carrying the E-selectin-binding epitope CLA as cells in the activated-to-memory transition (16, 32), but suggests that, in mice, selectin ligands are expressed on activated rather than on memory cells. This conclusion is also supported by the merely transient occurrence of selectin-binding cell subsets after antigenic challenge.

Previously, we have shown that in vitro-generated Th1 cells, but not Th2 cells, express the PSGL-1 protein in a modified form, rendering it a functional P-selectin ligand (13, 14). These data suggested that differentiation into distinct effector cell stages is linked with an up-regulation of the synthesis of functional selectin ligands. In the DTH model elicited by DNFB, almost exclusively, Th1 cells are induced in vivo. In this model, roughly half of the IFN-{gamma}-producing Th1 cells express P-selectin ligands, and this subset comprised especially the high producers. However, the small number of Il-4-producing Th2 cells found in the draining lymph nodes also showed selectin binding on part of them. These data indicate that selectin-binding epitopes are up-regulated on cytokine producers. It appears, however, that CD4+ effector cells generated in the skin inflammation model used here do not exhibit the close correlation between selectin binding and cytokine subset found for in vitro-generated Th1/Th2 cells.

The CD4+ subset binding E-selectin was smaller than that binding P-selectin in all compartments studied. Double staining with E- vs P-selectin-Ig, to analyze the relationship between cells expressing the respective ligands, was not possible due to technical reasons. An analysis of sorted (either P- or E-selectin binding) cells indicated that the E-selectin-binding fraction is a subfraction of cells binding P-selectin. E-selectin-binding cells display a higher degree of activation compared with the total P-selectin-binding fraction. In addition, those cells that carry ligands for E-selectin were found to express especially high levels of P-selectin ligands. This was also found for cultured CD4+ effector cells (unpublished data; see also Note added in proof).

This study shows that both the E-selectin-binding CD4+ T cells and the P-selectin-binding CD4+ T cells efficiently migrate into the inflamed skin, compared with a poor homing into skin displayed by CD4+ cells lacking ligands for E- and P-selectin by ligand-negative CD4+ blasts and by the total memory cell fraction of peripheral lymph nodes from untreated mice.5 The expression of ligands for endothelial selectins suggests, therefore, a crucial role of these epitopes for homing into the inflamed skin.

The migration of selectin-binding cells into other, noninflamed tissues was found to be very similar to that of activated or memory CD4+ T cells, in which migration is characterized by a localization in nonlymphoid and a reduced recirculation through lymphoid tissues (5, 35); a specific influence of selectin ligands for trafficking through these organs could be identified neither with sorted cells nor in Ab inhibition experiments. Additional data indicate that the expression of selectin ligands enables CD4+ cells to migrate not only into the inflamed skin, but also into other inflamed tissues (Ref. 13; Y.A. and A.H., unpublished observations).

The present results do not support the view that expression of ligands for endothelial selectins predisposes T cells toward homing into normal, noninflamed skin.

The crucial role of ligands for E-and P-selectin for migration into the inflamed skin is confirmed by Ab inhibition experiments. Blocking of either E- or P-selectin reduced the migration of the E-selectin-binding CD4+ T cells into the inflamed skin by >50% and reduced that of P-selectin-binding CD4+ T cells somewhat less. Inhibition of both endothelial selectins together blocked completely the migration into the inflamed skin, indicating that E- and P-selectin can largely substitute for each other in recruiting cells into the inflamed skin. Similar findings were observed with in vitro-generated Th1-type cells (13, 14). Thus, the overlapping function of E- and P-selectin identified by studies on neutrophils (19, 20) also applies in its role in T cell recruitment into inflamed tissue.

In conclusion, E- and P-selectin-binding CD4+ T cells are a heterogeneous population of, predominantly, activated effector T cells with a high capacity to migrate into inflamed, but not normal skin. The two endothelial selectins together and their ligands are obligatory for a recruitment of the CD4+ cells into the inflamed site, and their function cannot be replaced by integrins or L-selectin.

Note added in proof. A recent study shows that fucosyltransferase-VII is a key element in regulating the synthesis of P- as well as E-selectin ligands in lymphocytes and demonstrates that the level of this enzyme determines whether P-selectin ligands are expressed alone or in conjunction with E-selectin ligands (Knibbs, R. N., R. A. Craig, P. Mály, P. L. Smith, F. M. Wolber, N. E. Faulkner, J. B. Lowe, and L. M. Stoolman. 1998. {alpha}-(1, 3)Fucosyltransferase-VII-dependent synthesis of P-selectin ligands on cultured T lymphoblasts. J. Immunol. In press.)


    Acknowledgments
 
We thank Alex Scheffold (Berlin) for help with the cytokine staining.


