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The Journal of Immunology, 1998, 161: 1962-1969.
Copyright © 1998 by The American Association of Immunologists

IL-5 Production by NK Cells Contributes to Eosinophil Infiltration in a Mouse Model of Allergic Inflammation1

Christoph Walker2,*,{dagger}, James Checkel*, Salvatore Cammisuli{dagger}, Paul J. Leibson* and Gerald J. Gleich*

* Mayo Clinic, Department of Immunology, Rochester, MN 55902; and {dagger} Novartis Horsham Research Centre, Horsham, United Kingdom


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-5 production in vivo plays a unique role in the production, activation, and localization of eosinophils in a variety of allergic conditions. The current paradigm suggests that allergen-specific Th2 cells are the main source for the IL-5 production. The experiments outlined in this work, however, suggest that in vivo production of IL-5 by NK cells can separately influence eosinophil-associated inflammatory responses. Specifically, a mouse model of allergic inflammation was used in which C57BL/6 mice were immunized and challenged with a short ragweed Ag extract, known to induce a selective eosinophilia within the peritoneal cavity. Peritoneal lavage fluids from these mice also contained increased numbers of T cells and NK cells, as well as significantly elevated levels of IL-4, IL-5, and IFN-{gamma}. Flow-cytometric analysis of cytokine-producing cells in peritoneal lavage fluid revealed increased numbers of IL-5-producing cells in both T cell and NK cell populations following allergen exposure. Depletion of NK cells by treatment with NK1.1 Abs selectively reduced the number of infiltrating eosinophils by more than 50%. Moreover, the inhibition of the infiltration of eosinophils was accompanied by a complete loss of IL-5-producing NK cells and significantly reduced levels of peritoneal lavage fluid IL-5, whereas the number of IL-5-producing T cells was not affected. Thus, the results presented in this study provide clear evidence for a novel immunoregulatory function of NK cells in vivo, promoting allergen-induced eosinophilic inflammatory responses by the production of IL-5.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Blood and tissue eosinophilia is a characteristic abnormality in allergy and asthma, and eosinophil-derived proteins contribute to specific pathologic features such as epithelial cell damage and bronchial hyperresponsiveness (1, 2, 3, 4). Increasing evidence indicates a unique role for IL-5 in the regulation of this selective eosinophilia. IL-5 not only regulates the terminal differentiation of committed eosinophil precursors, but also activates mature eosinophils, prolongs their survival, and enhances degranulation (5, 6, 7, 8). The central role of IL-5 in eosinophilic inflammations has been demonstrated in various in vivo conditions. In humans, IL-5 is expressed during allergen-induced cutaneous late phase reactions in atopic subjects and is detectable in bronchial mucosal biopsies of patients with asthma (9, 10). Furthermore, increased IL-5 levels have been demonstrated in bronchoalveolar lavage fluid from patients with mild to moderate allergic and nonallergic asthma, as well as following segmental allergen challenge, closely related to the number of eosinophils and disease severity (11, 12, 13). In experimental animal models, inhibition of IL-5 by neutralizing mAbs prevents the terminal differentiation of eosinophils, suppresses the infiltration of mature cells into inflamed tissues, and prevents the induction of bronchial hyperresponsiveness (14, 15, 16, 17). The unique role of IL-5 in the production, activation, and localization of eosinophils is further supported by the findings that mice overexpressing IL-5 develop a long lasting and selective eosinophilia, whereas IL-5-deficient mice are unable to produce increased numbers of eosinophils in response to specific Ags (5, 6, 18, 19).

Allergen-specific CD4+ Th2 cells producing IL-4, IL-5, and IL-10, but no IL-2 or IFN-{gamma}, are currently regarded as the key regulatory cells controlling allergic eosinophilic inflammatory responses (11, 12, 13, 20, 21, 22). For example, in atopic individuals, allergen-specific T cell clones produce a Th2-like pattern of cytokines, whereas other Ag-specific T cell clones from the same patients have a Th1-like pattern of cytokine production, secreting IL-2 and IFN-{gamma}, but no IL-4 or IL-5 (20). Furthermore, the infiltrating cells in allergen-induced late phase skin reactions, as well as after segmental allergen challenge in the lung of asthmatic and rhinitis patients express mRNA and produce proteins for IL-3, IL-4, IL-5, and GM-CSF, but not for IL-2 or IFN-{gamma} (9, 12, 13). Moreover, it has been demonstrated that the development of Ag-induced pulmonary eosinophilia and airway hyperresponsiveness in murine models of allergic inflammation is closely associated and dependent on CD4+ T cells producing a Th2 cell type pattern of cytokines. Administration of anti-CD4 Abs before Ag challenge completely prevented these responses (23, 24).

