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The Journal of Immunology, 1998, 161: 1204-1211.
Copyright © 1998 by The American Association of Immunologists

Induction of Acute Inflammation In Vivo by Staphylococcal Superantigens. II. Critical Role for Chemokines, ICAM-1, and TNF-{alpha}1

Philippe A. Tessier{dagger}, Paul H. Naccache{dagger}, Kerrilyn R. Diener*, Ronald P. Gladue{ddagger}, Kuldeep S. Neote{ddagger}, Ian Clark-Lewis§ and Shaun R. McColl2,*

* Department of Microbiology and Immunology, University of Adelaide, North Terrace, Adelaide, South Australia, Australia; and {dagger} Centre de Recherche en Rhumatologie et Immunologie, Centre de Recherche du Centre Hospitalier de l’Université Laval (CHUL), Ste-Foy, Quebec, Canada; {ddagger} Pfizer Central Research, Groton, CT 06340; and § Biomedical Research Center, University of British Columbia, Vancouver, British Columbia, Canada


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Superantigens such as staphylococcal enterotoxin A and B (SEA and SEB) activate the immune system by stimulating a large proportion of T lymphocytes through specific Vß regions of the TCR and activating macrophages by binding to MHC class II molecules. While the mechanisms by which superantigens activate T lymphocytes have been elucidated, their role in the generation of local immune responses to bacterial invasion is still unclear. In this study we have examined the ability of the superantigens SEA and SEB to elicit an inflammatory reaction in vivo, in s.c. air pouches in the mouse. Upon injection into the s.c. air pouch, the two superantigens stimulated a time-dependent increase in the number of leukocytes appearing in the pouch exudate. The leukocytes migrating into the pouch exudate were predominantly neutrophils, with some mononuclear phagocytes and eosinophils present. No T lymphocytes were detected either in the pouch lining tissue or in the exudate cells. Injection of SEA resulted in increased ICAM-1 expression, as detected by immunohistochemistry, on endothelial cells in the tissue surrounding the air pouch and accumulation of TNF-{alpha} and the chemokines macrophage inflammatory protein-2 (MIP-2), MIP-1{alpha}, and JE in the pouch exudate. In addition, pretreatment of mice with Abs raised against ICAM-1, TNF-{alpha}, MIP-2, MIP-1{alpha}, KC, or JE inhibited leukocyte accumulation induced by SEA. These data demonstrate that bacterial superantigens may promote inflammation at extravascular sites in vivo, and that this response is secondary to the generation of inflammatory mediators, including chemokines.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Leukocyte migration from the peripheral blood to extravascular sites is a key feature of the inflammatory response (1, 2). Leukocyte extravasation appears to be mediated in at least four steps. Interactions between selectins and their counter-receptors allow leukocytes to roll along the vascular wall. Leukocytes may then be activated by chemotactic factors such as leukotriene B4, platelet-activating factor, and chemokines (3, 4), leading to the enhancement of both integrin surface expression and avidity. The binding of leukocyte integrins to their counterreceptors (members of the Ig superfamily) expressed on the surface of endothelial cells results in tight adhesion, which will then be followed by emigration of the leukocytes from the vasculature into the tissue. All these events appear to be subsequent to a stimulation of the endothelial cells at inflammatory sites by proinflammatory cytokines such as TNF-{alpha} and IL-1ß.

ICAM-1, an Ig superfamily member, is involved in the third step of leukocyte extravasation (1, 2). ICAM-1 is broadly expressed in response to proinflammatory cytokines such as IL-1ß, TNF-{alpha}, and IFN-{gamma} (5). By binding to its counter-receptors, LFA-1 and Mac-1, ICAM-1 has been shown to mediate adhesion of leukocytes to endothelial cells (1, 2). While ICAM-1 expression cannot be detected at significant levels in normal tissue, increased expression has been correlated with accumulation of leukocytes at extravascular sites under pathologic conditions. For instance, ICAM-1 has been observed in synovial tissues from patients suffering from rheumatoid arthritis (6) as well as in delayed hypersensitivity reactions (7) and on vascular endothelium during graft rejection (8).

Bacterial enterotoxins secreted by certain Gram-positive bacteria show pathogenic effects in humans and animals (9). To date, several toxins secreted by Staphylococcus aureus (SEA,3 B, C1, C2, C3, D, and E) have been identified (10). They induce vomiting and diarrhea when ingested at submicrogram levels as well as toxic shock, a systemic response to infectious agents (9). Another toxin produced by some isolates of S. aureus, toxic shock syndrome toxin-1, also causes systemic toxic shock (10). These proteins are also referred to as superantigens because of their ability to stimulate the proliferation of large numbers of T lymphocytes (9, 10). They bind to both MHC class II molecules and specific Vß segments of the TCR, leading to the activation of both APCs and T lymphocytes (9, 10). This activation is associated with the release of cytokines such as IL-6 and IL-8 as well as with the stimulation of adhesion through activation of integrins (11).

