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The Journal of Immunology, 1998, 161: 2804-2809.
Copyright © 1998 by The American Association of Immunologists

Prostaglandin E2 Induces the Final Maturation of IL-12-Deficient CD1a+CD83+ Dendritic Cells: The Levels of IL-12 Are Determined During the Final Dendritic Cell Maturation and Are Resistant to Further Modulation1

Pawel Kalinski2, Joost H. N. Schuitemaker, Catharien M. U. Hilkens and Martien L. Kapsenberg

Academic Medical Center, Department of Cell Biology and Histology, University of Amsterdam, Amsterdam, The Netherlands


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Activation of immature dendritic cells (DC) in peripheral tissues induces their migration to lymph nodes and their maturation into CD83+ DC, which are able to prime naive T cells. The inflammatory cytokines IL-1ß and TNF-{alpha} induce mature DC, which can secrete IL-12 and promote the development of Th0/Th1-biased cells. DC maturation factors with a Th2-promoting function have not been described. Here we show that PGE2, although it does not induce final DC maturation by itself, synergizes with IL-1ß and TNF-{alpha}, and allows their effectiveness at 100-fold lower concentrations. While being phenotypically identical with the DC matured in the presence of high concentrations of IL-1ß and TNF-{alpha} alone, DC matured in the additional presence of PGE2 show impaired IL-12 production and bias naive Th cell development toward the Th2. The ability of DC to produce IL-12 is also suppressed by IL-10, which in contrast to PGE2, inhibits their maturation. The differences in the ability to produce IL-12, established during the final DC maturation, are stable after the removal of modulatory factors. Importantly, fully mature DC become unsusceptible to PGE2 and IL-10. This indicates that the levels of IL-12 production in vivo, in mature DC interacting with Th cells within the lymph nodes, are mainly predetermined at the stage of immature DC in peripheral tissues. These data imply that the character of pathogen-induced local inflammatory reaction can "instruct" local DC to initiate Th1 or Th2-biased responses.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Primary immune responses are initiated by dendritic cells (DC).3 Immature DC reside in epithelial and connective tissue compartments and after activation they migrate to draining lymph nodes and undergo the final maturation (1, 2). This process is associated with appearance of the mature DC marker CD83 (3, 4), loss of CD115 expression, and up-regulation of costimulatory molecules, including CD80 and CD86 (4, 5, 6). DC maturation can be triggered by bacterial products, such as LPS (6), by the ligation of CD40 after contact with CD40L-expressing T cells (5, 6, 7), and also by the inflammatory cytokines IL-1ß and TNF-{alpha} (5, 6).

The cytokine-induced final maturation of DC is accompanied by a functional shift. While immature DC are able to take up Ag, the initiation of their maturation is accompanied by a transient enhancement of Ag uptake and a subsequent loss of this capacity. In parallel, the ability of maturing DC to stimulate naive Th cells and to initiate primary immune responses rapidly increases (1, 2). The ability of inflammatory signals to induce the final maturation of tissue-residing DC led to a "danger" concept (8), in which the initiation of Ag-specific immune responses is linked to the tissue damage via the resulting nonspecific inflammation. To what extent this early inflammatory reaction determines the character of the immune response initiated in naive Th cell population is less clear.

Already primary immune responses may show polarization toward the production of Th1- or Th2-type cytokines, depending on the route of entry and the type of pathogen (9, 10). A crucial factor in the generation of Th1-type responses is IL-12 (11). Mature DC can secrete IL-12 upon contact with CD40L-expressing T cells (12, 13) and, therefore, are implicated in the development of Th1-biased responses. IL-12 production in APC is strictly regulated (11). It was recently shown that IL-12 production in immature human DC is susceptible to the inhibition by IL-10, which at the same time inhibits the stimulatory potential of DC (14). Previously, we have shown that the presence of PGE2 during the early stages of DC development leads to the generation of IL-12-deficient cells, similar to immature CD1a+ DC in respect to morphology, expression of costimulatory molecules, and stimulatory capacity (15), but which display a CD1a-CD14+ phenotype. Those data indicated that the ability of developing APC to initiate Th1-type vs Th2-type responses may depend on the microenvironmental conditions of their development.