On the other hand, recent studies have demonstrated that human NK cells can be induced to produce IL-5 in vitro, suggesting that these cells may contribute to the development of eosinophilic inflammation (25, 26). Cytokines produced by NK cells have indeed been shown to play important immunoregulatory functions in the early responses to viral, bacterial, and parasitic infections, as well as in the development of T cell responses to these infectious agents (27, 28). For example, it is well established that NK cells are major producers of IFN-{gamma} in vivo, thereby directing the differentiation of Th cells into IL-2- and IFN-{gamma}-producing Th1-type cells (29, 30, 31, 32, 33, 34). However, several in vitro studies have demonstrated that polarizing stimuli such as IL-4 and IL-12 profoundly affect the cytokine pattern produced by NK cells (25, 26). The production of IFN-{gamma} in cultures of purified peripheral blood NK cells was inhibited by IL-4, but significantly enhanced by IL-12. In contrast, IL-4 augmented, whereas IL-12 inhibited the production of IL-5. Thus, similar to the generation of Th1 or Th2 cells, cytokines present in the local microenvironment may differentially affect the development of distinct cytokine-producing NK cell subsets. Consequently, one set of cytokines released by NK cells (IFN-{gamma}) may favor the development of a characteristic Th1-type immune response, whereas other cytokines such as IL-5 may contribute to eosinophilic inflammation. However, whether NK cells produce IL-5 in vivo and thereby contribute to the development of eosinophilic inflammatory responses is not yet known. To address this question, we analyzed the distribution and cytokine production of NK cells in a well-established murine model of allergic inflammation, known to be associated with a selective tissue accumulation of eosinophils (35, 36, 37). The data presented in this study clearly demonstrate that NK cells indeed produce IL-5 in vivo, and thereby exert an important regulatory function in allergen-induced eosinophilic inflammation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals, sensitization, and challenge procedure

C57BL/6 mice (females, 18 to 25 g, 6 to 8 wk of age) were obtained from The Jackson Laboratory (Bar Harbor, ME). Mice were immunized s.c. with short ragweed Ag extract (1/10,000 dilution; Greer Laboratories, Lenoir, NC) in 0.2 ml of saline containing penicillin/streptomycin (50 U/ml and 5 µg/ml, respectively; Sigma, St. Louis, MO) on days 1 and 8. Sham-immunized mice received two injections of saline alone. Seven days after the last immunization (day 15), animals were challenged by i.p. injection of 0.2 ml ragweed Ag extract. Saline- or ragweed-immunized control groups received an i.p. injection of 0.2 ml of saline. Forty eight hours after the Ag provocation, animals were killed and peritoneal lavages were performed with 3 ml of HBSS (without Ca2+ and Mg2+; Celox, Hopkins, MN) containing 0.1% BSA (Sigma). Total cell numbers and leukocyte differentials were performed as described below. Lavages were centrifuged and supernatants were frozen at -20°C until use for cytokine measurements.

Depletion of NK cells

Mice were depleted of NK cells by i.v. administration of anti-mouse NK1.1 mAbs (30 µg/mouse/day; PharMingen, San Diego, CA) either before allergen challenge (days 14 and 15) or both during immunization and before challenge (days -1, 0, +1, 14, and 15). Control groups of mice received an isotype-matched control mAb (mouse IgG2a, 30 µg/mouse/day; PharMingen) at the same time intervals.

Determination of total cells and leukocyte differentials

The total nucleated cell count was determined microscopically following staining of peritoneal lavage cells by Randolph’s stain, and calculated as total cells per recovered volume. Cytologic examinations of peritoneal lavage cells were done after cytocentrifugation and staining with May-Gruenwald-Giemsa. The relative proportions of the various leukocyte subpopulations were determined by a cell differential count of 1000 cells.