Recent studies have suggested a role for the proinflammatory cytokine TNF-{alpha} and the adhesion molecule ICAM-1 in toxic shock syndrome induced by superantigens. Passive immunization of mice with Abs raised against TNF-{alpha} results in a diminution of the severity of the toxic shock (12). A second study using ICAM-1-deficient mice demonstrated that ICAM-1 expression was necessary for toxic shock to occur (13). Finally, prior work has shown that superantigens induce chemokine gene expression in synovial fibroblasts in vitro (14). Since ICAM-1, TNF-{alpha}, and chemokines are critically involved in leukocyte extravasation in acute inflammatory responses, we have investigated the ability of superantigens derived from S. aureus to induce a localized inflammatory reaction in vivo using the s.c. air pouch model in the mouse. Our results indicate for the first time that the superantigens SEA and SEB induce leukocyte accumulation at extravascular sites in vivo and that this response is dependent at least in part on the expression of TNF-{alpha}, ICAM-1, and chemokines.


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

Six- to eight-week-old male BALB/c mice were obtained from the Central Animal House at the University of Adelaide (Adelaide, Australia). Air pouches were raised on the dorsum by s.c. injections of 2.5 ml of sterile air on days 0 and 3 as previously described (15). All experiments were conducted on day 6 as previously described (16, 17). Recombinant murine (mu) TNF-{alpha} was obtained from R&D Systems (Minneapolis, MN). SEA and SEB were obtained from three separate sources. They were affinity purified from recombinant protein produced in Escherichia coli as previously described (18), they were produced in E. coli using the pTrc-histidine tag system and purified according to the manufacturer’s protocol (Invitrogen, San Diego, CA), or they were purchased from Toxin Technology (Madison, WI) or Sigma (St. Louis, MO) as purified protein from S. aureus. SE preparations contained <0.001% (wt/wt) endotoxin as determined by the COATEST endotoxin assay (Kabi Pharmacia Diagnostics, Piscataway, NJ). The hybridoma RB6-8C5, secreting an anti-neutrophil Ab) was a gift from Dr. P. Hodgkin (Division of Cell Biology, The John Curtin School of Medical Research, Canberra, Australia). Rat monoclonal anti-mTNF-{alpha} Abs and a rabbit polyclonal Ab raised against muTNF-{alpha} were gifts from Dr. Janet Ruby (Division of Cell Biology, The John Curtin School of Medical Research). The hybridomas P3X63Ag8 (19) (TIB 3), GK1-5 (20) (TIB 207, anti-CD4), 53-6.7 (21) (TIB 105, anti-CD8), F4/80 (22) (HB 198, anti-monocyte), and YN1/1.7.4 (23) (CRL 1878, anti-muICAM-1) were obtained from the American Type Culture Collection (Rockville, MD). All other reagents were obtained from the Sigma-Aldrich (Castle Hill, Australia). The anti-chemokine Abs used in this study were either purchased or raised in rabbits using N-terminus peptides. The resultant polyclonal antisera were tested for cross-reactivity against other chemokines (JE, MIP-2, KC, MIP-1{alpha}, MIP-1ß, RANTES, C10, TCA-3, and lymphotactin) in direct ELISA and Western blot. No cross-reactivity was observed. Full-length synthetic murine chemokines were chemically synthesized as previously described (24).

Superantigen-induced leukocyte migration

On day 6, air pouches were injected with increasing concentrations of SEA and SEB dissolved in 1 ml of PBS. At given times, the mice were euthanized by asphyxiation using CO2, the air pouches were washed once with 1 ml of PBS, then twice with 2 ml of PBS, and the cells were centrifuged at 100 x g for 10 min at room temperature. The supernatants were removed, and the pelleted cells were resuspended in PBS, stained in Turk’s solution, and counted. Two hundred thousand cells were centrifuged on microscope slides at 500 rpm for 5 min using a cytospin centrifuge. The slides were air-dried, then stained with Diff-Quik (Sigma, St. Louis, MO) to allow quantitation of the granulocyte and mononuclear leukocyte subpopulations. In selected experiments, mice were injected i.p. on day 5 with 1 ml of a solution containing 100 µg/ml of purified mAbs against either ICAM-1 or TNF-{alpha}, or 200 µg of IgG-purified polyclonal Ab against TNF-{alpha}, JE, MIP-2, MIP-1{alpha} or KC. On day 6, air pouches were injected with 1 ml of either PBS or 10 µg/ml of SEA, the exudates were collected, and the number of cells present were quantified 6 h after injection as described above.