In the current study, we have addressed the question to what extent the inflammatory mediators PGE2 and IL-10 modulate the final maturation of CD1a+ DC with respect to phenotype and the ability to pick up Ag, to stimulate naive Th cells, and to polarize Th cell development into preferential production of Th1- or Th2-type cytokines. We show that PGE2, in contrast to IL-10, synergizes with IL-1ß and TNF-{alpha} in the induction of phenotypical and functional final maturation of DC. However, the PGE2-promoted maturation results in CD1a+CD83+ DC, which produce only low amounts of IL-12 and bias the development of naive Th cells toward the production of Th2-type cytokines. Since fully mature DC become resistant to further modulation, these data imply that the ability of DC to induce a particular type of Th response is predetermined in peripheral tissues by the character of the local inflammatory response that induces the final DC maturation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
mAb used

The following mAb were used: CD1a (OKT6; Ortho, Beerse, Belgium), HLA-DR (L243; Becton Dickinson, Mountain View, CA), CD83 (HB15; Immunotech, Marseille, France), CD115 (GR12; Oncogene, Cambridge, MA), CD80 (B7-24) and CD86 (1G10; both provided by Innogenetics, Ghent, Belgium), CD40 (EA-5; a gift from Dr. T. LeBien, University of Minnesota, Minneapolis, MN), mannose receptor (16) (15-2; a gift from Dr. F. Noorman, Leiden, The Netherlands), CD45RA (2H4; Coulter, Hialeah, FL), and CD45RO (UCHL-1; a gift from Dr. P. Beverly, London, U.K.). IL-1ß ELISA (detection limit, 3 pg/ml) was performed with use of a pair of anti-IL-1ß mAb, M421B and biotinylated M420B, both obtained from Endogen (Cambridge, MA). TNF-{alpha} ELISA (detection limit, 20 pg/ml) was performed with a pair of anti-TNF-{alpha} mAb 58.175.08 and biotinylated 58.175.03, both obtained from Biosource (Camarillo, CA).

Isolation of monocytes and naive Th cells

Monocytes were isolated from peripheral blood, as previously described (15). Naive CD45RA+CD4+ Th cells were isolated with use of the CD4-specific Dynabeads/Detatchabead system (Dynal, Oslo, Norway), followed by removal of CD45R0+ and residual HLA-DR+ cells by panning. This procedure yielded a population of >98% CD45RA+CD4+ Th cells.

Generation of immature CD1a+CD83- DC and induction of their final maturation

A procedure described by Sallusto (5) was used. Monocytes were cultured in Iscove’s modified Dulbecco’s medium with 10% FCS (HyClone, Logan, UT) in the presence of recombinant human granulocyte-macrophage CSF (500 U/ml; a gift from Schering-Plough, Uden, The Netherlands) and recombinant human (rh) IL-4 (250 U/ml; PBH, Hannover, Germany). On day 6, the cultures consisted of uniformly HLA-DR+, CD83-, CD115+ immature DC, without any detectable CD3+ cells. Over 90% of the cells expressed high levels of CD1a. For the following 48 h the following factors were added: rhIL-1ß (sp. act., 5 x 107 U/ml; Boehringer Mannheim, Mannheim, Germany) and rhuTNF-{alpha} (sp. act., 108 U/ml; PBH) or LPS (Difco, Detroit, MI), with or without PGE2 (Sigma, St. Louis, MO), forskolin (Sigma), and rhIL-10 (PharMingen, San Diego, CA), as indicated. All subsequent tests were performed after removal of IL-1ß, TNF-{alpha}, PGE2, IL-10, granulocyte-macrophage CSF, and IL-4.