Quantitation of cytokines in peritoneal lavage fluid

IL-5, IL-4, and IFN-{gamma} were measured by sandwich ELISA using two mAbs recognizing different epitopes of the specific cytokine. Abs used for measuring IL-5 (TRFK5 and biotinylated TRFK4), IL-4 (BVD4-1D11 and biotinylated BVD6-24G2), or IFN-{gamma} (R4-6A2 and biotinylated XMG1.2) were all purchased from PharMingen. In all cases, binding of the second Ab was analyzed by stepwise incubation with streptavidin-alkaline phosphatase conjugate (Mabtech, Stockholm, Sweden) and 4-nitrophenylphosphate disodium salts (Sigma). OD was measured at 405 nM, and cytokine concentration was calculated based on the results from serial dilutions of standard recombinant mouse IL-5, IL-4, and IFN-{gamma}, respectively. The sensitivity of the cytokine ELISAs was about 10 pg/ml.

Determination of lymphocyte subpopulation by immunofluorescence

Specific binding of mAbs was analyzed by direct immunofluorescence using a FACScan flow cytometer (Becton Dickinson, Mountain View, CA). Briefly, 1 x 105 cells in staining buffer (PBS containing 2% FCS and 0.1% sodium azide) were incubated in the presence of saturating concentrations of CyChrome-conjugated anti-CD3 mAb and FITC-conjugated anti-pan NK or NK1.1. mAbs (PharMingen) in the dark on ice for 30 min. Cells were then washed twice with staining buffer and fixed with a 1% paraformaldehyde solution (pH 7.4 in PBS). Cytofluorometric analysis was performed using laser excitation at 488 nm, and the number of immunofluorescence-positive cells was determined per 10,000 analyzed cells. Specific binding of mAbs was controlled by subtraction of isotype-matched control Abs.

Determination of cytokine-producing lymphocyte subpopulation

Cytokine-producing peritoneal lavage cells were determined as recently described (38). Briefly, peritoneal lavage cells were incubated for 4 h at 37°C in RPMI containing 10% FCS and brefeldin A (10 µg/ml; Sigma) to disaggregate the Golgi complex, enabling newly synthesized proteins to accumulate intracellularly (39). Cells were then washed with PBS and incubated for 30 min at 4°C with optimal concentration of CyChrome-conjugated anti-CD3 mAb and FITC-conjugated pan NK or NK1.1. mAbs (PharMingen). In some experiments, the anti-CD3 Ab was replaced by a mixture of anti-{alpha}/ß and {gamma}/{delta} TCR mAbs (Fig. 7Go; PharMingen). Cells were washed again and fixed in 100 µl solution A (Fix & Perm cell permeabilization kit; Caltag Laboratories, San Francisco, CA) for 15 min at room temperature, washed in PBS, and resuspended in 100 µl of permeabilization solution B (Fix & Perm kit; Caltag Laboratories) containing phycoerythrin-labeled anti-IL-5 (TRFK5), anti-IFN-{gamma} (4S.B3), or isotype-matched control Abs (all purchased from PharMingen). Cells were incubated for another 15 min at room temperature, washed in PBS, and immediately analyzed using a FACScan (Becton Dickinson, San Jose, CA). Specificity of the staining was controlled by isotype-matched control mAbs and by preincubation of the permeabilized cells with nonconjugated anti-IL-5 or anti-IFN-{gamma} mAbs before adding the phycoerythrin-conjugated anti-cytokine mAb, reducing the specific immunofluorescence signal to background levels.



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FIGURE 7. Effect of depletion of NK cells on IL-5- and IFN-{gamma}-producing T cells and NK cells. Ragweed-immunized mice were treated with NK1.1 mAb (solid bars) or isotype-matched control mAb (shaded bars) either before the ragweed challenge (challenge) or during the immunization and before challenge (sensitization + challenge). Results are expressed as percentage (mean values ± SEM from 10 to 12 mice) of the baseline values obtained from ragweed-immunized and -challenged mice without Ab treatment (Control, striped bars). (A, Total CD3 or {alpha}/ß and {gamma}/{delta} TCR-expressing lymphocytes; B, total NK1.1-expressing, CD3- or TCR-negative lymphocytes; C, total IL-5-producing T cells; D, total IL-5-producing NK cells; E, total IFN-{gamma}-producing T cells; F, total IFN-{gamma}-producing NK cells.) *Denotes values significantly different from the other group, at least p < 0.05.