Immunohistochemistry

Pouch lining tissue was collected and processed for immunohistochemical assessment of ICAM-1 in the tissue. Identification of ICAM-1-positive cells was achieved by indirect immunoperoxidase staining using the hybridoma YN1/1.7.4. Briefly, the tissues were placed in OCT compound and snap-frozen using isopentane. Five-micron sections were cut using a Bright cryostat (Bright, Huntingdon, U.K.). The tissue sections were isolated using a water repellent solution (PAP pen, Zymed, San Francisco, CA) and fixed in ice-cold 96% ethanol for 10 min. This was followed by washing four times in PBS (2 min each wash). Sections were dipped in PBS containing 1% BSA to block nonspecific binding and to help prevent excessive drying out of the section. Primary Ab (30 µl with 10% normal mouse serum) was then added and incubated for 1 h at 4°C. Sections were then washed three times with PBS as described above, and after a second dip in BSA, secondary Ab (30 µl, 1/200 dilution of sheep anti-rat biotin with 10% normal mouse serum) was added and incubated for 1 h at 4°C. Sections were washed three times with PBS and again dipped in PBS containing 1% BSA. Thirty microliters of streptavidin-HRP conjugate was added and incubated at 4°C for 1 h. This was followed by three washes in PBS and incubation for 10 min with filtered solution of diaminobenzidine (5 mg in 10 ml of 0.05 M Tris) plus 200 µl of 1% H2O2. The slides were then washed three times in PBS before counterstaining.

TNF-{alpha} ELISA

On day 6, 1 ml of a solution of 10 µg/ml of SEA diluted in PBS or 1 ml of PBS was injected into the air pouches. At given times, the air pouches was washed once with 1 ml of PBS, then twice with 2 ml of PBS. The exudates were centrifuged at 100 x g for 10 min to remove migrating leukocytes. A TNF-{alpha} ELISA was performed on the supernatants as specified by the manufacturer (Endogen, Cambridge, MA). The sensitivity limit of the assay was 35 pg/ml.

Chemokine ELISAs

The levels of MIP-2 and MIP-1{alpha} in pouch supernatants were quantified by an in-house sandwich ELISA as follows. Microtiter plate wells were coated with 0.1 µg/well of commercially available goat anti-mouse MIP-2 or MIP-1{alpha} (R&D Systems) in carbonate buffer (pH 9.5) overnight at 4°C or for 6 h at 37°C. The wells were washed three times (PBS/Tween) and blocked by incubation with a solution of PBS containing 3% BSA for 1 h at 37°C. The wells were again washed three times, and standards (0.019–2.5 ng/ml) or pouch supernatants were then added and incubated for 90 min at 37°C. The wells were washed three times, and secondary Abs (rabbit anti-mouse MIP-2 or MIP-1{alpha}) were added at final dilutions of 1/3000 and 1/1000, respectively, and incubated for 1 h at 37°C. The wells were then washed three times in PBS/Tween, and a biotinylated sheep anti-rabbit IgG was added (1/10,000 final dilution/well) and incubated for 45 min at room temperature. The wells were washed an additional three times, and 100 µl/well of a 1/1000 dilution of streptavidin peroxidase conjugate was added and incubated at room temperature for 30 min. The wells were then washed three times, and substrate was added. The reactions were stopped after 5 min by the addition of 50 µl of 3 M HCl, and the absorbance was read at 490 nm. Standard curves were generated, and values were extrapolated from the standard curve using the curve-fitting function on Prism (GraphPad Software, San Diego, CA). The secondary Abs used in these ELISAs were made by immunizing rabbits with full-length synthetic muMIP-2 or muMIP-1{alpha}. No cross-reactivity for either Ab in ELISA was observed with any other chemokine tested, including KC, MGSA, murine or human RANTES, murine eotaxin, muMIP-2, or mMIP-1{alpha}, murine or human MCP-1, IL-8, or human MIP-1ß. Levels of JE were determined as previously described (25).

Passive immunization with Abs

Passive immunization was achieved by injecting 200 µg/ml of IgG-purified rabbit anti-TNF-{alpha}, rabbit anti-MIP-2, rabbit anti-MIP-1{alpha}, rabbit anti-JE, or rabbit anti-KC or the equivalent amount of Ig purified from the serum of a naive rabbit into the peritoneal cavity of mice the evening before injection of the superantigens into the air pouch. Passive immunization with mAbs was achieved by injecting 100 µg/ml of IgG-purified rat anti-TNF-{alpha}, rat anti-ICAM-1, or rat anti-P3X63Ag8 the evening before injection of the superantigens into the air pouch.

Assessment of chemokine expression by comparative PCR

Total RNA from exudate cells or pouch lining tissues collected at different times after injection of SEA were purified essentially as previously described (26, 27, 28). Briefly, tissue samples were homogenized using a tissue grinder in 2 ml of RNAzol B before addition of 200 µl of chloroform. The mixture was vortexed for 1 min and placed at 4°C for 5 min before being centrifuged at 13,000 x g for 15 min at 4°C. The aqueous layer was then mixed with an equal volume of isopropanol and incubated at 4°C for 15 min before being centrifuged at 13,000 x g for 15 min at 4°C. The supernatant was discarded, and the RNA pellet was dried, then solubilized in diethylpyrocarbonate-treated H2O. Equal amounts of RNA, as determined spectrophotometrically and confirmed by dot blot assay, were reverse transcribed to cDNA, which was used as a template for PCR reactions as previously described (29). Briefly, 10 µg of total RNA diluted in 45 µl of a solution of 1% diethylpyrocarbonate in ddH2O was heated at 65°C for 10 min. The RT reaction was then performed for 90 min at 37°C in 80 µl of a solution of 50 mM Tris-HCl (pH 8.3), 75 mM KCl, 15 mM MgCl2, 0.01 M DTT, 0.66 µM random hexamer primers, 0.66 µM oligo(dT)12–18 primers, 1 mM deoxyribonucleotides, 0.35 U/µl RNAsin, and 1 U/µl Moloney murine leukemia virus reverse transcriptase. The reaction was stopped by heating the mixture at 95°C for 5 min.