    Footnotes
 
1 This work was supported by Grants Ha 1505/3-2, 5-1, and SFB470 to A.H. and SFB 293 to D.V. from the Deutsche Forschungsgemeinschaft. Back

2 This report was submitted by W.T. in partial fulfillment of the requirements for a Ph.D. from the University of Hamburg. Back

3 Address correspondence and reprint requests to Prof. Dr. A. Hamann, Humboldtuniversität Berlin, Charité, Med. Klinik III/Dt. Rheumaforschungszentrum, Monbijoustr. 2a, 10117 Berlin, Germany. E-mail address: Back

4 Abbreviations used in this paper: PSGL-1, P-selectin glycoprotein ligand-1; CLA, cutaneous lymphocyte Ag; PE, phycoerythrin; DTH, delayed-type hypersensitivity; DNFB, 2,4-dinitrofluorobenzene. Back


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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A. E. Chang, Q. Li, G. Jiang, D. M. Sayre, T. M. Braun, and B. G. Redman
Phase II Trial of Autologous Tumor Vaccination, Anti-CD3-Activated Vaccine-Primed Lymphocytes, and Interleukin-2 in Stage IV Renal Cell Cancer
J. Clin. Oncol., March 1, 2003; 21(5): 884 - 890.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
T. Hirata, B. C. Furie, and B. Furie
P-, E-, and L-Selectin Mediate Migration of Activated CD8+ T Lymphocytes into Inflamed Skin
J. Immunol., October 15, 2002; 169(8): 4307 - 4313.
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Infect. Immun.Home page
R. A. Hawkins, R. G. Rank, and K. A. Kelly
A Chlamydia trachomatis-Specific Th2 Clone Does Not Provide Protection against a Genital Infection and Displays Reduced Trafficking to the Infected Genital Mucosa
Infect. Immun., September 1, 2002; 70(9): 5132 - 5139.
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J. Immunol.Home page
J. L. Curtis, J. Sonstein, R. A. Craig, J. C. Todt, R. N. Knibbs, T. Polak, D. C. Bullard, and L. M. Stoolman3
Subset-Specific Reductions in Lung Lymphocyte Accumulation Following Intratracheal Antigen Challenge in Endothelial Selectin-Deficient Mice
J. Immunol., September 1, 2002; 169(5): 2570 - 2579.
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J. Immunol.Home page
I. Erdmann, E. P. Scheidegger, F. K. Koch, L. Heinzerling, B. Odermatt, G. Burg, J. B. Lowe, and T. M. Kundig
Fucosyltransferase VII-Deficient Mice with Defective E-, P-, and L-Selectin Ligands Show Impaired CD4+ and CD8+ T Cell Migration into the Skin, but Normal Extravasation into Visceral Organs
J. Immunol., March 1, 2002; 168(5): 2139 - 2146.
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J. Immunol.Home page
A. C. Issekutz and T. B. Issekutz
The Role of E-Selectin, P-Selectin, and Very Late Activation Antigen-4 in T Lymphocyte Migration to Dermal Inflammation
J. Immunol., February 15, 2002; 168(4): 1934 - 1939.
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Int ImmunolHome page
T. Katakai, K. J. Mori, T. Masuda, and A. Shimizu
Selective accumulation of type 1 effector cells expressing P-selectin ligand and/or {alpha}4{beta}7-integrin at the lesions of autoimmune gastritis
Int. Immunol., February 1, 2002; 14(2): 167 - 175.
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JEMHome page
D. J. Campbell and E. C. Butcher
Rapid Acquisition of Tissue-specific Homing Phenotypes by CD4+ T Cells Activated in Cutaneous or Mucosal Lymphoid Tissues
J. Exp. Med., January 7, 2002; 195(1): 135 - 141.
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J. Immunol.Home page
D. A. Carlow, S. Y. Corbel, M. J. Williams, and H. J. Ziltener
IL-2, -4, and -15 Differentially Regulate O-Glycan Branching and P-Selectin Ligand Formation in Activated CD8 T Cells
J. Immunol., December 15, 2001; 167(12): 6841 - 6848.
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JEMHome page
Y. Reiss, A. E. Proudfoot, C. A. Power, J. J. Campbell, and E. C. Butcher
CC Chemokine Receptor (CCR)4 and the CCR10 Ligand Cutaneous T Cell-attracting Chemokine (CTACK) in Lymphocyte Trafficking to Inflamed Skin
J. Exp. Med., November 19, 2001; 194(10): 1541 - 1547.
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J. Immunol.Home page
Y.-C. Lim, H. Xie, C. E. Come, S. I. Alexander, M. J. Grusby, A. H. Lichtman, and F. W. Luscinskas