 
Statistical analysis

Statistical anlysis was performed using the two-tailed Mann-Whitney U test. Differences associated with probability values of p < 0.05 were considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Leukocytes and cytokines in peritoneal lavage fluid from ragweed-immunized and -challenged C57BL/6 mice

Intraperitoneal injection of Ag in short ragweed Ag-immunized mice induced an infiltration of various leukocytes into the peritoneal cavity (Table IGo). Significantly increased total numbers of eosinophils, lymphocytes, neutrophils, and macrophages were found in allergen-challenged mice compared with the nonimmunized or sham-challenged group with the most pronouced change in the number of eosinophils. Both the absolute as well as the relative numbers of eosinophils were increased significantly in allergen-challenged mice (1.1% ± 0.1 in naive, 5.9% ± 0.7 in nonchallenged, and 23.7% ± 1.4 in challenged mice), whereas the relative numbers of lymphocytes, neutrophils, or macrophages were not changed or decreased.


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Table I. Distribution of leukocytes in naive, ragweed sensitized and challenged C57BL/6 mice

 
Parallel to the selective eosinophil infiltration, peritoneal lavages obtained from allergen-exposed, ragweed-sensitized mice contained significantly increased levels of the predominantly Th2 cell type-derived cytokines IL-4 and IL-5 (Table IIGo). The concentration of IFN-{gamma}, mainly produced by Th1 and NK cells, was also increased in the peritoneal cavity from these animals. However, the absolute IFN-{gamma} concentration after allergen challenge was considerably lower compared with the levels of IL-4 or IL-5. Taken together, i.p. provocation of actively immunized C57BL/6 mice with ragweed Ags induced a selective accumulation of eosinophils in the peritoneal cavity and the production of a predominantly Th2 cell type cytokine pattern, both characteristic features of an allergic inflammatory response.


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Table II. Production of Th1 and Th2 cell cytokines following ragweed challenge

 
Increased numbers of IL-5-producing T cells and NK cells in peritoneal lavages following ragweed Ag challenge

To identify the cellular source for the increased levels of Th1 and Th2 cell type cytokines present in peritoneal lavages after allergen provocation, the total number and cytokine-producing T cells and NK cells were determined using immunofluorescence-staining techniques and flow cytometry. First, the number of T cells and NK cells present in peritoneal lavage fluids from the various groups of ragweed-sensitized and -challenged mice were determined by staining peritoneal lavage cells with mAbs directed against CD3 or against the NK cell marker NK1.1. Double fluorescence analysis of lymphocytes from these animals revealed the presence of three clearly separable populations of Ab-stained lymphocytes, a CD3-positive, NK1.1-negative T cell population, a small population of double-positive T cells, as well as a population of CD3-negative NK1.1.-positive cells representing NK cells. As shown in Figure 1Go, all three subpopulations of lymphocytes were increased significantly in peritoneal lavage fluids from ragweed-challenged mice, with the most pronounced relative increase in the number of NK cells. These results suggest that all three cell types may participate in the regulation of an eosinophilic inflammation. This is further supported by the fact that T cells, NK1.1.-bearing T cells, as well as NK cells were all shown to be capable of IL-5 production in vitro (20, 21, 22, 26, 26, 40, 41).



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FIGURE 1. Distribution of lymphocytes, T cells, and NK cells in peritoneal lavage fluid from ragweed-sensitized and -challenged mice. Total number of lymphocytes, CD3-positive T cells (CD3), NK1.1.-expressing CD3-positive T cells (CD3+NK+), and CD3-negative, NK1.1.-positive NK cells (NK+) in peritoneal lavage fluids from ragweed-sensitized, saline-challenged (shaded bars), and ragweed-sensitized and -challenged (solid bars) mice. Flow-cytometric analysis was performed on cells stained with CyChrome-conjugated anti-CD3 and FITC-conjugated NK1.1. mAbs. Results are expressed as mean values ± SEM from 16 to 18 mice per group. *Denotes significantly different values compared with the corresponding control groups (p < 0.05).