The comparative PCR assays were performed as previously described (29). Briefly, 5 µl of reverse transcribed RNA was added to a solution to obtain a final concentration of 50 mM KCl, 10 mM Tris-HCl (pH 9.0), 0.1% Triton X-100, 0.2 mM deoxyribonucleotides, 0.5 mM MgCl2, 0.05 U/ml of Taq polymerase, and 1 pmol/µl each of sense and antisense specific primers. The primer sequences are as follows: MIP-2f, ccgctgttgtggccagtgaactgcg; MIP-2r, ttagccttgcctttgttcagtat; KCf, ccgcgcctatcgccaatgagctgcgc; KCr, cttggggacaccttttagcatcttttgg; JEf, cccagccagatgcagtta-acgccccact; JEr, ttcactgtcacactggtcactc; MIP-1{alpha}f, caccctctgtcacctgctcaacatc; MIP-1{alpha}r, ggttcctcgctgcctccaagactct; GAPDHf, tccttggaggccatgtaggccat; and GAPDHr, tgatgacatcaag-aaggtggtgaag. The sequence of PCR amplification was one cycle of denaturation at 95°C for 2 min, followed by annealing at 56°C for 30 s and extension at 72°C for 1 min. This cycle was followed by 30 s at 95°C, 30 s at 56°C, and 1 min at 72°C, repeated 38 times. The PCR reaction was sampled every five cycles from cycles 25 to 40 inclusively. The samples were migrated on a 2% agarose gel, stained with ethidium bromide, and compared for intensity.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of superantigens on leukocyte recruitment in vivo

Air pouches were raised on the backs of mice as described in Materials and Methods, injected with 1 ml of either SEA or SEB (both at 10 µg/ml final concentration), or their diluent (PBS), and the exudate cells were collected at different periods (Fig. 1GoA). This concentration of the superantigens was chosen from the results of previous in vitro studies (14). Few cells were found in the pouch exudate when PBS was injected alone. However, both SEA and SEB induced an accumulation of leukocytes, which was first detectable within 3 h following injection and was at maximal levels at 6 h postinjection. The number of cells in the pouch fluid decreased after 6 h, although the effect of the superantigens was still apparent after 24 h. The response to SEA was consistently greater than that to SEB, as demonstrated by dose-response experiments (Fig. 1GoB). Over a series of five separate experiments, SEA and SEB consistently induced an accumulation of leukocytes in the pouch exudate that was significantly greater than control levels (Fig. 1GoC).



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FIGURE 1. Number of leukocytes accumulating in the pouch exudate in response to SEA and SEB. Air pouches were raised on the backs of 6- to 8-wk-old male BALB/c mice. A, One milliliter of SEA, SEB (10 µg/ml final concentrations), or PBS was injected into the pouch, and the exudate was collected at the times indicated in the figure. Values are the mean ± SEM of results from five different mice. B, One milliliter of PBS or different doses of SEA or SEB were injected into the pouch, and the exudate was collected at 6 h postinjection. Values are the mean ± SEM of results from five different mice. C, One milliliter of SEA, SEB (10 µg/ml final concentrations), or PBS was injected into the pouch, and the exudate was collected at 6 h postinjection. Values are the mean ± SEM of results from 25, 20, and 10 different mice for PBS, SEA, and SEB, respectively.

 
To identify the leukocyte subpopulations accumulating in the pouch exudate, cells obtained from air pouches injected with PBS or 10 µg/ml of SEA were spun onto microscope slides and differentially stained using Diff-Quik. The majority of the cells in the pouch at 6 h post-PBS injection were neutrophils and mononuclear phagocytes (Fig. 2GoA), with a small percentage of eosinophils. Upon stimulation with SEA, the relative percentages of the three cell populations altered. The percentage of neutrophils increased significantly compared with the control value, whereas the percentage on mononuclear phagocytes and eosinophils decreased significantly. When the total number of each of these cell populations was calculated, it was apparent that SEA induced a significant increase in the levels of all three leukocyte populations (Fig. 2GoB). No lymphocytes were detected at any given time point in either the pouch tissue or the exudate cells as determined by immunohistochemistry on pouch tissue or flow cytometry on pouch exudate cells using anti-CD4 and anti-CD8 Abs (not shown).