Analysis of IL-12 production

On day 8 DC were harvested and washed extensively. Either the cells (4 x 104 cells in 200 µl) were stimulated on the same day, or DC were first cultured for an additional 24 h in the absence of modulatory agents, then washed and stimulated subsequently. DC were stimulated for 24 h with soluble rCD40L (17) (1 µg/ml; a gift from Immunex, Seattle, WA) in combination with rhIFN-{gamma} (1000 U/ml; a gift from Dr. P. H. van der Meide, Biomedical Primate Research Centre, Rijswijk, The Netherlands) or were cocultured with CD4+ T cells in the presence of superantigen (SEB; 1 ng/ml; Serva, Heidelberg, Germany). IL-12 p70 contents in the 24-h supernatants were measured with specific ELISA (sensitivity, 2 pg/ml) (18).

Induction of memory-type cytokines in maturing Th cells

Naive Th cells (2 x 104) were activated by irradiated (3000 rad) autologous DC (2 x 104) in the presence of SEB (1 ng/ml). When indicated, rhIL-12 (200 U/ml; a gift from Dr. M. Gately, Hoffmann-La Roche, Nutley, NJ) was added at the beginning of the cultures. On day 5, rhIL-2 (10 U/ml; a gift from Cetus Corp., Emeryville, CA) was added, and the cultures were expanded for next 9 days. On day 14 the quiescent Th cells were restimulated with CD3 mAb (CLB-T3/3; CLB) plus CD28 mAb (CLB-CD28/1; CLB), as previously described (19). The levels of IFN-{gamma}, IL-4, and IL-5 in 24-h supernatants were analyzed by specific ELISA, as previously described (15).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PGE2 synergizes with IL-1ß and TNF-{alpha} in the induction of mature DC phenotype and functions

Day 6 monocyte-derived DC (5) expressed M-CSF receptor (CD115) but lacked CD83 expression. Exposure of such immature DC to high concentrations of IL-1ß (10 ng/ml) and TNF-{alpha} (25 ng/ml), the cytokines known to induce final DC maturation (3, 4, 6), resulted in a rapid disappearance of CD115 and the acquisition of the mature DC marker CD83 (Fig. 1GoA). One hundred-fold lower concentrations of IL-1ß (0.1 ng/ml) and TNF-{alpha} (0.25 ng/ml) were virtually noneffective, inducing the above-described changes in only a small percentage of DC. In the presence of IL-10 (50 U/ml), even the high IL-1ß and TNF-{alpha} concentrations induced CD83 expression in only 30 to 50% of DC, confirming the previously postulated role of IL-10 as a factor preventing DC activation (20, 21, 22).



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FIGURE 1. PGE2 synergizes with IL-1ß and TNF-{alpha} in the induction of a mature DC phenotype. A, PGE2 and forskolin vs IL-10 reciprocally regulate the expression of CD83 on immature DC exposed to IL-1ß and TNF-{alpha}. The data shown are from a representative experiment of 11 performed. The adequate dilutions of control media, containing the same amounts of DMSO and ethanol as used for the preparation of stock solutions of PGE2 and forskolin, showed no effect in any of the experiments. B, PGE2 does not induce the endogenous production of inflammatory cytokines in the maturing DC. Concentrations of IL-1ß and TNF-{alpha} in 48-h cultures of immature DC treated with PGE2 (10-7 M) alone or induced to mature by low doses of IL-1ß (0.1 ng/ml) and TNF-{alpha} (0.25 ng/ml) in the absence or the presence of PGE2. C, The surface phenotype and the ability to take up mannosylated BSA of DC exposed to low concentrations of IL-1ß (0.1 ng/ml) and TNF-{alpha} (0.25 ng/ml) in the absence (open profiles) or the presence of PGE2 (10-7 M; solid profiles) compared with DC matured in high concentrations of IL-1ß (10 ng/ml) and TNF-{alpha} (25 ng/ml; dotted lines). For the measurement of BSA uptake, the cells were incubated for 20 min at 37°C with 0.2 µg/ml of mannosylated, FITC-labeled BSA. The fluorescence of membrane-bound BSA was quenched with trypan blue (Sigma). Negative controls (DC incubated with mannosylated BSA on ice) were set at 101. The data shown are from a representative experiment of eight performed.