 
Indeed, by using a flow-cytometric technique that allows the measurement of intracellular accumulated, newly synthesized cytokines on a single cell level (38, 42, 43), we could demonstrate that increased numbers of T cells as well as NK cells produced IL-5 following ragweed provocation (Figs. 2Go and 3). Figure 2Go shows a representative example of a three-color immunofluorescence used to determine the number of IL-5-producing T and NK cells. Based on their expression of CD3 or NK1.1 Ags, cells were electronically separated into CD3-expressing T cells and CD3-negative NK cells (Fig. 2GoA), followed by analysis of their fluorescence profile after staining with either anti-IL-5 or isotype-matched control Abs. The immunofluorescence signal obtained from anti-IL-5-stained T cells (Fig. 2GoC) and NK cells (Fig. 2GoE) was clearly separable from the measurements of Ig isotype-matched control samples (Fig. 2Go, B and C) and completely inhibitable by preincubation of the permeabilized cells with unconjugated anti-cytokine Abs (data not shown), clearly demonstrating the presence of IL-5-producing T cells and NK cells in peritoneal lavages from ragweed-challenged mice. As shown in Figure 3Go, peritoneal lavage fluids obtained from these allergen-exposed mice contained significantly increased numbers of IL-5-producing T cells and NK cells as compared with ragweed-sensitized, saline-challenged animals. Thus, both T cells and NK cells produce IL-5 in response to allergen exposure in vivo, and may thereby contribute to the Ag-induced, IL-5-mediated tissue accumulation of eosinophils. Similar results were obtained by analyzing the number of IL-5-producing, NK1.1.-expressing CD3 cells, which were elevated significantly following allergen exposure (0.19 x 103 in nonchallenged mice vs 1.01 x 103 in ragweed-challenged mice). However, due to the low number of IL-5-expressing cells within this lymphocyte subpopulation, this type of analysis was not feasible in all analyzed mice.



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FIGURE 2. Identification of IL-5-producing T cells and NK cells in peritoneal lavage fluid from ragweed-sensitized and -challenged mice. Dot-plot analysis of peritoneal lavage cells from ragweed-challenged mice stained with CyChrome-conjugated anti-CD3 (FL3), FITC-conjugated NK1.1. (FL1), and phycoerythrin-labeled anti-IL-5 or isotype-matched control Abs (FL2). A, Representative double immunofluorescence of CD3- and NK1.1.-stained cells with gates set around the CD3-positive (CD3) and the CD3-negative NK1.1. (NK)-positive population. Distribution of control (B) and anti-IL-5 (C)-stained and -gated CD3-positive T cells or control (D) or anti-IL-5 (E)-stained and -gated NK cells.

 


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FIGURE 3. Increased numbers of IL-5-producing T cells and NK cells in peritoneal lavages from ragweed-sensitized and -challenged mice. Numbers of IL-5-producing NK cells (A) and T cells (B) from allergen-sensitized, nonchallenged (control), or ragweed-sensitized and -challenged (ragweed) mice, as measured by triple immunofluorescence (for details, see Materials and Methods and Fig. 2Go). Results are expressed as mean values ± SEM from 10 to 12 mice per group. *Denotes significantly different values compared with the corresponding control groups (p < 0.05).

 
Depletion of NK cells results in a selective reduction of the Ag-induced eosinophil infiltration

To further analyze whether IL-5 derived from NK cells contributes to the ragweed Ag-induced eosinophil infiltration, C57BL/6 mice were treated with anti-mouse NK1.1 mAbs, a well-established method to deplete NK cells in mice (44, 45, 46). Abs against NK1.1 or isotype-matched control Abs were administered i.v. either shortly before the ragweed challenge or before both the immunization and challenge procedures. Figure 4Go shows a representative flow-cytometric measurement from cells stained with anti-CD3 and an anti-NK cell Ab obtained from ragweed-challenged, NK1.1.-treated and -challenged, or control Ab-treated and -challenged mice. Treatment with NK1.1. Abs completely depleted the CD3-negative NK cell population, whereas a significant proportion of the double-positive CD3/NK1.1-expressing T cells remained present. This is also shown in Figure 5Go, demonstrating that NK cell depletion by NK1.1. Abs did not alter the number of CD3-expressing T cells (Fig. 5GoA), whereas the number of NK cell Ags expressing CD3-positive T cells (Fig. 5GoB) was significantly, but not completely, reduced. Similar results were obtained by staining the cells with either fluorescent labeled NK1.1. Abs or a pan NK cell marker that recognizes a different molecule on NK cells with a very similar cell distribution compared with NK1.1. (data not shown).



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FIGURE 4. Flow-cytometric analysis of the distribution of T cells and NK cells in NK1.1.-treated mice. Representative dot-plot analysis of peritoneal lavage cells obtained from ragweed-sensitized and -challenged mice stained with CyChrome-conjugated anti-CD3 (FL3) and FITC-conjugated NK1.1. (FL1) mAbs. Distribution analysis from nontreated (A), NK1.1.-treated (B), and control Ab-treated mice (C).