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FIGURE 2. Relative levels of neutrophils, eosinophils, and monocytes accumulating in the pouch exudate in response to SEA. Air pouches were raised on the backs of 6- to 8-wk-old male BALB/c mice. One milliliter of PBS or SEA was injected into the pouches, and the exudate was collected 6 h later. A, The cells were also stained using Diff-Quick, and the numbers of neutrophils, eosinophils, and monocytes per 100 cells were determined. B, The total numbers of neutrophils, eosinophils, and monocytes in the exudate. Values are the mean ± SEM from at least 24 mice.

 
Involvement of TNF-{alpha} in leukocyte recruitment to the air pouch in response to superantigens

To examine the potential role of TNF-{alpha} in leukocyte accumulation induced by superantigens, pouch exudates were analyzed for the presence of TNF-{alpha}. Injection of SEA induced a rapid, transient accumulation of TNF-{alpha} in the air pouch, with a maximal level of 500 pg/ml detected 15 min after injection (Fig. 3Go). TNF-{alpha} levels in air pouches decreased after 30 min, returning to undetectable levels 1 h after injection of SEA. These levels remained undetectable for up to 48 h postinjection (data not shown). To further characterize the role of TNF-{alpha} in superantigen-induced leukocyte accumulation, mice were injected i.p. with 100 µg of purified anti-muTNF-{alpha} monoclonal or 200 µg of purified polyclonal or control Abs 24 h before experimentation. Air pouches were then injected with either 1 ml of PBS or 1 ml of 10 µg/ml SEA for 6 h, the pouch exudate was collected, and the number of cells present was determined. Pretreatment with the anti-TNF-{alpha} Abs had no significant effect on the background level of leukocytes in the pouch exudate (Fig. 4Go). In contrast, leukocyte accumulation induced by SEA was inhibited by >70% by pretreatment with either Ab.



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FIGURE 3. Production of TNF-{alpha} in air pouch exudates in response to SEA. Air pouches were raised on the backs of 6- to 8-wk-old male BALB/c mice. One milliliter of a solution of 10 µg/ml of SEA was injected into the air pouches, and the exudate was collected at different time points. TNF-{alpha} production was measured using a TNF-{alpha}-specific ELISA. Values are the mean ± SEM of results from five different mice.

 


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FIGURE 4. Effect of pretreatment with anti-TNF-{alpha} Abs on leukocyte accumulation in the pouch exudate in response to SEA. Mice were injected with 100 or 200 µg of anti-TNF-{alpha} mAb or pAb, respectively, or with 200 µg of purified Ig from a naive rabbit 24 h before the injection of SEA (10 µg/ml) into s.c. air pouches. Exudate cells were harvested 6 h later and counted. Values are the mean ± SEM of results from 10 different mice.

 
Involvement of ICAM-1 in leukocyte recruitment to the air pouch in response to superantigens

Since ICAM-1 has been shown to contribute to almost 90% of the adhesion of neutrophils to endothelial cells (30) and its expression can be stimulated by TNF-{alpha} (1, 2), we examined the potential involvement of ICAM-1 in SEA-induced leukocyte migration. ICAM-1 expression was weak in unstimulated pouch lining tissue as well as on blood vessels in the tissue surrounding the pouch (data not shown). However, injection of SEA resulted in a detectable increase in ICAM-1 surface expression on the cells lining the pouch and on endothelial cells in the tissue surrounding the air pouch (data not shown). To evaluate the role of ICAM-1 in leukocyte migration, mice were injected i.p. with 100 µg of purified anti-muICAM-1 or control mAb 24 h before the injection of either PBS or SEA. Six hours following the injection of the agonists, the pouch exudate was collected, and the number of cells present was determined (Fig. 5Go). No significant difference in the accumulation of cells in response to PBS was observed between mice injected with the Ab directed against ICAM-1 or an isotype-matched control. In contrast, pretreatment of mice with the anti-ICAM-1 Ab resulted in an inhibition of >65% of leukocyte accumulation in response to SEA. In addition, prior treatment of the mice with the anti-ICAM-1 Ab significantly inhibited leukocyte accumulation in the pouch exudate in response to TNF-{alpha}.



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FIGURE 5. Effect of anti-ICAM-1 Ab on leukocyte accumulation induced by SEA and TNF-{alpha}. Mice were injected with 100 µg of anti-ICAM-1 mAb or the equivalent amount of protein from the hybridoma P3X63Ag8 24 h before the injection of 10 µg of SEA or sterile PBS into s.c. air pouches. Exudate cells were harvested 6 h later and counted. Values are mean ± SEM of results from 10 different mice.