 
In sharp contrast to IL-10, PGE2 at physiologically relevant concentrations (23, 24) strongly synergized with IL-1ß and TNF-{alpha}, rendering them effective at 100-fold lower concentrations (Fig. 1GoA). This effect of PGE2 was evident at 10-8 M and was optimal at 10-7 M. These effects of PGE2 are mediated by the elevation of intracellular cAMP levels, since forskolin (10-5 M), an activator of adenylate cyclase, also facilitated DC maturation at low concentrations of IL-1ß and TNF-{alpha}.

Interestingly, however, in the absence of inflammatory cytokines, PGE2 was completely ineffective, even at the concentration of 10-6 M, implying that PGE2 is only a cofactor for IL-1ß- and TNF-{alpha}-induced DC maturation. Similarly, forskolin was completely ineffective unless small amounts of the inflammatory cytokines were added (Fig. 1GoA). Therefore, PGE2 appears to act differently from IL-1ß, TNF-{alpha}, and LPS, which can all induce final DC maturation also when used alone (3, 6). This maturation-promoting effect of PGE2 was not associated with any detectable elevation of IL-1ß or TNF-{alpha} levels in the DC cultures exposed to low concentrations of these factors (Fig. 1GoB).

Facilitation of DC maturation by PGE2 was reflected by the up-regulation of costimulatory molecules CD80 and CD86 and by the down-regulation of the mannose receptor, resulting in the phenotype similar to DC maturing in the high concentrations of IL-1ß and TNF-{alpha} (Fig. 1GoC). The same results were obtained with forskolin (not shown).

At the functional level, PGE2 promoted the shift from Ag-trapping into immunostimulatory cells. PGE2 synergized with IL-1ß and TNF-{alpha} in the reduction of the ability of maturing DC to take up mannosylated BSA (Fig. 1GoC) and in the up-regulation of their ability to stimulate naive Th cells (Fig. 2Go). In contrast to PGE2, IL-10 preserved the ability of IL-1ß- and TNF-{alpha}-exposed DC to take up mannosylated BSA (data not shown) and inhibited the increase in their stimulatory capacity for naive Th cells (Fig. 2Go). This inhibitory effect was especially clear when low amounts of DC were added to naive Th cell cultures, consistent with the observation that a proportion of DC escaped the suppressive effect of IL-10 (Fig. 1GoA).



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FIGURE 2. Capacity of DC maturing in the presence of low concentrations of IL-1ß (0.1 ng/ml) and TNF-{alpha} (0.25 ng/ml), with or without PGE2 (10-7 M) or IL-10 (50 U/ml), to stimulate naive (CD45RAhigh) Th cells. Naive Th cells (2 x 104/well) were primed with SEB (1 ng/ml) in the presence of different numbers of irradiated (3000 rad) DC. [3H]TdR was added 16 h before termination of the assay (day 5). Data shown are the mean (±SD) of triplicate cultures from a representative experiment of four performed.

 
IL-10 and PGE2 stably modulate the ability to produce IL-12 in maturing DC but are no longer effective in fully mature CD1a+CD83+ cells

Although phenotypically identical with the cells matured in the presence of high concentrations of IL-1ß and TNF-{alpha} alone, DC matured in the additional presence of PGE2 showed a reduced capacity to produce IL-12. This was seen both after a powerful stimulation with soluble CD40L in the presence of IFN-{gamma}, a mode of stimulation corresponding to the interaction between Th cells and APC (25, 26), as well as when DC were cocultured with CD4+ Th cells in the presence of SEB (Fig. 3GoA), in which case the levels of IL-12 induced were approximately sevenfold lower (see Fig. 3Go legend), but showed the same pattern of inhibition. The presence of IL-10 had a similar IL-12 inhibitory effect. These observations were reproduced in 12 donors. The PGE2 effect was seen at doses as low as 10-9 M and was optimal at 10-7 M (Fig. 3GoB), indicating that PGE2 is effective at physiologic concentrations, such as those found at inflammatory sites or in tumors (23, 24).