 


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FIGURE 5. Distribution of CD3+, CD3+NK1.1.+, and NK cells in peritoneal lavage fluid of NK1.1.-treated mice. Numbers of CD3+NK1.1.- (A), CD3+NK1.1.+ (B), and CD3-NK1.1.+ (C) peritoneal lavage lymphocytes from ragweed-sensitized, nonchallenged (c), ragweed-challenged (Rg), control Ab-treated and -challenged (cmAb), and NK1.1.-treated and -challenged (NK1.1.) mice. Results are expressed as mean values + SEM from 10 to 12 mice per group. *Denotes significantly different values compared with the corresponding control group.

 
Next, the effect of NK cell depletion on the allergen-induced eosinophil accumulation into the peritoneal cavity was analyzed. As shown in Figure 6Go, treatment with NK1.1, but not isotype-matched control Abs resulted in a significant and selective reduction of eosinophils present in peritoneal lavages obtained from ragweed-challenged and -immunized mice. The total cell numbers as well as the number of lymphocytes were slightly decreased, whereas a slight increase of macrophages was observed in these NK cell-depleted mice. Furthermore, no differences were found by comparing the effect of NK1.1. treatment before challenge or during immunization and challenge, suggesting that the main eosinophil active effect of NK cells takes place directly in response to the allergen challenge.



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FIGURE 6. Effect of depletion of NK cells on Ag-induced eosinophil infiltration in immunized C57BL/6 mice. Ragweed-immunized mice were treated with NK1.1 mAb (NK1.1) or isotype-matched control mAb (CmAb) either before the ragweed challenge (challenge) or during the immunization and before challenge (sensitization + challenge). Results are expressed as percentage (mean values ± SEM from 12 to 18 mice) of the baseline values (see Table IGo) obtained from ragweed-immunized and -challenged mice without Ab treatment (ragweed). (A, total cells; B, eosinophils; C, lymphocytes; and D, macrophages.) *Denotes values significantly different from the other group, at least p < 0.05.

 
Depletion of NK cells reduces the level of IL-5 in peritoneal lavage fluids, but did not change the number of IL-5-producing T cells

To further analyze whether the depletion of NK cells was also accompanied by a reduced number of IL-5-producing cells and diminished levels of IL-5, peritoneal lavages obtained from NK cell-depleted and allergen-sensitized and -challenged mice were analyzed for their content of cytokines as well as IL-5- and IFN-{gamma}-producing T cells and NK cells. As shown in Table IIIGo, depletion of NK cells significantly reduced the concentration of IL-5, IL-4, and IFN-{gamma} in peritoneal lavage fluid from allergen-challenged mice. The inhibition of IL-5 was much more pronounced compared with the changes of IL-4 and IFN-{gamma} levels. Again, no effect was found in control Ab-treated animals, and no significant differences were observed by comparing the effect of NK1.1. treatment before challenge or before immunization and challenge. Moreover, analysis of cytokine-producing T cells and NK cells clearly demonstrated that treatment with NK1.1 Abs completely eliminated the total number as well as the IL-5- and IFN-{gamma}-producing NK cells in the peritoneal cavity (Fig. 7Go, B, D, and F). In contrast, the total number as well as the proportion of cytokine-producing T cells was not altered significantly by the Ab treatment (Fig. 7Go, A, C, and E), suggesting that NK cells directly affect the allergen-induced tissue accumulation of eosinophils by the production of IL-5 without inhibiting cytokine release from T cells.


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Table III. Effect of NK cell depletion on peritoneal lavage cytokine levels

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It is well established that NK cells exert potent immunoregulatory activities in vivo and in vitro (27, 28). In particular, the secretion of high levels of IFN-{gamma} is thought to play an important role in immune responses against various pathogens by determining the differentiation of Ag-specific Th cells producing a Th1 cytokine pattern with IL-2 and IFN-{gamma}, but no IL-4 or IL-5 (27, 28, 29, 30, 31). However, the recent description of IL-5 production by human NK cells in vitro raised the question as to whether these cells produce a distinct, polarized cytokine profile similar to Th1 and Th2 cell types, and thereby contribute to allergen-induced eosinophilic inflammatory responses (25, 26). To answer this question, we analyzed the distribution and cytokine production of NK cells in a ragweed-induced murine allergic peritonitis model. The results presented in this study provide clear evidence for the presence of IL-5-producing NK cells in vivo. Moreover, depletion of NK cells not only reduced the levels of IL-5 in peritoneal lavage fluid, but also selectively inhibited the infiltration of eosinophils into the peritoneal cavity following allergen challenge. Thus, these results clearly indicate that NK cells have indeed the capacity to regulate tissue accumulations of eosinophils by overproduction of IL-5.