 
Lack of involvement of ICAM-1 in TNF-{alpha} generation in response to SEA

To further define the role of the mediators involved in leukocyte recruitment in response to SEA, mice were pretreated with anti-ICAM-1 Abs, SEA was injected in to the air pouches for either 30 min or 6 h, the number of leukocytes accumulating was assessed, and the exudate fluid was analyzed for TNF-{alpha} content. As shown in Figure 5Go, anti-ICAM-1 treatment significantly inhibited the recruitment of leukocytes at 6 h postinjection of SEA. No TNF-{alpha} was detected in any of the exudates at this time point (data not shown). While no leukocytes were detected in the exudate at 30 min poststimulation (see Fig. 1GoA), SEA induced the accumulation of immunoreactive TNF-{alpha} at this point (Figs. 3Go and 6Go). However, anti-ICAM-1 pretreatment had no effect on the level of TNF-{alpha} accumulating in the pouch exudate in response to SEA (Fig. 6Go).



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FIGURE 6. Lack of effect of anti-ICAM-1 on TNF-{alpha} accumulation in the pouch exudate. Mice were injected with 100 µg of anti-ICAM-1 mAb or the equivalent amount of protein from the hybridoma P3X63Ag8 24 h before injection of 10 µg of SEA or sterile PBS into s.c. air pouches. The pouch exudate was collected 30 min and 6 h later, and the level of TNF-{alpha} was measured using a TNF-{alpha}-specific ELISA. Values are the mean ± SEM of results from five different mice.

 
Involvement of chemokines in leukocyte recruitment to the air pouch in response to superantigens

Leukocyte recruitment to extravascular sites of inflammation also involves the actions of chemotactic factors such as chemokines. Therefore, another series of experiments was performed to determine whether chemokines are involved in the induction of acute inflammation by SEA. The levels of MIP-2 (known to be chemotactic for neutrophils) (31) and MIP-1{alpha} and JE (known to be chemotactic for mononuclear cells) (32, 33) in the pouch exudate fluid were determined by specific ELISA. Air pouches were injected with PBS or 10 µg of SEA, and the exudates were collected at different time points. Injection of PBS did not increase the level of any of the three chemokines (Fig. 7Go). In contrast, injection of SEA resulted in a time-dependent increase in the levels of all three chemokines. The expressions of MIP-2 and MIP-1{alpha} were rapid and transient. JE expression was of a greater magnitude and lasted longer than that for either MIP-2 or MIP-1{alpha}. The level of immunoreactive KC (also known to be chemotactic for neutrophils (34)) was not assessed due to lack of reagents suitable for the ELISA.



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FIGURE 7. Production of chemokines in air pouch exudates in response to SEA. Air pouches were raised on the backs of 6- to 8-wk-old male BALB/c mice. One milliliter of a solution of 10 µg/ml of SEA was injected into the air pouches, and the exudate was collected at different time points. MIP-1{alpha}, JE, and MIP-2 production was measured using specific ELISAs. The sensitivity of these assays was 35 pg/ml. Values are the mean ± SEM of results from five different mice.

 
To measure the up-regulation of chemokine gene mRNA at the site of injection of SEA, the tissue surrounding the air pouch was collected at 6 h following injection of PBS or SEA. Total RNA was then isolated and reverse transcribed, and PCR reactions were performed using primers specific for MIP-2, KC, MIP-1{alpha}, and JE. Expression of mRNA for MIP-2 and MIP-1{alpha} in the pouch lining tissue was clearly increased following injection of SEA (Fig. 8Go). JE and KC mRNA were also increased to a minor extent. To ensure equal amounts of starting material, the housekeeping gene GAPDH was subjected to PCR. No difference was observed between PBS- and SEA-stimulated pouch lining tissue with respect to GAPDH expression.



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FIGURE 8. Chemokine gene expression in pouch tissue in response to SEA. Air pouches were raised on the backs of 6- to 8-wk-old male BALB/c mice. One milliliter of a solution of 10 µg/ml SEA or PBS was injected into the air pouches, and the pouch lining tissue was collected at different time points. Comparative PCR for MIP-2, KC, MIP-1{alpha}, JE, and GAPDH was then conducted as described in Materials and Methods. These results are from pooled samples from five mice.

 
To determine whether any of the four chemokines assessed was implicated in the accumulation of leukocytes in response to SEA, mice were treated i.p. with 200 µg of IgG-purified polyclonal antisera directed against KC, MIP-2, MIP-1{alpha}, or JE or with Igs purified from preimmune serum on the evening before induction of inflammation with SEA (Fig. 9Go). The exudate cells were collected 6 h postinjection and counted. The response to SEA was significantly inhibited by each of the anti-chemokine Abs, whereas the control Igs had no detectable effect on the ability of SEA to induce leukocyte recruitment. The inhibition of leukocyte recruitment was observed equally at the levels of neutrophil, eosinophil, and mononuclear phagocyte recruitment (data not shown). The results of these experiments clearly show that injection of SEA induces the expression of these chemokines in vivo, and that their expression is required for leukocyte recruitment to occur in response to SEA.