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FIGURE 3. PGE2 and IL-10 stably modulate IL-12 production in DC undergoing final maturation but not in fully mature DC. A, Production of IL-12 by mature control DC, PGE2 (10-7 M)- and IL-10 (50 U/ml)-preexposed DC 24 h after stimulation with CD40L (1 µg/ml) and IFN-{gamma} (1000 U/ml) or after the induction of IL-12 during coculture with CD4+ T cells in the presence of SEB (1 ng/ml). The data are shown as the mean (±SEM) of the results obtained with 12 different donors and, to avoid donor-to-donor variation, are shown as a percentage of IL-12 p70 production by unmodified control DC after the stimulation with CD40L plus IFN-{gamma} (mean, 2.89 ng/ml; range, 0.5–6.2 ng/ml) or after the coculture with CD4+ cells (mean, 0.44 ng/ml; range, 0.09–2 ng/ml). B, Mature DC are resistant to modulation. The increasing amounts of PGE2 (top) and IL-10 (bottom) were added on day 6 together with high doses of IL-1ß (10 ng/ml) and TNF-{alpha} (25 ng/ml) and then removed on day 8, before the CD40L/IFN-{gamma}-mediated stimulation of DC (solid bars). Alternatively, the same amounts of PGE2 or IL-10 were added to fully mature CD83+ DC on day 8 and were present during the stimulation of the cells (blank bars). The data (bars represent mean ± SD of triplicate cultures) represent one donor of four tested, which all gave similar results. C, Comparison of IL-12 p70 production by control DC, PGE2 (10-7 M)- and IL-10 (50 U/ml)-preexposed DC stimulated with CD40L plus IFN-{gamma}, either directly or 24 h after removal of modulatory agents (see Materials and Methods). Data represent the mean (±SD) of triplicate cultures from one donor. Similar data were obtained with three additional donors.

 
Although PGE2 and IL-10 profoundly modulate the IL-12-producing capacity of maturing DC, they no longer affect IL-12 production in the DC that have completed the process of final maturation (Fig. 3GoB), suggesting that PGE2 and IL-10, whenever present in the lymph nodes, will have little effect.

The decreased IL-12 production was still present in the DC that were induced to mature in the presence of PGE2 or IL-10, but were further cultured for an additional 24 h in the absence of these factors before stimulation (Fig. 3GoC). These findings indicate that PGE2 and IL-10 stably impair IL-12 production in maturing DC, and they suggest that the ability of DC to produce IL-12 after migration to the draining lymph nodes will reflect a fixed level, resulting from the composition of inflammatory environment at the site of their activation.

PGE2-promoted DC maturation results in their Th2 cell-biasing function

We have reported previously that priming of naive Th cells by totally IL-12-deficient APC leads to the generation of type 2 cytokine-biased responses (15). Therefore, we tested whether the presence of PGE2 during the final DC maturation, although resulting in only a partial inhibition of IL-12, also affects naive Th cell priming. Purified naive CD4+CD45RA+ T cells were stimulated with SEB presented by the two populations of fully mature DC, obtained in the absence (control DC) or the presence of PGE2. Naive Th cells primed with control DC or PGE2-preexposed DC expanded to a similar extent (~2000-fold). These in vitro matured T cells were restimulated on day 14 to determine the production of memory-type Th cytokines.

As shown in Figure 4GoA, the priming of Th cells by the PGE2-preexposed DC resulted in the enhanced ability of maturing Th cells to produce Th2-type cytokines, IL-4 (approximately twofold) and IL-5 (approximately fourfold), and their diminished ability to produce IFN-{gamma} (approximately twofold), compared with cells primed by control DC. This Th2-driving capacity was overruled by exogenous IL-12 (Fig. 4GoB). The addition of IL-12 also modified the development of Th cells primed by control DC, resulting in the generation of Th1-like, instead of Th0-like, cells from naive precursors. This is in accord with the previous reports, showing that, in the absence of external stimuli, unmodified DC induce Th0-like cytokine profiles in vitro (27) and in vivo (28). This results from the fact that naive Th cells induce only limited amounts of IL-12 during their interaction with DC (27).