The results obtained with the ragweed allergen-induced murine allergic peritonitis model confirm earlier studies using other mouse strains and/or other allergens (35, 36, 37). In those studies, i.p. allergen challenge of sensitized mice also resulted in a massive accumulation of eosinophils within the peritoneal cavity, which was associated with increased levels of IL-5 and IFN-{gamma}. In addition, treatment with neutralizing anti-IL-5 mAb completely inhibited the tissue accumulation of eosinophils (35, 37), demonstrating the IL-5 dependency of this allergic eosinophilia.

Many studies have focused on identifying the cellular source of IL-5 in allergic inflammation. CD4+ and CD8+ T cells, mast cells, and eosinophils have all been shown to be capable of IL-5 production in vivo and in vitro (47, 48, 49, 50). With regard to T cell subsets, CD4+ cells appear to be a much more important source for IL-5 than CD8+ T cells. This could be demonstrated in experiments in which mice were depleted of CD4- or CD8-positive T cells by treatment with specific Abs (23, 24, 37). Under these conditions, Ag-induced IL-5 release and eosinophil infiltration into the mouse bronchial tissue of peritoneal cavity were suppressed in CD4, but not CD8, T cell-depleted animals, supporting the concept of an IL-5 and CD4 T cell dependency of eosinophilic inflammations in mice. Similar conclusions were reached from clinical studies with patients with asthma, in which IL-5 produced in the bronchial mucosa appeared to be mainly associated with CD4+ T cells, and the CD4 T cell activation profile correlated with the concentration of IL-5 in serum and bronchoalveolar lavage fluids (10, 11, 51). More controversial are studies on the relative importance of mast cells as cytokine-producing cells with eosinophilia-regulating capabilities. Although mast cells have been shown to produce and contain preformed stores of IL-4 and IL-5, and IgE-dependent activation results in the secretion of these eosinophil-regulating factors, mast cell-deficient mice do not show any defect in allergen-induced eosinophil recruitment (52, 53). These data indicate that mast cells are of limited importance as a cellular source of IL-5 in the regulation of allergen-induced eosinophil accumulation in inflamed tissues. Besides T cells and mast cells, eosinophils themselves have been shown to produce IL-5. However, the current view about eosinophil-derived IL-5 is that this cytokine acts predominantly as an autocrine survival factor within the tissue. In fact, we were not able to detect IL-5-producing eosinophils in our analysis of cytokine-producing cells obtained from peritoneal lavage fluids of allergen-sensitized and -challenged mice. This might be due to the sensitivity of the method used to detect intracellular cytokines, but this result suggests that the amount of IL-5 produced by eosinophils appears to be considerably lower compared with T cells and NK cells.

More recently, H. Warren et al. have demonstrated IL-5 production by human NK cells in vitro (25, 26). In their studies, purified peripheral blood NK cells were analyzed for their capacity to produce IL-5 and IFN-{gamma} following stimulation with IL-2 in primary and secondary cultures. The production of IL-5 was IL-2 dependent and required the presence of accessory cells or NK-specific target cells. Moreover, the secretion of IL-5 and IFN-{gamma} was affected profoundly by the addition of IL-4, IL-12, IL-10, and IL-15 and unrelated to the cytolytic function of these cells. We have confirmed and extended these observations and demonstrated the existence of distinct IL-5 high and low producing NK cell clones producing a differential cytokine pattern (unpublished observation). Moreover, the polarized cytokine profile of both IL-5 high and low producing NK cell subsets was found to be stable over time and most likely determined by exposure to specific cytokines during initial activation events. This was demonstrated in experiments in which NK cells cultured in the presence of IL-12 lost their ability to produce IL-5 in response to IL-2, despite producing similar levels of IFN-{gamma} in parallel cultures without IL-12. Thus, the cytokine environment present at the beginning of an inflammatory response may induce the production of a polarized cytokine pattern in NK cells, which, similar to the well-known Th1 and Th2 cell types, may influence the outcome of a specific immune response. The present study further extends these observations by demonstrating first an increased infiltration of NK cells in response to allergen exposure of sensitized mice, and second, IL-5 production by these NK cells in vivo. The allergen-induced increase in the total number as well as number of IL-5-producing NK cells was comparable with the results obtained with T cells, although the absolute values were about 10 times lower for NK cells. Nevertheless, these results suggest that significant amounts of the IL-5 detectable at the site of inflammation are derived from NK cells. However, conclusions about the relative contribution of T cells and NK cells to the overall IL-5 production are difficult, because cytokine-producing cells were only analyzed at a single point in time. Therefore, we cannot exclude the possibility that kinetic differences in the cytokine production profile between T cells and NK cells following Ag provocation may differentially affect the levels of IL-5 as well as the number of infiltrating eosinophils. On the other hand, the results obtained with NK cell-depleted mice, demonstrating a reduction of the IL-5 levels of more than 50%, rather suggest a higher contribution of NK cells to the total amount of IL-5 produced than would be expected from the total number of cytokine-producing cells.