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FIGURE 9. Effect of anti-chemokine Abs on leukocyte accumulation induced by SEA. Mice were injected with 200 µg of IgG-purified anti-JE, MIP-1{alpha}, or MIP-2 polyclonal antisera or the equivalent purified from the serum of a naive rabbit 24 h before the injection of 10 µg of SEA or sterile PBS into s.c. air pouches. Exudate cells were harvested 6 h later and counted. Values are the mean ± SEM of results from 10 different mice.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The murine s.c. air pouch has been used for a considerable period of time as a model of leukocyte extravasation in response to inflammatory agents (15, 16). One major advantage it offers over other in vivo recruitment models is that it allows collection and phenotypic analysis of cells migrating into the pouch space. In this study we took advantage of this model to evaluate the effect of superantigens on leukocyte migration to extravascular sites and to study the mechanism by which this occurs. Our results show that superantigens induce a time-dependent leukocyte infiltration that is predominantly neutrophilic in nature and that this accumulation is dependent on the expression of ICAM-1, TNF-{alpha}, and the chemokines MIP-2, KC, MIP-1{alpha}, and JE. Of further interest was the observation that T cells, which are believed to be a major target of superantigens, were not detected in either tissue surrounding the air pouch or in the pouch exudate. In a separate study (35a), using a range of T cell-deficient mice, we have determined that T cells are not required for this s.c. inflammatory response.

In the present study we investigated the molecular mechanism by which SEA induces inflammation at this extravascular site. Numerous studies in our laboratory and others have failed to show a direct effect of superantigens on neutrophils (data not shown) (35). Moreover, the time course for the recruitment of neutrophils following injection of the superantigens was relatively slow compared with that of direct injection of TNF-{alpha} or zymosan, in which case maximum recruitment was observed within 2 and 3 h of injection, respectively (data not shown). Taken together, these observations suggested that the inflammatory effect observed in response to superantigens was probably indirect. Since TNF-{alpha} is an important effector molecule in acute inflammation, and its expression has been linked to superantigen-induced toxic shock syndrome (36), we examined the hypothesis that SEA could be inducing TNF-{alpha} gene expression, which, in turn, leads to leukocyte recruitment. The results of our experiments showed clearly that administration of superantigens into the air pouch led to a rapid, transient accumulation of immunoreactive TNF-{alpha}. Finally, prior treatment of mice with neutralizing Abs against TNF-{alpha} effectively inhibited leukocyte recruitment to the air pouch. These observations are consistent with a role for TNF-{alpha} as a secondary mediator of superantigen-induced leukocyte accumulation in vivo. However, the fact that leukocyte accumulation was not completely inhibited by the Abs against TNF-{alpha} suggests that other proinflammatory mediators are likely to be involved in the inflammatory response induced by SEA. Two good candidates as secondary mediators are IL-1ß and IL-6, which, like TNF-{alpha}, are induced by SEA in vitro (11, 14).

Expression of TNF-{alpha} mRNA, as determined by RT-PCR, was also observed in both the tissue surrounding the air pouch and in the pouch exudate cell population (data not shown), although the kinetics of this response suggest that the immunoreactive TNF-{alpha} observed is presynthesized and released from resident cells. This is further supported by the results of our experiments, which indicated that anti-ICAM-1 Abs did not inhibit the rapid accumulation of TNF-{alpha}, suggesting that accumulation of leukocytes is not required for the production of TNF-{alpha}.

To gain access to inflammatory sites, leukocytes must adhere to and migrate through the endothelium. This process involves, among other things, expression of adhesion proteins on the surface of both leukocytes and endothelial cells (1, 2). One of the best characterized proteins involved in this process, particularly with respect to neutrophil extravasation, is ICAM-1 (1, 2). This adhesion molecule is expressed by a wide variety of cells, including fibroblasts and endothelial cells stimulated by TNF-{alpha}, IL-1ß, IFN-{gamma}, or LPS (19). The results of the present study provide clear evidence for an important role for ICAM-1 in the recruitment of leukocytes in response to superantigens. ICAM-1 expression, as determined by immunohistochemistry on pouch lining tissue and by RT-PCR (data not shown), was increased following injection of superantigens into the air pouch, and prior treatment of the animals with a neutralizing mAb against ICAM-1 significantly reduced the extent of leukocyte recruitment into the air pouch. However, as observed with TNF-{alpha}, pretreatment of mice with the anti-ICAM-1 Ab failed to completely inhibit leukocyte migration induced by SEA, suggesting the involvement of other adhesion molecules in the neutrophil and monocyte migratory processes. VCAM-1 or PECAM-1, which have been shown to be involved in neutrophil and monocyte adhesion to endothelial cells are possible candidates for this role (37, 38). In the present study, increased VCAM-1 and PECAM-1 gene expression, as determined by RT-PCR was observed in air pouch tissues (P. A. Tessier and S. R. McColl, unpublished observations), confirming a recent report that SEB induced an increase in the expression of VCAM-1 and P-selectin, in addition to ICAM-1, in lung tissue (39). Another possible explanation for the lack of complete inhibition is that the Ab used in this study failed to inhibit the interaction between ICAM-1 and either LFA-1 or Mac-1. Since human ICAM-1 is known to bind to its two counter-receptors (LFA-1 and Mac-1) via two distinct binding sites (40), it is possible that the Ab used in this study failed to inhibit the interaction of one of the two ICAM-1 counter-receptors to the ICAM-1 molecule.