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FIGURE 4. A, DC undergoing final maturation in the presence of PGE2 (10-7 M) promote type 2 cytokine production in maturing Th cells. Naive (CD45RAhigh) Th cells primed with SEB (1 ng/ml), presented either by PGE2-matured DC or by the mature control DC. Th cells were restimulated on day 14. The data represent the mean (±SEM) of nine independent experiments from seven different donors. To bypass the variation in the absolute amounts of cytokines produced by the cells from different donors, the level of each cytokine induced by PGE2-pretreated DC was calculated as a percentage of the production induced by the control DC from the same donor (mean IL-4 production, 0.53 (range, 0.04–1.4) ng/ml; mean IL-5 production, 0.89 (range, 0.04–2.3) ng/ml; mean IFN-{gamma} production, 0.98 (range, 0.15–2.2) ng/ml). Paired Wilcoxon test was used for statistical analysis. * indicates p < 0.01. B, Exogenous IL-12 overrules the Th2-driving capacity of the DC maturing in the presence of PGE2. Naive cells were primed with SEB (1 ng/ml), presented by PGE2-matured DC or by the mature control DC in the absence or the presence of rhIL-12 (200 U/ml). Th cells were restimulated on day 14. The duplicate points represent two independent DC cultures from a single donor. Similar data were obtained with two additional donors.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The current study indicates that the phenotypically identical DC may differ in their ability to produce the crucial Th1-driving cytokine IL-12, depending on the inflammatory cytokine environment that induces their final maturation.

The two IL-12-inhibiting factors tested in this study, PGE2 and IL-10, showed a strikingly different impact on the final maturation of DC. While IL-10 was confirmed to act as an inhibitory factor, PGE2 was demonstrated to act as a cofactor in IL-1ß- and TNF-{alpha}-induced DC maturation, lowering the requirement for these inflammatory cytokines by a 100-fold. Due to its different molecular character as a prostanoid, but also due to a different mode of action compared with inflammatory cytokines or LPS, PGE2 appears to be a different type of DC maturation-promoting factor. In contrast to IL-1ß, TNF-{alpha}, or LPS, which in high concentrations can induce the DC maturation by themselves, the effect of PGE2, even at the high concentration of 10-6 M, was totally dependent on the presence of low amounts of the inflammatory cytokines. When forskolin was used to document the cAMP dependence of PGE2 action, its activity also required the presence of low concentrations of IL-1ß and TNF-{alpha}. Only in those experiments in which a spontaneous maturation was already observed in a part of the DC on day 6, probably due to the activation of cells during the initial culture period, the addition of PGE2 alone led to maturation of the remaining cells (data not shown). This finding suggests that either small amounts of endogenously produced inflammatory cytokines could synergize with PGE2 or that at a certain later stage of final DC maturation PGE2 becomes capable of completing this process by itself. This maturation-promoting activity of PGE2 was not accompanied by any elevation of IL-1ß or TNF-{alpha} levels in the cultures of maturing DC exposed to low doses of these inflammatory cytokines (Fig. 1GoB), arguing against an indirect action of PGE2, mediated by the induction of endogenous production of these cytokines. Despite the view that PGE2 is a suppressive inflammatory factor, these data indicate that PGE2 contributes to the initiation of primary immune responses by facilitating the cytokine-induced final maturation and the increase in immunostimulatory capacity of DC.

The current results confirm the role of PGE2 as a Th2-promoting factor, acting at the APC level (15). They show that the maturation of DC in the PGE2-rich environment results in cells that produce reduced amounts of bioactive IL-12 p70 heterodimer after subsequent contact with Th cells. Although it was recently reported that the exposure of immature DC to PGE2 results in the induction of the inactive p40 subunit of IL-12 (29), in our hands such p40 induction by PGE2 alone or in combination with TNF-{alpha} is not accompanied by the production of bioactive p70 heterodimer of IL-12 (P. Kalinski, J. H. N. Schuitemaker, and M. L. Kapsenberg, manuscript in preparation). This is in contrast to LPS stimulation, which results in the production of both p40 as well as the biologically relevant p70 heterodimer. These observations confirm that the production of p40 and that of p70 are regulated separately, which was previously demonstrated in monocytes (18).