IL-12, STAT4-Dependent Up-Regulation of CD4+ T Cell Core 2 {beta}-1,6-n-Acetylglucosaminyltransferase, an Enzyme Essential for Biosynthesis of P-Selectin Ligands
J. Immunol., October 15, 2001; 167(8): 4476 - 4484.
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J. Immunol.Home page
K. Tanigawa, N. Takeshita, R. A. Craig, K. Phillips, R. N. Knibbs, A. E. Chang, and L. M. Stoolman
Tumor-Specific Responses in Lymph Nodes Draining Murine Sarcomas Are Concentrated in Cells Expressing P-Selectin Binding Sites
J. Immunol., September 15, 2001; 167(6): 3089 - 3098.
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JEMHome page
G. Smithson, C. E. Rogers, P. L. Smith, E. P. Scheidegger, B. Petryniak, J. T. Myers, D. S. L. Kim, J. W. Homeister, and J. B. Lowe
Fuc-TVII Is Required for T Helper 1 and T Cytotoxic 1 Lymphocyte Selectin Ligand Expression and Recruitment in Inflammation, and Together with Fuc-TIV Regulates Naive T Cell Trafficking to Lymph Nodes
J. Exp. Med., August 27, 2001; 194(5): 601 - 614.
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J. Immunol.Home page
K. Singbartl, J. Thatte, M. L. Smith, K. Wethmar, K. Day, and K. Ley
A CD2-Green Fluorescence Protein-Transgenic Mouse Reveals Very Late Antigen-4-Dependent CD8+ Lymphocyte Rolling in Inflamed Venules
J. Immunol., June 15, 2001; 166(12): 7520 - 7526.
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J. Immunol.Home page
K. Hong, E. L. Berg, and R. O. Ehrhardt
Persistence of Pathogenic CD4+ Th1-Like Cells In Vivo in the Absence of IL-12 but in the Presence of Autoantigen
J. Immunol., April 1, 2001; 166(7): 4765 - 4772.
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Rheumatology (Oxford)Home page
A. Hamann and U. Syrbe
T-cell trafficking into sites of inflammation
Rheumatology, July 1, 2000; 39(7): 696 - 699.
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J. Immunol.Home page
T. M. Engeman, A. V. Gorbachev, R. P. Gladue, P. S. Heeger, and R. L. Fairchild
Inhibition of Functional T Cell Priming and Contact Hypersensitivity Responses by Treatment with Anti-Secondary Lymphoid Chemokine Antibody During Hapten Sensitization
J. Immunol., May 15, 2000; 164(10): 5207 - 5214.
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BloodHome page
C. Bartholdy, O. Marker, and A. R. Thomsen
Migration of activated CD8+ T lymphocytes to sites of viral infection does not require endothelial selectins
Blood, February 15, 2000; 95(4): 1362 - 1369.
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JEMHome page
B. A. Zabel, W. W. Agace, J. J. Campbell, H. M. Heath, D. Parent, A. I. Roberts, E. C. Ebert, N. Kassam, S. Qin, M. Zovko, et al.
Human G Protein-coupled Receptor GPR-9-6/CC Chemokine Receptor 9 Is Selectively Expressed on Intestinal Homing T Lymphocytes, Mucosal Lymphocytes, and Thymocytes and Is Required for Thymus-expressed Chemokine-mediated Chemotaxis
J. Exp. Med., November 1, 1999; 190(9): 1241 - 1256.
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J. Immunol.Home page
A. Chu, K. Hong, E. L. Berg, and R. O. Ehrhardt
Tissue Specificity of E- and P-Selectin Ligands in Th1-Mediated Chronic Inflammation
J. Immunol., November 1, 1999; 163(9): 5086 - 5093.
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J. Immunol.Home page
J. M. Blander, I. Visintin, C. A. Janeway Jr., and R. Medzhitov
{alpha}(1,3)-Fucosyltransferase VII and {alpha}(2,3)-Sialyltransferase IV Are Up-Regulated in Activated CD4 T Cells and Maintained After Their Differentiation into Th1 and Migration into Inflammatory Sites
J. Immunol., October 1, 1999; 163(7): 3746 - 3752.
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J. Immunol.Home page
S. Trembleau, G. Penna, S. Gregori, H. D. Chapman, D. V. Serreze, J. Magram, and L. Adorini
Pancreas-Infiltrating Th1 Cells and Diabetes Develop in IL-12-Deficient Nonobese Diabetic Mice
J. Immunol., September 1, 1999; 163(5): 2960 - 2968.
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JEMHome page
H. Xie, Y.-C. Lim, F. W. Luscinskas, and A. H. Lichtman
Acquisition of Selectin Binding and Peripheral Homing Properties by CD4+ and CD8+ T Cells
J. Exp. Med., June 7, 1999; 189(11): 1765 - 1776.
[Abstract] [Full Text] [PDF]


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