The abilities of anti-MIP-2 and anti-KC Abs to inhibit neutrophil recruitment in response to SEA are in keeping with the results of previous work demonstrating that injection of these chemokines or their human homologues into either skin or the peritoneal cavity results in neutrophil accumulation (31, 34, 41), and are consistent with results obtained from mice deficient in the mIL-8R homologue (a receptor for KC and MIP-2), in which recruitment of neutrophils into the peritoneal cavity in response to inflammatory stimulation was significantly impaired (42). In addition, recent data indicate that mice expressing KC in a tissue-specific manner exhibit increased accumulation of neutrophils in those tissues (43). The ability of anti-MIP-1{alpha} and anti-JE Abs to inhibit neutrophil recruitment in response to SEA demonstrates that both MIP-1{alpha} and JE, two C-C chemokines, are involved in neutrophil recruitment in the air pouch in response to SEA. The results of previous studies using neutralizing antisera against MIP-1{alpha} indicate that endogenous MIP-1{alpha} is involved in neutrophil recruitment to the lung in a murine model of endotoxemia (44); however, to date, there is no evidence, in vitro or in vivo, to suggest that JE is a chemotactic factor for neutrophils. Indeed, while leukocyte recruitment into the air pouch is observed in response to MIP-2 and KC, neither MIP-1{alpha} nor JE induces detectable accumulation of leukocytes into the air pouch even at concentrations as high at 10 µg/ml (17). These results suggest that C-C chemokines are necessary, but not sufficient, to induce neutrophil recruitment in vivo. Further examination of the involvement of MIP-1{alpha} and JE in neutrophil recruitment in the air pouch was undertaken by assessing the abilities of the different Abs used in the present study to inhibit MIP-2-induced neutrophil recruitment. Pretreatment of mice with anti-JE Abs inhibited the recruitment of neutrophils into s.c. air pouches in response to MIP-2 to the same extent as did anti-MIP-2 Abs (data not shown). In contrast, under the same circumstances, neither anti-KC, anti-MIP-1{alpha}, nor anti-RANTES Abs affected neutrophil recruitment in response to MIP-2 (data not shown). KC and MIP-2 share 67.1% identity at the amino acid level compared with 20.5% for MIP-2 and JE (ClustalW analysis). It is therefore unlikely that the ability of anti-JE Abs to inhibit MIP-2-induced neutrophil recruitment is due to cross-reactivity. Moreover, no evidence of cross-reactivity between MIP-2 and anti-JE (or other chemokines or anti-chemokines) was observed in either Western blot or direct ELISA, indicating that MIP-2 does not bind to anti-JE Abs (data not shown). Finally, recent studies have shown that pretreatment with anti-JE Abs inhibits neutrophil accumulation in the s.c. air pouch in response to TNF-{alpha} (17) and in the peritoneal cavity in response to LPS and zymosan (45). In the former study, the same anti-JE Abs as those employed in the present study were used, whereas in the latter, a commercial Ab was used. Taken together, these observations suggest that the CC chemokines MIP-1{alpha} and JE contribute indirectly to neutrophil recruitment, albeit through different mechanisms. Of relevance is the previous observation that human MCP-1 can amplify the production of IL-1ß and TNF-{alpha} by monocyte/macrophages (46).

It is generally considered that superantigens are molecules of bacterial and viral origins that may subvert the immune system to their own ends by skewing the T cell repertoire. However, the results in the present manuscript demonstrate that the S. aureus-derived superantigens SEA and SEB elicit an acute inflammatory response in tissue. Taking the view that inflammation is beneficial in fighting infection, the results of this study suggest that not all pharmacologic effects of these superantigens are necessarily of detriment to the host. Future studies in the air pouch system should further delineate the mechanism(s) involved in leukocyte recruitment as well as the overall biologic significance of this inflammatory response in the context of superantigen-mediated pathology.


    Acknowledgments
 
We acknowledge the excellent technical support of Mr. Sylvain Levasseur.


    Footnotes
 
1 This work was supported by a project grant from the National Health and Medical Research Council of Australia and studentships from the Arthritis Society of Canada (to P.A.T.) and the Arthritis Foundation of Australia (to K.R.D.). Back

2 Address correspondence and reprint requests to Dr. Shaun R. McColl, Molecular Inflammation, Department of Microbiology and Immunology, University of Adelaide, Adelaide, South Australia 5005, Australia. Back

3 Abbreviations used in this paper: SEA, staphylococcal enterotoxin A; SEB, staphylococcal enterotoxin B; mu, murine; MIP, macrophage inflammatory protein; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; PECAM, platalet endothelial cell adhesion molecule 1. Back

Received for publication May 9, 1997. Accepted for publication April 1, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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