Although the DC matured in high concentrations of IL-1ß and TNF-{alpha} alone or in the additional presence of PGE2 show the similar expression of maturation markers and costimulatory molecules, the PGE2-matured DC bias the differentiation of naive Th cells toward Th2. This Th2 bias was overruled by the addition of exogenous IL-12. In the presence of IL-12, the priming by both DC types resulted in the generation of Th1-like cells. This finding argues against an involvement of any specific Th2-driving factor(s) produced by PGE2-modified DC, and instead suggests the crucial role of IL-12 differences in the differential priming of naive Th cells.

The strong differences in the ability to produce IL-12 between phenotypically identical DC observed in this study indicate that CD1a+ DC per se should not be considered a Th1-steering APC type. This is in line with a previous study of Ronchese et al. (28), which showed that DC are effective inducers of both Th1-type as well as Th2-type cytokines in vivo. Instead, our data suggest that a single APC type, i.e., the DC, may have differential ability to induce Th1-type or Th2-type Th cells depending on the tissue of origin and the conditions of their maturation. This also implies that the manner of inducing the maturation of DC used for immunotherapy may be crucial to the success of treatment, due to the different cytokine patterns of the responses induced by phenotypically similar DC.

The deficiency in IL-12 production induced by PGE2 and IL-10 was preserved for at least 24 h after removing the modulatory factors, suggesting that in vivo, when induced in the peripheral tissues, the IL-12 deficit will be present in the cells reaching the lymph nodes. A striking finding was that IL-12 production in fully mature DC was resistant to subsequent modulation. The susceptibility of DC to functional polarization by PGE2 and IL-10 during their final maturation and the subsequent loss of such susceptibility in fully mature cells resemble a narrow time window in which activated immature DC can efficiently take up Ag and a loss of Ag uptake capacity in mature DC (6). Both these phenomena may help to selectively sample the environment, restricting the acquisition of both antigenic peptides and modulatory signals to the relevant site of pathogen entry. This may reduce the risk of picking up irrelevant signals on the way to the lymph nodes and, in the second case, may allow for an independent regulation of cytokine profiles in T cells responding to different Ags within a single lymph node.

The current observations are consistent with a concept of a DC as a go-between, constituting the link between the local natural defense mechanisms and the measures of specific immunity. It is generally accepted that DC, activated by a nonspecific tissue response to the pathogen, instruct the immune system to initiate an Ag-specific response by providing the naive Th cells with signal 1 (Ag) and signal 2 (costimulation). The current data imply that this nonspecific tissue response, depending on its character, may also be able to instruct the locally activated DC to provide naive Th cells with a signal 3 (polarization), determining the type of response to be initiated.


    Acknowledgments
 
We thank Ing. J. Wormmeester for logistic help, Dr. E. C. de Jong for stimulating discussions, and Dr. E. A. Wierenga for critically reading the manuscript.


    Footnotes
 
1 This work was supported in part by a grant from The Netherlands Asthma Foundation (NAF 94.60 to C.M.U.H.). Back

2 Address correspondence and reprint requests to Dr. Pawel Kalinski, Department of Cell Biology and Histology, Academic Medical Center, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands. E-mail address: Back

3 Abbreviations used in this paper: DC, dendritic cells; CD40L, CD40 ligand; rh, recombinant human; SEB, staphylococcal enterotoxin B. Back