We cannot exclude the possibility that depletion of NK cells by NK1.1 Abs has additional effects, such as changes in the overall cell-cell communication network as well as depletion of additional, IL-5-producing cell types. Indeed, it recently has been demonstrated that a small subpopulation of T cells bearing the NK1.1 Ag rapidly produces IL-4, IL-5, and IFN-{gamma} after in vivo activation via the CD3/TCR complex (41, 42). These observations suggest that these cells may provide the initial source of IL-4 required for the priming of CD4+ T cells to develop into a Th2 cell phenotype, as well as for the initiation of IgE production by B cells (47, 48). Consequently, one might expect that treatment of mice with anti-NK1.1 Abs, which not only deplete NK cells, but also those specific NK1.1-bearing T cell subsets, would prevent the development of Th2 cells and reduce the production of the Th2 cell-derived cytokines IL-4 and IL-5, as well as the synthesis of allergen-specific IgE. Our results, however, clearly demonstrate that treatment of mice with anti-NK1.1. Abs almost completely eliminated NK cells within the pertioneal cavity, whereas the numbers of NK1.1.-expressing CD3-positive T cells were reduced by only 50%. Similarly, the number of IL-5-producing T cells bearing the NK1.1. Ag was 5- to 10-fold lower compared with the number of IL-5-producing NK cells. Moreover, treatment of mice with anti-NK1.1 Abs either before the allergen challenge or during the immunization and challenge procedure resulted in comparable suppression of eosinophil infiltration and cytokine production, with no overall change of the Th2 cell cytokine pattern, suggesting that treatment with NK1.1 Abs during the immunization did not alter the development of Ag-specific Th2 cells nor the production of IgE. Furthermore, no significant changes were found in the number of infiltrating and cytokine-producing T cells, suggesting no T cell inhibitory effect through the administration of NK1.1. Abs. Taken together, these data clearly indicate that, at least in our model, NK1.1.-bearing T cells are of limited importance in the regulation of eosinophilia, eosinophil infiltration, and IL-5 production.

In conclusion, the data presented in this study clearly demonstrate that NK cells are capable of IL-5 production in vivo, and thereby contribute to the development of an eosinophilic inflammatory response. These results, together with our recent data with NK cell clones demonstrating clear differences in signal requirement for the induction of IL-5 and IFN-{gamma} production and the existence of distinct IL-5 high and low producing NK cell clones, suggest that cytokines available in the local environment profoundly affect the range of cytokines produced by activated NK cells. As a consequence, one set of cytokines released by NK cells may favor the development of a characteristic Th1-type immune response, whereas other cytokines such as IL-5 may contribute to eosinophilic inflammations, as found in patients with asthma or parasitic infections.


    Footnotes
 
1 This work was supported in part by National Institutes of Health Grant AI 345677. Back

2 Address correspondence and reprint requests to Dr. Christoph Walker, Novartis Horsham Research Centre, Department of Respiratory Diseases, Wimblehurst Road, Horsham, West Sussex RH12 4AB U.K. E-mail address: Back

Received for publication June 18, 1997. Accepted for publication April 14, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Cutting Edge: Differentiation of Human NK Cells into NK1 and NK2 Subsets
J. Immunol., December 1, 1998; 161(11): 5821 - 5824.
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