Received for publication December 1, 1997. Accepted for publication May 19, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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J. Immunol., April 15, 2001; 166(8): 4843 - 4852.
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S. Corinti, C. Albanesi, A. la Sala, S. Pastore, and G. Girolomoni
Regulatory Activity of Autocrine IL-10 on Dendritic Cell Functions
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T. Ito, R. Amakawa, M. Inaba, S. Ikehara, K. Inaba, and S. Fukuhara
Differential Regulation of Human Blood Dendritic Cell Subsets by IFNs
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A. la Sala, D. Ferrari, S. Corinti, A. Cavani, F. Di Virgilio, and G. Girolomoni
Extracellular ATP Induces a Distorted Maturation of Dendritic Cells and Inhibits Their Capacity to Initiate Th1 Responses
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J. Banchereau, B. Pulendran, R. Steinman, and K. Palucka
Will the Making of Plasmacytoid Dendritic Cells in Vitro Help Unravel Their Mysteries?
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Infect. Immun.Home page
L. M. Lopes, A. Maroof, G. Dougan, and B. M. Chain
Inhibition of T-cell Response by Escherichia coli Heat-Labile Enterotoxin-Treated Epithelial Cells
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Toxicol SciHome page
S. E. Ullrich and H. J. Lyons
Mechanisms Involved in the Immunotoxicity Induced by Dermal Application of JP-8 Jet Fuel
Toxicol. Sci., December 1, 2000; 58(2): 290 - 298.
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W. Zou, J. Borvak, F. Marches, S. Wei, P. Galanaud, D. Emilie, and T. J. Curiel
Macrophage-Derived Dendritic Cells Have Strong Th1-Polarizing Potential Mediated by {beta}-Chemokines Rather Than IL-12
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C.-C. J. Chang, A. Wright, and J. Punnonen
Monocyte-Derived CD1a+ and CD1a- Dendritic Cell Subsets Differ in Their Cytokine Production Profiles, Susceptibilities to Transfection, and Capacities to Direct Th Cell Differentiation
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D. A. Schmitt and S. E. Ullrich
Exposure to Ultraviolet Radiation Causes Dendritic Cells/Macrophages to Secrete Immune-Suppressive IL-12p40 Homodimers
J. Immunol., September 15, 2000; 165(6): 3162 - 3167.
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M. L. KAPSENBERG, C. M. U. HILKENS, T. C. M. T. van der POUW KRAAN, E. A. WIERENGA, and P. KALINSKI
Atopic Allergy: A Failure of Antigen-Presenting Cells to Properly Polarize Helper T Cells?
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H. Kahlert, E. Grage-Griebenow, H.-T. Stuwe, O. Cromwell, and H. Fiebig
T Cell Reactivity with Allergoids: Influence of the Type of APC
J. Immunol., August 15, 2000; 165(4): 1807 - 1815.
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C. C. Termeer, J. Hennies, U. Voith, T. Ahrens, J. M. Weiss, P. Prehm, and J. C. Simon
Oligosaccharides of Hyaluronan Are Potent Activators of Dendritic Cells
J. Immunol., August 15, 2000; 165(4): 1863 - 1870.
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C. S. Subauste and M. Wessendarp
Human Dendritic Cells Discriminate Between Viable and Killed Toxoplasma gondii Tachyzoites: Dendritic Cell Activation After Infection with Viable Parasites Results in CD28 and CD40 Ligand Signaling That Controls IL-12-Dependent and -Independent T Cell Production of IFN-{gamma}
J. Immunol., August 1, 2000; 165(3): 1498 - 1505.
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Y. Tada, A. Asahina, K. Nakamura, M. Tomura, H. Fujiwara, and K. Tamaki
Granulocyte/Macrophage Colony-Stimulating Factor Inhibits IL-12 production of Mouse Langerhans Cells
J. Immunol., May 15, 2000; 164(10): 5113 - 5119.
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P. L. Vieira, E. C. de Jong, E. A. Wierenga, M. L. Kapsenberg, and P. Kalinski
Development of Th1-Inducing Capacity in Myeloid Dendritic Cells Requires Environmental Instruction
J. Immunol., May 1, 2000; 164(9): 4507 - 4512.
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P. Kalinski, J. H. N. Schuitemaker, C. M. U. Hilkens, E. A. Wierenga, and M. L. Kapsenberg
Final Maturation of Dendritic Cells Is Associated with Impaired Responsiveness to IFN-{gamma} and to Bacterial IL-12 Inducers: Decreased Ability of Mature Dendritic Cells to Produce IL-12 During the Interaction with Th Cells
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I-C. Ho, J. P. Arm, C. O. Bingham III, A. Choi, K. F. Austen, and L. H. Glimcher
A Novel Group of Phospholipase A2s Preferentially Expressed in Type 2 Helper T Cells
J. Biol. Chem., May 18, 2001; 276(21): 18321 - 18326.
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